Vehicle Inspection Form (Off-Road)

• Vehicle Fleet & License Plate #

• Date of Inspection

  Date

• Inspection By

• Season

  Summer

  Winter

• Odometer

• Insurance Expiry Date

  Date

Off-Road Vehicle Equipment Checklist Year-Round

• Emergency Procedures Manual – West Coast Region

  Present

  Not Present

  N/A

• Hi-Vis Vest (easily & quickly accessible)

  Present

  Not Present

  N/A

• Fire Extinguisher (2.5 LB ABC dry chemical)

  Present

  Not Present

  N/A

• Last Inspection Date:

  Date

• First Aid Kit (WCB OFA Level 1 & wool blankets x 2)

  Present

  Not Present

  N/A

• Last Inspection Date:

  Date

• Vehicle Jack (standard for vehicle (note: a jackall is not a substitute for a vehicle’s supplied bottle or scissor jack))

  Present

  Not Present

  N/A

• Tire Replacement Equipment (spare tire (inflated), tire iron, wheel chocks x 2, spare tire release tools (if required))

  Present

  Not Present

  N/A

• Tool Kit (6” adjustable wrench, multi-bit screwdriver, pliers/vice grips, WD40, hammer, socket set, crowbar, duct tape & zip ties)

  Present

  Not Present

  N/A

• Jumper Cables (14 gauge; 4m length)

  Present

  Not Present

  N/A

• Road Flares OR LED Safety Lights x 6 (red, minimum 20 burn time)

  Present

  Not Present

  N/A

• Reflective Emergency Triangles OR Safety Cones x 2

  Present

  Not Present

  N/A

• Lighting Device (Flashlight / Headlamp & spare batteries)

  Present

  Not Present

  N/A

• Air Compressor / Tire Inflator & Pressure Gauge OR Puncture Seal

  Present

  Not Present

  N/A

• Shovel & Pulaski (optional)

  Present

  Not Present

  N/A

• Axe (single bit, long handle in sheath) & Bowsaw OR Chainsaw (w/ mix gas/oil, tools & PPE)

  Present

  Not Present

  N/A

• Tow Rope / Chain (5m minimum length) w/ tow hooks (minimum 2-ton capacity) OR Winch / Come-Along<br>(Review ST/EP*)

  Present

  Not Present

  N/A

• Winch Kit – recovery chain, snatch block x2, D-shackles x2 (2-ton capacity), recovery strap, tree protector, winch controller, PPE<br>(Review ST/EP*)

  Present

  Not Present

  N/A

• General PPE (Hard hat, leather work gloves & safety glasses)

  Present

  Not Present

  N/A

• Radio Check & Radio Handbook

  Present

  Not Present

  N/A

• Gas Can – 20L (check caps) secured outside cab; fillerneck present for capless fuel tanks

  Present

  Not Present

  N/A

• Towing Hitch, Hitchpin & Clips (with spares) (Review ST/EP*)

  Present

  Not Present

  N/A

• Ratchet Straps x 2 & Tie-Down Rope

  Present

  Not Present

  N/A

• Bear Spray Safety Container (if carried inside cab)

  Present

  Not Present

  N/A

• Portable Forestry Firefighting Canister - SUMMER ONLY

  Present

  Not Present

  N/A

Additional Winter Requirements

• Review ST/EP “Winter Travel” Complete?

  Yes

  No

  N/A

• Mandatory Winter Driving Online Training:<br>https://roadsafetyatwork.ca/events/webinar-shift-into-winterpractical-bc-winter-driving-tips/<br>Completed & Filed?

  Yes

  No

  N/A

• Record of Winter Driving Operator Training Completed & Filed?

  Yes

  No

  N/A

• Tire Chains (specific to vehicle (powered wheels only)) & Tensioner

  Present

  Not Present

  N/A

• Snow Brush & Ice Scraper

  Present

  Not Present

  N/A

• Sand / Kitty Litter / Traction Mat

  Present

  Not Present

  N/A

• Fuel Line De-icer

  Present

  Not Present

  N/A

Survival Kit

• Sleeping Equipment (space blankets, sleeping bag, or wool blankets x 2)

  Present

  Not Present

  N/A

• Tarpaulin & Paracord (30m small diameter cord)

  Present

  Not Present

  N/A

• Firestarter Kit (wax box & lighter OR waterproof matches)

  Present

  Not Present

  N/A

• Survival Lighting (Candles & Glow-sticks)

  Present

  Not Present

  N/A

• Utility knife / Leatherman

  Present

  Not Present

  N/A

• Hygiene Products (Paper towels, toilet paper, & hand sanitizer)

  Present

  Not Present

  N/A

• Emergency Water (minimum 1L (replace annually)) & Water Purification Tabs

  Present

  Not Present

  N/A

• Expiration Date:

  Date

• Emergency Food (sealed, non-perishable high energy food)

  Present

  Not Present

  N/A

• Expiration Date:

  Date

• Extra Clothing (windproof, waterproof, & warm)

  Present

  Not Present

  N/A

Maintenance Checklist

• Log Book (present & up to date)

  Present

  Not Present

  N/A

• General Cleanliness

  Good

  Fair

  Poor

  N/A

• Fluid Levels (engine oil, steering, coolant, brake, & windshield washer fluid)

  Present

  Not Present

  N/A

• General Servicing (oil & filter change (minimum annually))

  Required

  Not Required

• Last Servicing Conducted:

  Date

• Tires - swap for season, condition, inflation, tread depth >3.5mm<br>Note: Oct 1 – April 30 winter tires required.

  Required

  Not Required

• Emergency Brake (TEST)

  Pass

  Fail

  N/A

• Lights and Signals, Horn (TEST)

  Present

  Not Present

  N/A

• Canopy clamps (4 per regular/shortbox, 6 per longbox)

  Present

  Not Present

  N/A

• Winch – Spool Out & Respool (Review ST/EP*)

  Present

  Not Present

  N/A

• 4 x 4 – Engage, Drive, & Disengage (TEST)

  Present

  Not Present

  N/A

• Other:

• * Safety Management & Accident Prevention Vol 3 - Safety Tasks & Equipment Procedures (ST/EPs):
  https://intranet.gov.bc.ca/env/smapp/volume-three

Visual Damage Inspection Report:

• Add drawing

  Drawing

• Comments on general vehicle cleanliness, damage, items for repair:

• Submission of Report to Local Monthly Safety Meeting or Occupational Health & Safety Committee:

• Submitted by:

• Date:

  Date

WorkSafe BC - Level 1 First Aid Kit Contents

• These items must be kept clean, dry, and complete and must be readily accessible and ready to take to the scene of an accident. A weatherproof container is recommended for all items. Blankets should be readily available to the first aid attendant. High-vis vest & reflective cones/triangle should be readily available in the event of an incident occurring on a roadway.

• WorkSafeBC Level 1 First Aid Kit - Minimum Contents (recommended additions as noted)
  Note: Ensure COVID precautions & supplies meet current COVID Action Plan, as necessary.

  

Information Sources:

• 1. WorkSafeBC – Minimum contents of First Aid Kit
  https://www.worksafebc.com/en/law-policy/occupational-health-safety/searchable-ohsregulation/ohs-guidelines/guidelines-part-03#SectionNumber:FirstAidKits
  
  Workplace Hazard Rating for Public Sector / Administration / Law Enforcement = High
  
  Sched 3-A Minimum Levels of First Aid:
  Table 5: This table applies to a workplace that an employer determines under section 3.16 (2)(b) of the
  Regulation creates a high risk of injury and that is more than 20 minutes surface travel time away from
  a hospital. Requirement = a personal kit for only one worker. However, a vehicle can hold as many as
  five thus requiring a Level 1 First Aid Kit.
  
  2. Winter driving & survival kit:
  a. SMAPP ST/EP “Winter Travel”
  https://intranet.gov.bc.ca/assets/intranet/environment/homepage/smapp/vol-3/smapp-v3-stepwinter-travel.doc
  b. Mandatory Winter Driving Training per “Winter Travel” ST/EP:
  https://roadsafetyatwork.ca/events/webinar-shift-into-winter-practical-bc-winter-driving-tips/
  c. Shift Into Winter Online Information:
  https://shiftintowinter.ca/online-course/
  
  3. Other vehicle inspection documents & information reviewed and referenced:
  a. Basic Vehicle Safety Equipment Inventory.docx (NRS Ministries Penticton)
  b. Revised_Off_Road_Vehicle_checklist_MoE.doc (File: 1560-01/VS Checklist 877-20/Unit #)
  c. Vehicle Class A Equipment Checklist_Student Rangers.doc
  d. Standard list of Vehicle Safety Equipment.doc (Ministry of Environment Shared Vehicles)
  e. Passenger Vehicle - Tire and Chain Requirements - Province of British Columbia (gov.bc.ca)
  f. Canadian Centre for Occupational Health & Safety:
  i. Driving - Vehicle Inspection
  ii. Vehicle Survival Kit
  iii. Driving Tips – Winter