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As your employer, we have a duty of care to our employees concerning the provision and use of personal protective equipment (PPE) at work.<br><br>It is imperative that you work safely at all times and ensure that all appropriate PPE equipment is used and that the utmost care is taken to reduce risks to yourself, other individuals and the general public. <br><br>Please check your PPE against the list and sign to confirm. <br> PPE – please tick the box to confirm you have the item and that it is in good working order.

  • Hard hat

  • Hi vis appropriate to where working/speed of road

  • FFP3 Facemasks (pack) if drilling or disk cutting

  • Protective goggles or glasses if any eye hazard

  • Gloves where hazard identified on Risk Assessment

  • Hearing protection where identified as necessary on risk assessment

  • Harness, lanyard and belt in good condition if you work at height

  • Safety boots (in good condition)

  • Vehicle safe and tidy (with clean decals for Chapter 8)

  • Inform supervisor/manager and fleet manager

  • All necessary equipment available and in good working order

  • Inform supervisor/manager and note what is missing

  • Comments and requirements:

  • Please comment:

  • I confirm that I have the above PPE items and that I am aware of my responsibilities as an employee to undertake work safely at all times.

Van Check

  • Van Registration

  • Are tyres in good condition? (Visual check)

  • Is windscreen in good condition?

  • Any external damage to the vehicle?

  • Any warning lights on the dashboard?

  • Are beacons working and rear hazard decals clean?

  • Any other vehicle issues?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.