Work Health and Safety Branch safety inspection checklist

• Conducted on

  Date

• Prepared by

Vehicles (trucks, ute’s, loaders, manitou)

• Only licensed operators/drivers are permitted to drive company vehicles.

• Company policy is always to be aware of safe travelling loads and never overload company vehicles.

• Vehicle type

  Truck

  Utility

  Car

  Loader

  Manitou

• Vehicle rego

  Select Mazda BT50- 780 YDS Mazda BT50- 576 WIT Mazda BT50- 435 WEX Tritan- 651 VWP Mazda BT50- 841 WIT Mazda BT50- 547 VZO Pit 8t- 733 IEB Pit 3t- 923 RSA Mazda BT50- 993 WGG FUSO Canter- 771 RCB

  • Mazda BT50- 780 YDS
  • Mazda BT50- 576 WIT
  • Mazda BT50- 435 WEX
  • Tritan- 651 VWP
  • Mazda BT50- 841 WIT
  • Mazda BT50- 547 VZO
  • Pit 8t- 733 IEB
  • Pit 3t- 923 RSA
  • Mazda BT50- 993 WGG
  • FUSO Canter- 771 RCB

• Operator is to initial checklist when inspected, sign off and file.

• Operator

  Select Sarah Connor Nick Park Jeff Stone Dave Macnamara Peter Denning Geof Park David Bruggermann Ange Peach Debbie Krause

  • Sarah Connor
  • Nick Park
  • Jeff Stone
  • Dave Macnamara
  • Peter Denning
  • Geof Park
  • David Bruggermann
  • Ange Peach
  • Debbie Krause

• Odometer reading

• 3.1 Seat belts are in good working order?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.2 Brakes in working and safe order?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.3 Heater/air conditioner working?

  Yes

  No

  N/A

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.4 Windscreen wipers working and wiper fluid full?

  Yes

  No

  N/A

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.5 Lights Are all in working order, head Lights (high and low beam), brake lights, park lights, indicators (right and left)? <br>

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.6 Doors close securely?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.7 Windscreen free of cracks and chips?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.8 Two way radio, phone kit, hands free device working?

  Yes

  No

  N/A

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.9 Horn working?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.10 Tyres inflated to correct pressure using compliance plate, tyres not worn or have chunks missing?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.11 Spare tyre inflated, and tyre removal kit available?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.13 Tray (if fitted) is clean and free of sharp objects?

  Yes

  No

  N/A

• 3.12 Fire extinguisher present, up to date and in working order?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.14 First aid kit supplied, present and easily located in vehicle?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.15 Tie down straps available, in good working order and compliant with safe work load carrying capacity, not frayed?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.16 No frayed, loosed or damaged wiring?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.17 Engine fluids are at appropriate levels, coolant, brake fluid, engine, battery?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• 3.18 Number plate displayed and easily identifiable? No major bends or defects?

  YES

  NO

• Hazard Report Actioned/ Filled

  YES

  NO

• Front view of vehicle. Identification: B=bent, S=Scratch, CR=cracked, M=Missing, D=Dented, PC= Paint Chip, GC=Glass Chip

  Media

• Passenger side view of vehicle Identification: B=bent, S=Scratch, CR=cracked, M=Missing, D=Dented, PC= Paint Chip, GC=Glass Chip

  Media

• Rear view of vehicle. Identification: B=bent, S=Scratch, CR=cracked, M=Missing, D=Dented, PC= Paint Chip, GC=Glass Chip

  Media

• Drivers side view of vehicle Identification: B=bent, S=Scratch, CR=cracked, M=Missing, D=Dented, PC= Paint Chip, GC=Glass Chip

  Media

• Operators initial

• Operators signature

  Sign