Title Page

  • Inspection Completed By:

  • Confirm Site

  • Asset

Core Kit Condition

Kit Bag Condition

  • Is the Kit Bag in good condition externally & internally?

Core Kit Items Inspection

Nitrile Flock Lined Gloves

  • Are the gloves in the kit?

  • Do the gloves require replacement?

Sandy Nitrile Gloves

  • Are the gloves in the kit?

  • Do the gloves require replacement?

Dusk Mask P2 - Box of 10

  • Do you have 5 or more masks in new condition?

  • How many masks do you have in new condition?

Cut Resistant Gloves

  • S4.jpg
  • Are the gloves in the kit?

  • Do the gloves require replacement?

Vented Hard Hat

  • Is the Hard Hat in the kit?

  • Does the Hard Hat require replacement?

Safety Specs - Clear

  • Are the specs in the kit?

  • Do the specs require replacement?

Safety Specs - Smoke

  • Are the specs in the kit?

  • Do the specs require replacement?

Sunscreen

  • Is there Sunscreen in the kit?

  • Does the Sunscreen require replenishment?

Slouch Hat

  • Is the Hat in the kit?

  • Does the Hat require replacement?

Earmuffs

  • S17.jpg
  • Are the Earmuffs in the kit?

  • Do the Earmuffs require replacement?

First Aid Kit

  • Is the First Aid Kit in the PPE kit or in the vehicle?

  • Does the First Aid Kit require replacement?

  • What items have been used, need replacement or are missing from the First Aid Kit?

Basic Harness

  • Is the Basic Harness in the Kit?

  • Does the Basic Harness require replacement?

Adjustable Lanyard

  • Is the Adjustable Lanyard in the Kit?

  • Does the Lanyard require replacement?

Safety Boots

  • Are the Boots in the kit?

  • Do the Boots require replacement?

Barricade Tape

  • Is the Barricade Tape in the Kit?

  • Does the Tape require replacement?

Spectacle Pouch

  • Is the Spectacle Pouch in the Kit?

  • Does the Pouch require replacement?

Spectacle Cord

  • Is the Spectacle Cord in the Kit?

  • Does the Cord require replacement?

Electrician Pouch Lockout Kit

Electrician Pouch Lockout Kit

  • Is the Electrician Pouch Lockout kit still in the Kit?

  • Does the Electrician Pouch Lockout Kit require replacement?

  • What items have been used, need replacement or are missing from the Electrician Pouch Lockout Kit?

Respirators & Filters

Half Face Respirator

  • C11.jpg
  • Is the Half Face Respirator in the kit?

  • Does the Half Face Respirator require replacement?

  • Are you confident that the respirator is the correct fit for you?

Full Face Respirator

  • C11.jpg
  • Is the Full Face Respirator in the kit?

  • Does the Full Face Respirator require replacement?

  • Are you confident that the respirator is the correct fit for you?

Filters

  • C18.jpg
  • Are the replacement filters in the kit?

  • Do the Filters require replacement?

Fire Extinguisher

Fire Extinguisher

  • C12.jpg
  • Is the Fire Extinguisher fixed appropriately and within the vehicle?

  • Does the Fire Extinguisher require replacement?

  • Does the First Extinguisher have more than 3 months left before requiring servicing?

Sign off

  • I confirm that I have inspected and provided an accurate response to all questions and according to policies & guidelines.

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