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| * Person carrying out the checks | | | | * Vehicle registration number | | | | * Date and time of checks (dd/mm/yy) | | |
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| * Tool Kit - check that there is no damage or deterioration to kit, and that all items are present |
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| If 'Tool Kit' defect or missing, please describe below: | | |
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| * Toe eye and jack- check that there is no damage or deterioration and that its suitable for the tasks |
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| If 'toe eye and jack' defect or missing, please describe below: | | |
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| * First aid box- check that its fully stocked, accessible , first aid leaflet, good condition and clean |
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| If 'First aid kid' defect or missing, please describe below: | | |
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| * Anti-bacterial hand-wash present? |
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| If 'anti-bacterial hand-wash' defect or missing, please describe below: | | |
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| * x4 High vis vest-check that they are all clean and undamaged |
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| If 'high vis vest' defect or missing, please describe below: | | |
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| * x1 High vis jacket- check that it is clean and undamaged |
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| If 'high vis jacket' defect or missing, please describe below: | | |
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| * x2 Hard hats (With chin strap)- check that there's no damage or deterioration, Suitble for tasks, stored correctly and clean |
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| If 'hard hats' defect or missing, please describe below: | | |
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| * Safety footwear- check that there's no damage or deterioration, footwear is suitable for the tasks, stored correctly and clean |
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| If 'safety footwear' defect or missing, please describe below: | | |
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| * x2 Spare Astound t-shirts- check they are clean and undamaged |
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| If 'Astound t-shirts' defect or missing, please describe below: | | |
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| * x5 cleaning blades- check theres no damage or deterioration, suitable for tasks, stored correctly and clean |
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| If ' cleaning blades' defect or missing, please describe below: | | |
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| * x4 applicators- check there's no damage or deterioration, suitable for tasks, stored correctly and clean |
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| If 'applicators' defect or missing, please describe below: | | |
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| * x7 scrims- check no damage deterioration , suitable for tasks , stored correctly and clean |
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| If 'x7 scrims' defect or missing, please describe below: | | |
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| * Cloths and scrubbing pads- check they are suitable for dealing with spills |
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| If cloths and scrubbing pads defect or missing, please describe below : | | |
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| * x2 trip hazard / warning cones- check no damage deterioration , suitable for tasks and stored correctly |
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| If 'trip hazard / warning cones' defect or missing, please describe below: | | |
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| * Wet floor signs- check no damage or deterioration, suitable for tasks stored correctly |
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| If 'wet floor signs' defect or missing, please describe below: | | |
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| * Metal cleaning sign- check no damage or deteroiration, sutiable for taks and stored correctly |
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| If 'metal cleaning signs' defect or missing, please describe below: |
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| * x1 fire extinguisher, check present, correct type (powder), pin secured, indicating full, tested within 12 months and accessible |
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| If 'fire extinguisher' defect or missing, please describe below: | | |
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| * Ladders- check they're the correct class, no damage or deterioration and clean |
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| if 'Ladders' defect or missing, please describe below: | | |
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| * Steps- Check they're correct class, no damage or deterioration, loose rungs/ stiles, feet worn or missing and clean |
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| If 'steps' defect or missing, please describe below: | | |
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| * Harnesses- checked by competent person, webbing, sticking, metal components, connectors, arrestor blocks |
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| If 'Harness' Defect or missing, please describe below: | | |
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| * Tyre pressure- check that tyres are correctly inflated and have at least min legal tread levels of 1.6 and must not be cut or damaged |
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| If 'tyres' defect or missing, please describe below: | | |
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| * Window Screen- check no damage, cracks , chips and clean |
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| If 'window screen' defect or missing, please describe below: | | |
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| * Oil Level- check oil is topped up regularly: |
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| If 'oil level' defect or missing, please describe below: | | |
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| * Van washed- check van is clean E.G lights, mirrors, windows and plates |
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| If 'van washed' defect or missing please describe below: | | |
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| * Clean inside van- check that the inside of the van is clean and tidy |
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| If 'inside the van' defect or missing, please describe below: | | |
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| * Leaflets- check you have enough leaflets and they're current versions: |
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| If 'leaflets' defect or missing, please describe below: | | |
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| * Business Cards- Make sure you have a stock of up to date business cards |
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| If 'Business cards' defect or missing, please describe below: |
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| * Peartree sign offs- check there's a stock at all times |
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| If 'peartree sign ofs' defect or missing, please describe bellow: | | |
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| * Visit cards- check theres a full stock |
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| If 'visit cards' defect or missing, please describe below: | | |
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| * H&S policy / manual & drivers manual |
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| If 'H&S policy / manual and drivers manual' defect or missing, please describe below: | | |
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| * Task based, site specific risk assessments & blank dynamic risk assessment forms, defect or missing |
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| If risk 'assessments' defect or missing, please describe below: | | |
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