MONTHLY/RANDOM PPE CHECK (VEHICLE AND DRIVER)

"*" indicates required fields

CHECKED BY*
DD slash MM slash YYYY



DRIVER NAME*
CHASSIS NO.*
Checked?
FIRST AID KIT*
Checked?
DD slash MM slash YYYY
EYE WASH BOTTLE*
Checked?
DD slash MM slash YYYY
DD slash MM slash YYYY
FIRE EXTINGUISHER 3KG*
Checked?
SEAL INTAKE*
Yes or no?
IN PRESSURE*
Yes or no?
FIRE EXTINGUISHER 9KG*
Checked?
SEAL INTAKE*
Yes or no?
IN PRESSURE*
Yes or no?
BOARD ON FRONT (ORANGE)*
Checked?
INSTRUCTIONS IN WRITING*
Checked?
SPILL KIT*
Checked?
DRAIN COVER*
Checked?
SHOVEL*
Checked?
BRUSH*
Checked?
VEHICLE ADR DOCS*
Checked?
DD slash MM slash YYYY
RED TRIANGLE X2*
Checked?
HEIGHT INDICATOR*
Checked?
COLLECTING CONTAINER*
Checked?
TORCH*
Checked?
CHEMICAL SUIT*
Checked?
CHEMICAL GLOVES*
Checked?
HI VIZ VEST*
Checked?
GOGGLES*
Checked?
LIGHT EYE PROTECTION*
Checked?
WELLINGTONS*
Checked?
SAFETY BOOTS*
Checked?
HELMET*
Checked?
DD slash MM slash YYYY
RESPIRATOR*
Checked?
CANISTER(S)*
Checked?
DD slash MM slash YYYY
DD slash MM slash YYYY



Clear Signature
This field is for validation purposes and should be left unchanged.
© Copyright - James Lynch & Sons (Transport)