Vehicle Hygiene and Weed Inspection Form

SECTION 1 VEHICLE N! CO"#N$ !ETILS

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Vehicle !escription
Name (of person requesting inspection): Company/Position:
Proposed date to commence using equipment: Date:
Vehicle Type and Registration: Equipment Owner:
Preious !ocation/ Details o" #nown weeds: Current !ocation:
Pro$ect %or# &rea:
SECTION + , INS#ECTION
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Inspection Chec-list $es No Comments
's the e(terior "ree o" soil or mud)
's the e(terior "ree o" egetatie de*ris +twigs, leaes,
seeds etc-)
.as the ehicle *een high pressured cleaned or
disin"ected prior to arrial on/site)
's the e(terior "ree o" animals and insects)
&re there any oil lea#s on hoses or hydraulic $oins)
's the interior "ree "rom soil, dust and dirt)
's the interior "ree o" egetatie de*ris +twigs, leaes,
seeds etc-)
's the interior "ree o" animals and insects)
SECTION . F/0THE0 CTION 0E1/I0E! #0IO0 ##0OVL
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ction 0esponsi&ility ction Completed
SECTION 2 , ##0OVL
Completion o" this section renders the ehicle/equipment suita*le "or use on the site0
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Name HSE "anager or
delegate3
Name Company 0ep3
Company3 Contractor3
Vehicle Hygiene and Weed Inspection Form
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Signat*re3 Signat*re3
!ate3 !ate3