ADCO Truck & Equipment Safety Inspection Rev3

• ADCO Inspection Types-Select One That Matches the

  Select

• Document No.

• Truck Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Physical

• Odometer Reading

• Vehicle serviced according to schedule

  Yes

  No

• Engine oil in safe area

  Yes

  No

• Brake lights operational

  Yes

  No

• Tail Lights operational

  Yes

  No

• Directional Lights Right Front, Left Front, Right Rear, Left Rear operational

  Yes

  No

• Emergency Flashers operational

  Yes

  No

• Cab Lights operational

  Yes

  No

• Clearance Lights operational

  Yes

  No

  N/A

• Spot Lights operational

  Yes

  No

  N/A

• Seat Belts operational

  Yes

  No

• Warning Lights or Gauges-Dash operational

  Yes

  No

• Emer. Lights - Portable operational

  Yes

  No

• Compartment Lights operational

  Yes

  No

• Horn operational

  Yes

  No

• Foot Brakes operational

  Yes

  No

• Emergency Brakes operational

  Yes

  No

• Windshield Free of cracks or chips bigger than a quarter

  Yes

  No

• Windshield Wipers in good condition

  Yes

  No

• Rear Glass Free of Cracks

  Yes

  No

• Door Glasses Free of Cracks

  Yes

  No

• Mirrors Free of Cracks and Operational

  Yes

  No

• Tires - Gen. Condition

  Good

  Fair

  Poor

  N/A

• Headlights operational

  Yes

  No

• Brake lights operational

  Yes

  No

• The vehicle body is in good condition (Damage from a wreck)

  Good

  Fair

  Poor

  N/A

• Eagle eye/back-up camera working properly

  Yes

  No

  N/A

• Truck bed and cab clean and organized

  Yes

  No

Documentation

• SDS book intact and inventory list is up to date

  Yes

  No

• Insurance and proof of registration easily accessible & current

  Yes

  No

• All chemicals properly labeled

  Yes

  No

• License Tag on the truck

  Yes

  No

• State Inspection Tag on the truck

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Safety glasses & goggles used and in good condition

  Yes

  No

• Face shield used & in good condition

  Yes

  No

  N/A

• Respirator (stored, clean, in good condition & in sealed bag)

  Yes

  No

  N/A

• Gloves used and in good condition

  Yes

  No

• Hard Hat used and in good condition

  Yes

  No

• Hearing protection available and in good condition

  Yes

  No

Other Safety Items

• Defective personal tools tagged and removed from use.

  Yes

  No

  N/A

• All saw blades, drill bits, and sharp objects are in containers or have covers.

  Yes

  No

  N/A

• Extension cords in good condition. (No cuts or tape on insulation.)

  Yes

  No

  N/A

• Adequate supply of Ground Fault Interrupter (GFI). (GFI must be between the equipment and power source.)

  Yes

  No

  N/A

• First aid kit filled and readily available. (24 unit minimum) ("First Aid" stickers must be placed on the door of compartment where kits are stored.)

  Yes

  No

• Gel Blanket

  Yes

  No

• Housekeeping inside the truck maintained neatly

  Yes

  No

• Ladder(s) inspected, secured and in good condition

  Yes

  No

• Fire Extinguishers Inspected and operational

  Yes

  No

• Truck Tools in good conditional and functional

  Yes

  No

• Eye wash bottles easily accessible and up to date

  Yes

  No

• Change of clothes available and in good condition

  Yes

  No

  N/A

List any other action items that need to be corrected

• Enter/list issues here.

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