Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Driver Name
DOT inspection book/ Log book
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Xata login complete?
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DVIR complete and up to date?
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Spill kits, accident kit, fire extinguisher,warning triangles
Driver appearance and personal safety
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Proper uniform worn?
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Wearing steel toe shoes?
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Stretches at or before first stop, stretches routinely during shift?
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PPE used ( gloves, safety cutter)?
Driving Habits
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Follows driving laws and regulations?
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Driver refrains from using phone/ texting while driving?
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Maintains appropriate speed?
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Maintains proper lane discipline and makes safe lane changes?
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Maintains appropriate following distance?
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Driver refrains from eating, drinking, smoking.
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Courteous and defensive driving techniques?
Parking habits
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Selects parking to ensure no backing?
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Parks in designated parking area and does not block handicap bays?
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Uses safety cones?
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Truck locked/ bay doors down/ rear door down?
Lift gate safety
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Mounts/dismounts lift gate safely ( lift gate all the way down, uses safety cones as necessary)
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Uses safety flap?
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Does not overload the lift gate?
Pallet jack safety
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Operates pallet jack safely ( horn, walking to the side, load stable)
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Positions pallet jack to minimize obstruction?
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Empty pallets, shrink wrap, trash not creating obstruction or hazard?
Product delivery
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Down stacks to minimize obstruction?
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Uses safe lifting techniques (MoveSmart)
Hand truck use
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Safely utilizes hand truck?
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Clears a path to cooler and inside cooler before moving product?
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Safely handles kegs?
Truck appearance
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Cab and trailer are clean?
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Pallets are separated by category, size and condition?
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Equipment stowed safely?
Customer service
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Accounts properly communicated with?
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Customer concerns properly addressed, sales department contacted if necessary?
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Driver comments
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Supervisor signature
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Supervisor notes
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Driver signature