Bottom Line Services Truck Safety Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Inspection Date/Time

  Date

physical

• Vehicle serviced according to schedule

  Yes

  No

  N/A

• Engine in good working condition

  Yes

  No

  N/A

• Headlights operational

  Yes

  No

  N/A

• Turn signals operational

  Yes

  No

  N/A

• Break lights operational

  Yes

  No

  N/A

• Vehicle body in good condition

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

• Truck and cab clean and organized

  Yes

  No

  N/A

Documentation

• Log book current and up-to-date

  Yes

  No

  N/A

• Medical card current

  Yes

  No

  N/A

• Daily DOT inspection reports completed

  Yes

  No

  N/A

• Insurance and proof of registration easily accessible & current

  Yes

  No

  N/A

• Driver's license current

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Safety glasses used and in good condition

  Yes

  No

  N/A

• Face shield used & in good condition

  Yes

  No

  N/A

• Gloves used and in good condition

  Yes

  No

  N/A

• Hard hat used and in good condition

  Yes

  No

  N/A

• Hearing protection available and in good condition

  Yes

  No

  N/A

Other Safety Items

• Fire extinguisher charged and inspected

  Yes

  No

  N/A

• Spill kit complete

  Yes

  No

  N/A

• Cords with ground plug in tact

  Yes

  No

  N/A

• First aid kit stocked and up to date

  Yes

  No

  N/A

• Eye wash bottles easily accessible and up to date

  Yes

  No

  N/A

• Hazard triangles available and in good condition

  Yes

  No

  N/A

List any other action items that need to be corrected

• Enter/list issues here.

Sigatures

• Employee

  Sign

• Manager

  Sign