Equipment Information

  • This inspection is being conducted on:

  • Vehicle or Trailer #

Vehicle

  • Please inspect each item indicating if the condition of the item is OK, Not OK, or Not Applicable.

  • Are you conducting this inspection on a vehicle?

  • Contains the following (Select All That Apply):

  • Windows

  • Windshield wipers

  • Mirrors

  • Housekeeping: (Dash, cab, and storage areas are clean and uncluttered)

  • Lights (including spot light, brake lights, directional light, etc.)

  • Reflectors

  • Roadside emergency triangular markers, flares, or other highway hazard warning devices

  • Tires

  • Wheels & Rims

  • Horn

  • Seat Belt

  • Brakes (including trailer brake connection, parking brake, emergency brakes)

  • Steering mechanism

  • Back-up Signal

  • Tools, materials, and cargo properly stored and secured

  • Protective guards, covers, or sheaths in place for sharp edges and points

  • Winch Cable and Ropes

  • Ground Clamps and Cables

  • Wheel Chocks (at least 2 on large trucks)

  • Outriggers and Outrigger Pads

  • Manufacturer's identification, capacity ratings, instruction placards, and/or decals are visible, permanent and legible

  • Oil or Hydraulic Leaks

  • Hydraulic Control

  • Auger/Shaft and Auger Strap

  • Remarks or Notes.

Tools on Vehicle

  • Please inspect each item indicating if the condition of the item is OK, Not OK, or Not Applicable.

  • Are there tools or equipment stored on or in the vehicle?

  • Chain Hoist

  • Nylon Strap Hoist

  • Bull Dog Grips

  • Smooth Grips

  • Hand Lines

  • Transformer Block

  • Sling Ropes

  • Transformer Gin

  • Splicing Tools

  • Bolt Cutters

  • Shovels

  • Spades

  • Tamps

  • Rock Bar

  • Cant Hook

  • Cordless Tools, i.e. Crimper, Cutters, Etc

  • Extension Cords

  • Ladder

  • Climbing Rope(s)

  • Tree Saws

  • Chain Saws (Note: Check Chain Catch)

  • Tree Trimmer Box

  • Hydraulic Trimmer

  • Hot Stick Box

  • Hot Stick

  • Fuse Stick

  • Extendo FG Stick

  • Link Sticks

  • Line Hose

  • Blanket

  • Live Line Tools

  • Hard Cover

  • Hoods

  • Brace and Bit

  • Volt Meter

First Aid Equipment

  • Please inspect each item indicating if the condition of the item is OK, Not OK, or Not Applicable.

  • Are you conducting this inspection on a vehicle?

First Aid Kit

  • First Aid Kit (NOTE: Remove expired over the counter drugs)

  • First Aid Kit Decal

Bloodborne Pathogen Kit

  • Bloodborne Pathogen Kit Decal

  • One-Way CPR Mask

  • Gloves

  • Eye Protection

AED

  • AED Available

  • AED Batteries Good

  • AED Decal

Fire Extinquisher

  • Fire Extinguisher Decal

  • greater than 10k GVWR minimum 2 B:C 10 lbs extinquishers

  • less than 10k GVWR minimum 1 B:C 10 lbs extinquisher

  • Inspection Tags Present

  • Date Inspection Completed (indicated on tag)

  • Full Charge

  • Pin to Lock the Handle

  • Seal to Secure the Pin

  • Remarks or Notes

Trailer

  • Please inspect each item indicating if the condition of the item is OK, Not OK, or Not Applicable.

  • Are you conducting this inspection on a trailer?

  • DOT Annual Inspection Card Present

  • Lights

  • Reflectors

  • Hitch and Tongue

  • Tires/Wheels/Rims

  • Brakes

  • Axle

  • Springs, Shackles, & U-Bolts

  • Safety Chains

  • Braces and Frame (Check for Weld Cracks and Bending)

  • Stanchions & Binders

  • Safety Pins, Clips, & Hasps

  • Break Away Switch

  • Battery & Battery Box

  • Power Cable & Cable Receptacle

  • Hydraulic Leaks

  • Hydraulic Controls

  • Remarks or Notes.

Signature

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.