Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

4 VEHICLES & DRIVING

  • VEHICLE IDENTIFICATION NUMBER [ID #]

  • ID# - Front

  • ID# - Driver side

  • ID# - Back

  • ID# - Passenger side

  • DRIVER [First & last name]

  • OBSERVATION: If applicable, break test performed before entering mine

  • Seat belt

  • Buggy whip (illuminated)

  • Beacon (fully functional)

  • Fire extinguisher

  • Fire extinguisher - MONTHLY inspection

  • Fire extinguisher - ANNUAL Inspection

  • Extension cord - Proper condition (no damage, etc.)

  • Extension cord - QUARTERLY inspection (1. Yellow, 2. Blue, 3. Green, 4. Red)

  • Cleanliness (compliant with visual standard)

  • Any evidence of smoking in vehicle

  • Radio - fully functional

  • Radio - Low watt radio

  • Radio - Does the driver know the radio channel for the ramp (# 43)

  • Radio - Does the driver know the radio channel for CODE 1 (# 1 emergency)

  • LOG BOOK: Entry for today

  • LOG BOOK: Supervisor sign-off

  • LOG BOOK: White copies removed

  • Wheel chocks: Compliant with wheel chock matrix

  • Is the vehicle in operation or parked?

  • Wheel chocks applied

  • Vehicle parked in area to minimize vehicle interaction

  • Vehicle is articulated into rib / wall

  • Park brake applied

  • In gear

  • Turned off

  • Beacon left on

  • Are PEDESTRIANS in the area (vehicle / pedestrian interaction)

  • Visible clothing

  • Pedestrian(s) carry hand held radio

  • Personal strobe

  • Familiar with cab lamp signals

  • COMMENTS

  • Sign

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