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
4 VEHICLES & DRIVING
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VEHICLE IDENTIFICATION NUMBER [ID #]
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ID# - Front
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ID# - Driver side
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ID# - Back
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ID# - Passenger side
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DRIVER [First & last name]
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OBSERVATION: If applicable, break test performed before entering mine
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Seat belt
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Buggy whip (illuminated)
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Beacon (fully functional)
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Fire extinguisher
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Fire extinguisher - MONTHLY inspection
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Fire extinguisher - ANNUAL Inspection
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Extension cord - Proper condition (no damage, etc.)
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Extension cord - QUARTERLY inspection (1. Yellow, 2. Blue, 3. Green, 4. Red)
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Cleanliness (compliant with visual standard)
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Any evidence of smoking in vehicle
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Radio - fully functional
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Radio - Low watt radio
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Radio - Does the driver know the radio channel for the ramp (# 43)
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Radio - Does the driver know the radio channel for CODE 1 (# 1 emergency)
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LOG BOOK: Entry for today
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LOG BOOK: Supervisor sign-off
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LOG BOOK: White copies removed
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Wheel chocks: Compliant with wheel chock matrix
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Is the vehicle in operation or parked?
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Wheel chocks applied
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Vehicle parked in area to minimize vehicle interaction
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Vehicle is articulated into rib / wall
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Park brake applied
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In gear
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Turned off
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Beacon left on
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Are PEDESTRIANS in the area (vehicle / pedestrian interaction)
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Visible clothing
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Pedestrian(s) carry hand held radio
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Personal strobe
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Familiar with cab lamp signals
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COMMENTS
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Sign