Jeff Loucks

CGI Mobile - Roadability Observations

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Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Proper PPE?
Hard Hat?
Safety Vest?
Safety Glasses?
Proper Footwear?
Was Vendor in Control of Movement (Communications)
Are Wheels Chocked?
Has Glad hand Been Disconnected?
Did the Driver Turn Truck Off?
Is there a sign in Front of the Vehicle being Worked on?
Did mechanic make sure drayman stayed in truck during repairs?
If Drayman unhooked during repairs, mechanic made sure drayman was at least 50' from unit if lined up directly in front of unit.
Two units being repaired in the same lane are at least 25' apart and are both coned off.
Trash and debris disposed of properly?
Mechanic followed established inflation / deflation procedures for Bias Tires?

Jeff Loucks

CGI Mobile - Roadability Observations

Use this Template

Print as PDF

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