Clarksburg Contractors Monthly Truck Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Information

• Employee

• Licence plate

• Mileage

General

• Check vehicle body for damage

  Safisfactory

  unsatisfactory

• Check under vehicle for fluid leaks

  Safisfactory

  unsatisfactory

• Are door locks working properly and do all doors latch?

  Yes

  No

  N/A

Exterior

• Grill, hood, front & rear bumper and running boards (if applicable) secure

  Safisfactory

  unsatisfactory

• License plates visible and valid

  Safisfactory

  unsatisfactory

• Lights: high & low beam, hazards, tail lights, brake lights, license plate lights, turn signals (operational and visible)

  Safisfactory

  unsatisfactory

• Front and rear tires (cuts, bulges, air pressure, tread)

  Safisfactory

  unsatisfactory

• Check spare tire to make sure it is secure

  Safisfactory

  unsatisfactory

• Grab handles and mirrors

  Safisfactory

  unsatisfactory

Engine compartment

• Fluid levels: power steering fluid, oil, coolant, windshield washer, brake fluid

  Safisfactory

  unsatisfactory

• Hoses and components (wears and leaks)

  Safisfactory

  unsatisfactory

• Drive belts (tension, cracking, wear)

  Safisfactory

  unsatisfactory

Interior

• Seat and seatbelt adjust and are in good shape

  Safisfactory

  unsatisfactory

• Start engine and observe all gauges and warning lights are working properly

  Safisfactory

  unsatisfactory

• Steering wheel free of excessive play.

  Safisfactory

  unsatisfactory

• Horn works?

  Yes

  No

  N/A

• Accelerator pedal free of binding or sticking

  Safisfactory

  unsatisfactory

• Windshield wipers and washer work acceptably

  Safisfactory

  unsatisfactory

• Windows and windshield (condition and cleanliness)

  Safisfactory

  unsatisfactory

• Mirrors exterior and interior (adjustment and cleanliness)

  Safisfactory

  unsatisfactory

• Heater/defroster/air conditioner

  Safisfactory

  unsatisfactory

• Instrument lights: turn signal, high beam indicator, hazards.

  Safisfactory

  unsatisfactory

Housekeeping

• Front cab free of flying objects, including dash board?

  Yes

  No

  N/A

• Dashboard clean?

  Yes

  No

  N/A

• Cup holders clean?

  Yes

  No

  N/A

• Front cab is neat & organized

  Yes

  No

  N/A

• Parts & tools area relatively clean and organized

  Yes

  No

  N/A

• Pressurized vessels secured?

  Safe

  At Risk

  N/A

Health & Safety

• Brakes functioning

  Safisfactory

  unsatisfactory

• Ladder rack secure

  Yes

  No

  N/A

• Fire extinguisher gauge in proper range

  Yes

  No

  N/A

• First Aid kit properly stocked

  Yes

  No

  N/A

• Comments

• Signature

  Sign