Information
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Audit Title
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Document No.
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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
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Inspection Date/Time
Physical
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Vehicle serviced according to schedule?
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Engine in good working condition?
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Headlights operational?
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Break LIghts operational?
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Truck bed and cab cleaned and orginized?
Documentation
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Daily DOT inspection reports completed?
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Insurance and proof of registration easily accessible and current?
Personal Protective Equipment (PPE)
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Safety glasses & goggles used and in good working condition?
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Gloves used and in good working condition?
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Hearing protection available and in good condition.
Other Safety Items
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Fire extinguisher charged and inspected
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Cords with ground plugs in tact
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First aid kit stocked and up to date
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Eye wash bottles easily accessible and up to date
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Hazard cones available and in good working condition
List any other action items that need to be corrected
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Enter/List issues here/
Signatures
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Employee