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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Odometer Reading
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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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Turn signals operational
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Brake lights operational
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Vehicle body in good condition
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Tires in good condition
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Eagle eye/back-up camera working properly
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Truck bed and cab clean and organized
Documentation
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MSDS book intact and inventory list is up to date
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Insurance and proof of registration easily accessible & current
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All chemicals properly labeled
Personal Protective Equipment (PPE)
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Safety glasses & goggles used and in good condition
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Face shield used & in good condition
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Respirator (stored, clean, in good condition & in sealed bag)
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Gloves used and in good condition
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Bump cap used and in good 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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Spill kit complete
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Cords with ground plug 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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Ladder inspected and in good condition
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Change of clothes available and in good condition
List any other action items that need to be corrected
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Enter/list issues here.
Sigatures
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Employee
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Manager