Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Inspection Date/Time

Physical

  • Odometer Reading

  • Vehicle serviced according to schedule

  • Engine in good working condition

  • Headlights operational

  • Turn signals operational

  • Brake lights operational

  • Vehicle body in good condition

  • Tires in good condition

  • Eagle eye/back-up camera working properly

  • Truck bed and cab clean and organized

Documentation

  • MSDS book intact and inventory list is up to date

  • Insurance and proof of registration easily accessible & current

  • All chemicals properly labeled

Personal Protective Equipment (PPE)

  • Safety glasses & goggles used and in good condition

  • Face shield used & in good condition

  • Respirator (stored, clean, in good condition & in sealed bag)

  • Gloves used and in good condition

  • Bump cap used and in good condition

  • Hearing protection available and in good condition

Other Safety Items

  • Fire extinguisher charged and inspected

  • Spill kit complete

  • Cords with ground plug in tact

  • First aid kit stocked and up to date

  • Eye wash bottles easily accessible and up to date

  • Ladder inspected and in good condition

  • Change of clothes available and in good condition

List any other action items that need to be corrected

  • Enter/list issues here.

Sigatures

  • Employee

  • Manager

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