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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.