Information

  • Teammate Name

  • Unit Number

  • Conducted on

  • Conducted By

  • Customer Name

  • Location
  • Type of Equipment Worked on

Evaluation

Description of Inspection

  • Are Proper Torquing Procedures being followed

  • Is inspection of studs, lug nuts and wheels being done

  • Safety Cage IN USE or approved restraining device (OTR)

  • Jack stands in use

  • Wheel chocks in use

  • Proper Air Equipment Being Used

  • Minimum of 6' Whip Hose

  • Proper Air Chuck

  • In-Line Air Gauge

Personal Protective Equipment

  • Safety Glasses or Goggles or Face Shield

  • Hard Hat Being Used

  • Hearing Protection Being Used

  • Safety Vest In Use

Vehicle Safety and Procedures

  • Beacon Lights & Flashers On

  • Triangles In Place

  • Vehicles Being Serviced Tagged Out

  • Service Truck Safe Distance from Road

  • Was Tech Between Vehicles

  • Was Emergency Brake Set on Service Truck

  • Was a Mounted Fire Extinguisher in Place

Appearance

  • Tech in Proper Uniform

  • Overall Work Area Messy

  • Service Truck Appearance Professional

  • Pictures of Job Site

  • Witness

  • Corrective Action Plan

  • Team Member

  • Location Manager

  • All inspection/performance checklists must be kept in each team member's driver file and one copy sent to Katie Edwards via fax for tracking purposes. (615) 493-2851

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.