Page 1: Initial questions

  • Date and Time

  • Prepared by

  • Location
  • Driver Name

  • Unit Number

  • Terminal

Page 2: Main checklist

PPE Check

  • Safety Glasses

  • Hard Hat

  • Gloves

  • Proper Footwear

  • FR Clothing

  • H2S Monitor

Truck Safety Equipment Check

  • Fire Extinguisher

  • Reflective Triangles

  • Spare Fuses

  • Loading Audit

  • Verified Correct Location

  • Truck Properly Positioned

  • Unit Grounded

  • Wheels are Chocked

  • Cones/Fire Extinguisher Out

  • All Required PPE's Being Used

  • Verified Tank Levels

  • Proper Lifting Techniques Used

  • Hose Connections Checked (No Dripping or Leaking)

  • Bucket Used Properly

  • Vent Hose Connected

  • Crude Oil Properly Tested

  • Monitored Trailer During Loading

  • Unloading Audit

  • Verified Correct Location

  • Truck Properly Positioned

  • Unit Grounded

  • Wheels are Chocked

  • Cones/Fire Extinguisher Out

  • All Required PPE's Being Used

  • Tank Levels Verified

  • Proper Lifting Techniques Used

  • Hose Connections Checked (No Dripping or Leaking)

  • Bucket Used Properly

  • Monitored Trailer During Unloading

  • Vehicle Audit

  • No Visible Damage to Truck or Trailer (Picture Required If Found Damage)

  • Unit Clean

  • Windows and Mirrors in Good Shape

  • All Lights Working Properly

  • Truck and Trailer Inspections Up To Date

  • Truck Door Decal in Good Shape (Company Name W/ LLC, DOT# 2186770, Truck Number)

  • Trailer Decal in Good Shape (Side And Back)

  • Emergency Shutoff Decal in Good Shape

  • Placards in Good Shape

  • DOT Tape in Good Shape

  • Stops At All Railroad Crossing Decal in Good Shape

  • No Obvious Air Leaks

  • 5th Wheel and Landing Gear In Good Shape

  • Tire, Hubs, and Lug Nuts in Good Shape

  • Hoses and Fittings in Good Shape

  • Spill Kit in Good Shape

  • Cab Book in Good Shape

  • Inside of Cab Clean

  • Driving Audit

  • Maintains Lane

  • Follows Posted Speed Limits/Speeds Appropriate for Roads

  • Good Following Distance

  • Seat Belt Visible

  • Avoids Distractions

  • Brakes and/or Slows Gradually

  • Makes Complete Stops at Lights and/or Stop Signs

  • Stops at all Railroad Crossings

  • Accelerates Gradually

  • Audit Notes, Improvements Needed, Actions to be Taken

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