CV Truck Delivery/Load Inspection

• Document No.

• Audit Title

• Prepared by

• Conducted on

  Date
• Location
  Address

Truck Driver

• Is the truck driver wearing all the needed PPE?

  Yes

  No

  N/A

Truck & Location

• Is the truck on flat, level ground?

  Yes

  No

  N/A

• Are the brakes set?

  Yes

  No

  N/A

• Are the wheels chocked?

  Yes

  No

  N/A

• Is there proper access to the bed of the truck?

  Yes

  No

  N/A

• Will anybody be 6' or more above the ground at any time?

  No

  Yes

  N/A

• Is the Exclusion Zone set up?

  Yes

  No

  N/A

• Is the surrounding area closed off to unauthorized personnel?

  Yes

  No

  N/A

Load/Material/Cargo

• Are the chains/straps in good condition?

  Yes

  No

  N/A

• Are the tie down points secure?

  Yes

  No

  N/A

• Is there stored energy present?

  No

  Yes

  N/A

• Are the softeners/edge protection in place?

  Yes

  No

  N/A

• Is there proper dunnage/bracing?

  Yes

  No

  N/A

• Is the load evenly distributed and stable?

  Yes

  No

  N/A

• Was the load disrupted/shifted during transport?

  No

  Yes

  N/A

• Is there leaking or damaged material?

  Yes

  No

  N/A

• Will the load remain stable once the chains/straps are removed?

  Yes

  No

  N/A

• Is the deck/bed surface appropriate for loading/off-loading material?

  Yes

  No

  N/A

• Is the weight of the load known?

  Yes

  No

  N/A

• Is the capacity of the device used to load/off-load the material adequate?

  Yes

  No

  N/A

• Take a photo of the truck, load and area.

  Media

Leaving the site

• Did you ensure the truck tires were clean before it left the site?

  Yes

  No

  N/A