Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

GENERAL VEHICLE INFORMATION

  • T-19

  • Year & Make <br>2011 Kenworth Truck w/ Crane

  • GVWR<br>33,000

  • PUSH & DRIVE TIRE SIZE

  • STEER TIRE SIZE

  • VEHICLE LAST USED BY

  • ODOMETER READING:<br>

  • HOUR READING<br>

  • Radio in Vehicle<br>1062

  • SIRIUS RADIO NUMBER

  • ANNUAL INSPECTION STICKER

  • IFTA ENVELOPE STARTING MILEAGE

VEHICLE SAFETY

  • FIRST AID KIT #

  • WARNING TRIANGLES?

  • MSDS BOOKS?

  • LOCKOUT TAGOUT BOX? <br>LOCKOUT TAGOUT BAG?

  • FIRE EXTINGUISHER NUMBER<br>TAGGED?<br>MOUNTED?<br>SIZE?<br>LAST RECHARGE DATE

MAINTENANCE BOOK INFORMATION

  • MAINTENANCE BOOK

  • IFTA ENVELOPES

  • DVIR BOOK

  • BILL OF LADEN

  • RUN TICKETS

  • DRIVER LOGS

  • IS FUEL SHEET UPDATED?

  • IS STATUS REPORT UP TO DATE?<br>

  • IS SERVICE REPORT UP TO DATE?

  • IS UNIT LIST CURRENT?

  • IS PHONE LIST CURRENT?

VEHICLE & TRAILER REGISTRATION & INSURANCE

  • IS ORIGINAL REGISTRATION IN BINDER & CURRENT?<br>12-31-14

  • IS IFTA CERTIFICATE CURRENT?<br>12-31-14

  • IS VEHICLE INSURANCE UP TO DATE?<br>11-25-14

  • ARE TRAILER REGISTRATION AND INSURANCE CURRENT?

INSPECTIONS

  • ARE TRAILER INSPECTIONS UP TO DATE?

  • IS VEHICLE INSPECTION UP TO DATE?<br>

SEMIS ONLY

  • TRUCKERS HANDBOOK?

ACCIDENT POLICY

  • ACCIDENT POLICY?

JOB SAFETY TOOLBOX

  • WAS ANYTHING ADDED TO THE TOOLBOX?

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