Diamond H Service Vehicle Audit - T-4

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL VEHICLE INFORMATION

• T-4

  Yes

  No

  N/A

• Year & Make <br>2008 Ford F750

  Yes

  No

  N/A

• GVWR<br>33,000

  Yes

  No

  N/A

• PUSH & DRIVE TIRE SIZE

  Yes

  No

  N/A

• STEER TIRE SIZE

  Yes

  No

  N/A

• VEHICLE LAST USED BY

  Yes

  No

  N/A

• ODOMETER READING:<br>

  Yes

  No

  N/A

• HOUR READING<br>

  Yes

  No

  N/A

• Radio in Vehicle<br>1031

  Yes

  No

  N/A

• SIRIUS RADIO NUMBER

  Yes

  No

  N/A

• ANNUAL INSPECTION STICKER

  Yes

  No

  N/A

• IFTA ENVELOPE STARTING MILEAGE

  Yes

  No

  N/A

VEHICLE SAFETY

• FIRST AID KIT #

  Yes

  No

  N/A

• WARNING TRIANGLES?

  Yes

  No

  N/A

• MSDS BOOKS?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

MAINTENANCE BOOK INFORMATION

• MAINTENANCE BOOK

  Yes

  No

  N/A

• IFTA ENVELOPES

  Yes

  No

  N/A

• DVIR BOOK

  Yes

  No

  N/A

• BILL OF LADEN

  Yes

  No

  N/A

• RUN TICKETS

  Yes

  No

  N/A

• DRIVER LOGS

  Yes

  No

  N/A

• IS FUEL SHEET UPDATED?

  Yes

  No

  N/A

• IS STATUS REPORT UP TO DATE?<br>6-28-13

  Yes

  No

  N/A

• IS SERVICE REPORT UP TO DATE?

  Yes

  No

  N/A

• IS UNIT LIST CURRENT?

  Yes

  No

  N/A

• IS PHONE LIST CURRENT?

  Yes

  No

  N/A

VEHICLE & TRAILER REGISTRATION & INSURANCE

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• ARE TRAILER REGISTRATION AND INSURANCE CURRENT?

  Yes

  No

  N/A

INSPECTIONS

• ARE TRAILER INSPECTIONS UP TO DATE?

  Yes

  No

  N/A

• IS VEHICLE INSPECTION UP TO DATE?<br>6-27-13

  Yes

  No

  N/A

SEMIS ONLY

• TRUCKERS HANDBOOK?

  Yes

  No

  N/A

ACCIDENT POLICY

• ACCIDENT POLICY?

  Yes

  No

  N/A

JOB SAFETY TOOLBOX

• WAS ANYTHING ADDED TO THE TOOLBOX?

  Yes

  No

  N/A