Digco

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

INFORMATION

• DATE:

• DEPARTMENT: ERT

• TECH NAME:

• SUPVERISOR:

• TRUCK #:

• License Plate #:

• Make:

• Model:

• Odometer Mileage:

• Next OilChange Due?

CHECKLIST

• Is Tire Rotation OK?

  Yes

  No

  N/A

• Truck Clean Inside?

  Yes

  No

  N/A

• Is Oil Change Ok?

  Yes

  No

  N/A

• Hard Hat?

  Yes

  No

  N/A

• First Aid Kit?

  Yes

  No

  N/A

• Fire Extinguisher ?

  Yes

  No

  N/A

• CPN I.D. VISIBLE?

  Yes

  No

  N/A

• Registration Current?

  Yes

  No

  N/A

• Is Vehicle Secured?

  Yes

  No

  N/A

• Is Vehicle Parked Properly?

  Yes

  No

  N/A

• Is Fire Extinguisher Charged?

  Yes

  No

  N/A

• Is Tire Pressure Good?

  Yes

  No

  N/A

• Any Vehicle Damage?

  Yes

  No

  N/A

• Inspection Current?

  Yes

  No

  N/A

• Safety Glasses Worn?

  Yes

  No

  N/A

• Truck Clean Outside?

  Yes

  No

  N/A

• Safety Cone Out?

  Yes

  No

  N/A

• Ladder on Truck?

  Yes

  No

  N/A

• 360 Tag Visible?

  Yes

  No

  N/A

• Water Cooler?

  Yes

  No

  N/A

• Insurance/Accident Packet?

  Yes

  No

  N/A

• Dress Code Good?

  Yes

  No

  N/A

• High Vis-Vest/Shirt good?

  Yes

  No

  N/A

• Tire Tread Good?

  Yes

  No

  N/A