Information

  • Document No.

  • Audit Title

  • Client: Centerpoint Energy

  • Conducted on

  • Prepared by: Billy Thacker

  • Location

INFORMATION

  • DEPARTMENT: FSR

  • TECH NAME:

  • SUPVERISOR: M. Jankowiak

  • TRUCK #:

  • License Plate #:

  • Make:

  • Model:

  • Odometer Mileage:

  • Next OilChange Due?

CHECKLIST

  • Is Oil Change Ok?

  • Is Tire Pressure Good?

  • Tire Tread Good?

  • Is Tire Rotation OK?

  • Truck Clean Inside?

  • Truck Clean Outside?

  • High Vis-Vest/Shirt good?

  • Safety Glasses Worn?

  • Hard Hat?

  • CPN I.D. VISIBLE?

  • Dress Code Good?

  • First Aid Kit?

  • Fire Extinguisher ?

  • Registration Current?

  • Insurance/Accident Packet?

  • Is Vehicle Secured?

  • Is Vehicle Parked Properly?

  • Safety Cone Out?

  • Is Fire Extinguisher Charged?

  • Any Vehicle Damage?

  • Ladder on Truck?

  • 360 Tag Visible?

  • Water Cooler?

COMMENTS

  • Comments

Signatures

  • Add signature

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.