Digco "FSR"Dept> Safety Audit

• Document No #

• FSR DEPT.....

• Client / Site

• Conducted on

  Date

• Prepared by

• Location::City/State......
  Address

• Type Of Service Performed:

"FSR Department Audits>?

• "FSR Truck Number>?

  Yes

  No

  N/A

• "Truck License Plate#>?

  Yes

  No

  N/A

• "Truck VIN#>?

  Yes

  No

  N/A

• "Truck Type>?

  Yes

  No

  N/A

• "Truck Current Milage>?

  Yes

  No

  N/A

• Has Water cooler on Truck?

  Yes

  No

  N/A

• Vehicle Inspection Current?

  Yes

  No

  N/A

• Tire Pressure Good?

  Safe

  At Risk

  N/A

• Visible Vehicle Damage?

  Safe

  At Risk

  N/A

• Was Vehicle Secured?

  Safe

  At Risk

  N/A

• Is Oil Change Due?

  Safe

  At Risk

  N/A

• Tire Tread Good?

  Safe

  At Risk

  N/A

• High Visibility Vest/Shirt Good Condition?

  Yes

  No

  N/A

• Truck Clean Interior?

  Yes

  No

  N/A

• Truck Clean Exterior?

  Yes

  No

  N/A

• Fire Extinguisher Mounted/Charged and in Good Condition?

  Yes

  No

  N/A

• Safety Cone out?

  Yes

  No

  N/A

• First Aid Kit Full and good?

  Yes

  No

  N/A

• Are Ladders On Truck?

  Yes

  No

  N/A

• CNP I.D. Badges Visible ?

  Yes

  No

  N/A

• Insurance/Accident Packet Inside Vehicle?

  Yes

  No

  N/A

• Was Employee Wearing Safety Glasses While Working?

  Yes

  No

  N/A

• 360 Degree Tag Visible?

  Yes

  No

  N/A

• Hard Hat Being Worn During Work?

  Yes

  No

  N/A

• What Mileage Is Oil Change Due?

  Yes

  No

  N/A

• Employee Dress Code Looks Good?

  Yes

  No

  N/A

• Tire Rotation Overdue?

  Safe

  At Risk

  N/A

• Vehicle Registration Current?

  Yes

  No

  N/A

• Vehicle Parked Properly?

  Yes

  No

  N/A

• "Current Weather Conditions During Audit>?

  Yes

  No

  N/A

• Comments>?

  Safe

  At Risk

  N/A

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