Digco FSR/ERT Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Date:

Department:

Safety Auditor:

Tech Name:

• Yes

  No

  N/A

• Yes

  No

  N/A

Supervisor:

Tech Initials:

Truck #

VID #:

License Plate #:

Make:

Model:

Mileage:

• Registration Current?

  Yes

  No

  N/A

• Inspection Current?

  Yes

  No

  N/A

• Oil change due?

  Yes

  No

  N/A

• Mileage Due?

  Yes

  No

  N/A

• Tire Rotation Overdue?

  Yes

  No

  N/A

• Safety Glasses?

  Yes

  No

  N/A

• Truck Clean Interior?

  Yes

  No

  N/A

• Truck Clean Exterior?

  Yes

  No

  N/A

• Fire Extinguisher?

  Yes

  No

  N/A

• Safety Cone out?

  Yes

  No

  N/A

• First Aid Kit?

  Yes

  No

  N/A

• Ladders On Truck?

  Yes

  No

  N/A

• Hard Hat?

  Yes

  No

  N/A

• 360 Degree Tag Visible?

  Yes

  No

  N/A

• CNP I.D. Visible?

  Yes

  No

  N/A

• Water cooler?

  Yes

  No

  N/A

• Vehicle Secured?

  Yes

  No

  N/A

• Insurance/Accident Packet?

  Yes

  No

  N/A

• Parked Properly?

  Yes

  No

  N/A

• Dress Code Good?

  Yes

  No

  N/A

• Fire Extinguisher Charged?

  Yes

  No

  N/A

• High Visibility Vest/Shirt Good Condition?

  Yes

  No

  N/A

• Tire Pressure Good?

  Yes

  No

  N/A

• Tire Tread Good?

  Yes

  No

  N/A

• Vehicle Damage?

  Yes

  No

  N/A

Location:

Comments: