DRG Vehicle Inspection

• Conducted on

  Date

• Prepared by

• Location

  Select Shreveport Texarkana Longview Valley Fayetteville

  • Shreveport
  • Texarkana
  • Longview
  • Valley
  • Fayetteville

• Territory(CostCenter)

• Supervisor

• Employee Number

• Vehicle Number

Pre-Trip Inspection:

• Horn Operational

  Yes

  No

  N/A

• Explain in Notes

• Engine fluid levels satisfactory . (Oil, Coolant, Brake Fluid, Transmission Fluid, Washer Fluid and Power Steering Fluid levels good.)

  Yes

  No

  N/A

• Explain in Notes

• Brakes in good condition

  Yes

  No

  N/A

• Explain in Notes

• All tires properly inflated and tread levels acceptable (front tires have minimum of 4/32" tread & rear tires have a minimum of 2/32" tread.)

  Yes

  No

  N/A

• Explain in Notes

• Spare tire (in operational condition.)

  Yes

  No

  N/A

• Explain in Notes

• All lights and warning signals working (headlights, brake lights, reverse lights, turn signals, hazards and strobes.)

  Yes

  No

  N/A

• Explain in Notes

• Acceptable exterior truck appearance

  Yes

  No

  N/A

• Explain in Notes

• Interior clean and neat

  Yes

  No

  N/A

• Explain in Notes

• Davey ID and/or Business Cards

  Yes

  No

  N/A

• Explain in Notes

• Mirrors good

  Yes

  No

  N/A

• Explain in Notes

• License plates (legal amount based on state laws)

  Yes

  No

  N/A

• Explain in Notes

• Safety belt & lanyard in good condition

  Yes

  No

  N/A

• Explain in Notes

• Heat/Defrost in working condition

  Yes

  No

  N/A

• Explain in Notes

• Jack in vehicle and operational

  Yes

  No

  N/A

• Explain in Notes

• Safety First & Davey Tailgate decals on rear of vehicle

  Yes

  No

  N/A

• Explain in Notes

• Vehicle number & Davey door decals on vehicle

  Yes

  No

  N/A

• Explain in Notes

• Vehicle Registration Expiration Date

  Date

• Vehicle Insurance Expiration Date

  Date

ATV:

• 4 wheel drive, ATV/Load Secure

  Yes

  No

  N/A

• Explain in Notes

Site Setup:

• Warning signals and cones properly placed

  Yes

  No

  N/A

• Explain in Notes

• Each employee has performed muscle stretching/warm up exercises

  Yes

  No

  N/A

• Explain in Notes

Work Procedures:

• Employee trained in & working according to Davey standards

  Yes

  No

  N/A

• Explain in Notes

• Employee wearing proper clothing

  Yes

  No

  N/A

• Explain in Notes

• PPE properly warn and maintained

  Yes

  No

  N/A

• Explain in Notes

• Tools in good condition

  Yes

  No

  N/A

• Explain in Notes

General Safety:

• First Aid kit adequately stocked in vehicle

  Yes

  No

  N/A

• Explain in Notes

• Davey Safety & Training Manual in vehicle

  Yes

  No

  N/A

• Explain in Notes

• Hard hat, safety glasses & safety vest

  Yes

  No

  N/A

• Explain in Notes

• Accident forms A, B, C & Chain of Custody form in vehicle

  Yes

  No

  N/A

• Explain in Notes

• All drivers carrying a valid driver's license

  Yes

  No

  N/A

• Explain in Notes

Fire Equipment:

• All tools accessible & in working condition

  Yes

  No

  N/A

• Explain in Notes

• 2.5 lb ABC fire extinguisher

  Yes

  No

  N/A

• Explain in Notes

• Shovel with a 46" handle

  Yes

  No

  N/A

• Explain in Notes

• McLeod

  Yes

  No

  N/A

• Explain in Notes

• Water pack full

  Yes

  No

  N/A

• Explain in Notes

• Water pack pump (Indian Tank)

  Yes

  No

  N/A

• Explain in Notes

• Local emergency phone numbers posted in vehicle

  Yes

  No

  N/A

• Explain in Notes

Inspector/Supervisor Checklist:

• Follows safety procedures

  Yes

  No

  N/A

• Explain in Notes

• Badges on and visible

  Yes

  No

  N/A

• Explain in Notes

• Wears safety vest when out of the truck

  Yes

  No

  N/A

• Explain in Notes

• Drives defensively

  Yes

  No

  N/A

• Explain in Notes

• Treats equipment with care

  Yes

  No

  N/A

• Explain in Notes

• Cones used when parked

  Yes

  No

  N/A

• Explain in Notes

• Drives with headlights on

  Yes

  No

  N/A

• Explain in Notes

• Work boots over ankle

  Yes

  No

  N/A

• Explain in Notes

• Dresses appropriately/professionally

  Yes

  No

  N/A

• Explain in Notes

• Uses seat belt

  Yes

  No

  N/A

• Explain in Notes

• Corrective feedback

• Positive feedback

• Action taken/Follow-Up needed

• Supervisor Comments

• Inspection Completed By:

• Employee Signature

  Sign