Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Standard Work

  • Has the driver performed a vehicle pre-operation inspection?

  • Is the driver keeping their log stop by stop?

  • Is the driver leaving the vehicle in safe condition when out of the cab? i.e. parking brakes, chocks (if leaving truck more than 15'), emergency lights.

Safe Driving

  • Does the driver come to a complete stop at all designated markers?

  • Does the driver turn with safe clearance of curbs or sidewalks?

  • Does the driver appear to adhere to posted speed limits?

  • Does the driver honk before reversing?

Roll Off operation

  • Does the driver back up to container slowly while checking mirrors?

  • Does the driver use two hands when securing pelican hook?

  • Does driver check clearance on either side and overhead of the area he will lift or drop container?

  • Does the driver obey all posted signs or markers at customer site?

Supplemental

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.