Driver Field Audit -

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Does the driver have proof of a valid CDL on site at the time of this audit?

  Yes

  No

  N/A

• Does the driver have proof of valid insurance and registration?

  Yes

  No

  N/A

• Does the driver have their current Medical card available?

  Yes

  No

  N/A

• Does the driver have the CMV's annual inspection?

  Yes

  No

  N/A

• Does the driver have proof of the trailer or MC annual inspection

  Yes

  No

  N/A

• Does the driver have the proper manifest for the load?

  Yes

  No

  N/A

• Does the driver have proof of todays pre-trip inspection or DVIR

  Yes

  No

  N/A

• Is a 4 gas monitor required on location? If so, is it functioning properly and is the driver wearing it correctly?

  Yes

  No

  N/A

• Does the driver have High visibility clothing? If yes is the driver wearing it correctly?

  Yes

  No

  N/A

• Does the driver have the appropriate PPE including hard hat, safety glasses, safety boots and ? If yes, is the driver wearing it correctly

  Yes

  No

  N/A

• Does the CMV have a dash cam? If yes is it functioning properly?

  Yes

  No

  N/A

• Does the CMV have Hazard triangles readily available?

  Yes

  No

  N/A

• Is there a fully charged and functioning Fire extinguisher readily available on the CMV? If Yes is it up to date on monthly inspections?

  Yes

  No

  N/A

• Is there a fully stocked blood borne pathogen and first aid kit readily available on the CMV?

  Yes

  No

  N/A

• Do all the lights on both Tractor and Trailer function properly?

  Yes

  No

  N/A

• Is the Driver aware of the 5F Incident reporting Policy?

  Yes

  No

  N/A

• Are there spare fuses on the CMV?

  Yes

  No

  N/A

• Is there a spare driver log available on the CMV?

  Yes

  No

  N/A

• Are there any other safety concerns at the time of this audit?

  Yes

  No

  N/A

Signature

• Sign to submit

  Sign