Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Information

  • Driver Name:

  • Project Name:

  • Project Location:
  • Vehicle Type:

  • Safety Coordinator:

  • Date and Time:

Truck Supplies

  • Are First Aid Kits Accessible and Identified?

  • Is the fire extinguisher current and in good condition?

  • Does the driver know the location of the fire extinguisher?

  • Are there 3 reflective triangles in the vehicle?

  • Are proper receptacles available for storage of flammables?

  • Does vehicle have an accident report packet?

Inspection:

  • Has a vehicle inspection been performed?

  • Is the vehicle clean and neat in appearance?

  • Do seat belts work properly?

  • Are the tires in good condition?

  • Do all lights / signals work properly?

  • Are all mirrors in place?

  • Is the vehicle in good physical working condition?

  • Are back up alarms installed and working on equipment?

  • Are guards and safety appliances in place and used?

  • Are the tags up to date?

  • Is a pre-trip inspection done on regulated vehicles?

Emergency Plans

  • Are emergency telephone numbers posted?

  • Have emergency escape routes been designated?

  • Are employees familiar with the emergency signal?

  • Does dispatcher know driver's daily schedule?

Site Safety Plan

  • Is a site safety plan posted on site or accessible to all employees?

  • Have potential hazards been described to employees on site?

  • Are material safety data sheets available for review?

Material Handling

  • Are materials stacked and stored as to prevent sliding or collapsing?

  • Are flammables and combustibles stored in non-smoking areas?

  • Are cranes inspected as prescribed and logged?

  • Are all containers labeled as to contents?

  • Are flammable liquids stored in approved safety cans?

  • Does driver use lift gate or ramp to load material?

  • Are straps in good condition?

  • Is the load strapped and secure?

  • Is pipe strapped at a minimum of 8' intervals?

  • Are compressed gas cylinders properly capped, secured, and upright?

Driving

  • Does driver obey all traffic laws?

  • Does driver maintain proper steering control?

  • Does driver use signals?

  • Does driver stay focused on the road at all times?

  • Does driver check blind spots before merging?

  • Does driver use spotter when backing a trailer?

  • Does driver maintain proper braking distance?

  • Does driver grind gears if vehicle is a standard?

  • Does driver maintain log book for regulated vehicles?

On Site

  • Does driver contact the Brandt job-site personnel upon arriving on site?

  • Does driver follow instruction upon arriving on site?

  • Does driver keep clear of suspended loads?

  • Does driver touch pre-fab without giving instruction?

  • Is lift gate used to unload material?

  • Has a good means of communication been established?

  • Is driver aware of surroundings on site?

  • Does driver give pedestrians the right away?

  • Is the driver's log signed before leaving?

  • Are extra straps and ratchets stored away before leaving?

  • Is trailer and lift gate in place before leaving?

Task Hazard Analysis

  • Is a THA filled out for the project?

  • Is the THA filled out correctly?

  • Has the driver's log been signed by deliverer and receiver?

Lift Inspection

  • Has lift inspection been performed?

  • Is lift clean and in good working order?

Signatures

  • Driver:

  • Supervisor:

  • Safety Coordinator:

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.