Driver Safety Spot Checklist Rev. Sept 2015

• Drivers name

• Division

• Conducted on

  Date

• Prepared by

• Truck #

Safety Checklist

• Did you have a current CDL<br> <br> <br>

  Yes

  No

  N/A

• Current Medical Card<br> <br> <br>

  Yes

  No

  N/A

• Current Vehicle Registration<br> <br> <br>

  Yes

  No

  N/A

• Pre-Trip Inspection Form/Log Completed<br> <br> <br>

  Yes

  No

  N/A

• Driver Log<br> <br> <br>

  Yes

  No

  N/A

• Dispatch/Directions/Map<br> <br> <br>

  Yes

  No

  N/A

• Fire Extinguisher on Board And checked in last month (Safely Secured)<br> <br> <br>

  Yes

  No

  N/A

• First Aid Kit accessible (Safely Secured)<br> <br> <br>

  Yes

  No

  N/A

• Accident Kit (Safely Secured)<br> <br> <br>

  Yes

  No

  N/A

• Spill Kit (Safely Secured)<br> <br> <br>

  Yes

  No

  N/A

• Scraper for Cleaning Tailgate<br> <br> <br>

  Yes

  No

  N/A

• Cleaning Agent container ( Label )<br> <br> <br>

  Yes

  No

  N/A

• Truck Clean Inside & Out<br> <br> <br>

  Yes

  No

  N/A

• Lights & License Plates Clean and Free from Tack/Asphalt Build-up<br> <br> <br>

  Yes

  No

  N/A

• If Hauling Equipment – Proper Tie-Downs/Chains for Equipment<br> <br> <br>

  YES

  NO

  N/A

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