Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicle

  • Vehicle Appearance Inside and Out

  • Vehicle lighting

  • Condition of Windshield/Glass/Mirrors

  • Tires

  • Cones/Placement

  • Horn/Wipers/Guages

  • Truck sticker in place and in good condition

  • Strobes and Flashers

  • Truck Mileage

Personal Protective Equipment (PPE)

  • Mixing/Gloves

  • Safety Glasses

  • Hard Hat

  • Long sleeve shirt

  • Safety Vest

Documentation

  • Vehicle Paperwork

  • MSDS Available and Current

  • DOT CDL Paperwork

  • DOT Vehicle Paperwork

  • Spray Records

  • JSA

Other Safety Items

  • Fire Extinguisher inspected and working

  • Spill Kit

  • First Aid Kit available and fully stocked

  • Eye wash bottle

  • Drinking Water

Equipment

  • Backpack/Probe condition

  • Proper Fuel Cans

  • Hoses/Clamps

  • Chemicals labeled

  • Skid Unit/Load Securement

  • Tank Condition

Employee

  • Employee Appearance

  • Employee I.D.

  • Task Knowledge

Work Quality

  • Followed Label no drift/overspray

  • Proper Equipment Use

  • Proper ROW Width

  • Proper Clearance

  • Proper Application Type

  • Correct Tree ID

  • Correct Tree Measurement

  • Tree Tagged Properly

  • Proper Coverage

  • Overall Quality

  • Skips Documented

  • Regard For Property

  • Other Issues Found

Employee Signatures

  • Employee Signature

  • Employee Signature

  • Employee Signature

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.