• Truck Number

  • Client

1.0 - Driver

  • 1.1 - FMCSA Pre-Trip Inspection.

  • 1.2 - Operator's Daily Log Book is current.

  • 1.3 - Job Ticket has been signed by customer.

  • 1.4 - Current registration card is in the driver's cab.

  • 1.5 - Current insurance card is in the cab.

  • 1.6 - Current IFTA (fuel tax) sticker and FMCSA (federal inspection) sticker in place outside the cab.

  • 1.7 - Operator has a valid CDL and medical card on his person.

  • 1.8 - Road Permit (if required) is in the cab.

  • 1.9 - Load is properly secured with appropriate chains, binders, straps, or hardware that meet or exceed the necessary load requirements.

2.0 - Operation

  • 2.1 - Crane windows are intact, free of damage, and all latches are in place.

  • 2.2 - Three red, reflective triangles are properly secured and easily accessible in truck.

  • 2.3 - All exterior lights on truck and trailer are working and visible.

  • 2.3 - An ABC fire extinguisher is properly secured and easily accessible in the cab.

  • 2.4 - The truck has a stocked first-aid kit.

  • 2.5 - Truck mirrors, windows, and windshield are not broken and properly secured to truck.

  • 2.6 - The truck has operable windshield wipers, defrosting, and defogging equipment.

  • 2.7 - All spreader bars are clearly marked with their ID#, capacity chart, current inspection, and are free of visible damage.

  • 2.8 - All chokers are in good condition with legible manufacturer tags or labels.

  • 2.9 - Personnel basket is clean and free of debris.

  • 2.10 - Basket has a legible copy of the approved hand-signals posted in the basket.

  • 2.13 - Basket has approved rigging that is dedicated for the personnel. it is in good shape with tags and secured shackles.

  • 2.14 -.All tools and maintenance parts are stored in tool boxes and not loose in or around the cab.

  • 2.15 - Personal items do not interfere with the access to or operation of the crane, within the cab space.

  • 2.16 - The reverse alarm is working and effective.

  • 2.17 - The truck air horn and/or electric horn are in working order.

  • 2.18 - Headache ball and hoisting block is labelled with capacity and weight.

  • 2.19 - Truck mud flaps are not damaged and are securely mounted.

  • 2.11 - Basket has proper labels and current inspection sticker.

  • 2.12 - Basket has a proper test weight.

3.0 - Observation

  • 3.1 - Air brake is engaged.

  • 3.2 - The work area is level, firm, free of obstructions, and the crane is secure.

  • 3.3 - Fuel tanks contain shipping document, NFPA diamond, Flammable label, and Diesel label.

  • 3.4 - All crane personnel are wearing high-visibility clothing and proper PPE. (Safety vest or high-viz shirt, safety toed boots, leather work gloves, safety glasses, and hard hat.

  • 3.5 - Trailer is clean and organized.

  • 3.6 - Cleanliness of crane's exterior is satisfactory for conditons.

  • 3.7 - Cleanliness of crane's interior is satisfactory.

  • 3.8 - Driver is free from distractions and working wit a focus on the job.

4.0 - Customer Input

  • 4.1 - Was the driver on time?

  • 4.2 - Has our driver been polite and courteous?

Customer Comments

Inspector comments

Signatures

  • Operator Signature

  • Inspector 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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.