Edwards Inc. Truck Site Safety Audit

• Client / Site / Location

• Scope of Work

• Driver

• Truck Number

• Prepared by

• Conducted on

  Date

1.0 - Driver

• 1.1 - Federal Motor Carrier Pre-Trip Inspection completed?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 1.3 - Job Ticket has been signed by customer?

  Yes

  No

  N/A

• 1.4 - Current registration card is in the driver's cab?<br>

  Yes

  No

  N/A

• 1.5 - Current insurance card is in the cab?

  Yes

  No

  N/A

• 1.6 - Current Interstate Federal Tax (IFTA) sticker?

  Yes

  No

  N/A

• 1.7 - Current Federal Motor Carrier sticker?

  Yes

  No

  N/A

• 1.8 - Operator has a valid CDL and medical card on his person?

  Yes

  No

  N/A

• 1.9 - Road Permit (if required) is in the cab?

  Yes

  No

  N/A

2.0 - Operation

• 2.1- Three reflective triangles are properly secured and easily accessible in truck?

  Yes

  No

  N/A

• 2.2 - All exterior lights on truck and trailer are working and visible?

  Yes

  No

  N/A

• 2.3 - A functioning 5 lb. ABC fire extinguisher with current inspection is properly secured and easily accessible in the cab?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.5 - Truck mirrors are not broken and properly secured to truck?

  Yes

  No

  N/A

• 2.6 - Truck windows are intact, free of damage, and all latches are in place?<br>

  Yes

  No

  N/A

• 2.7- The truck has operable windshield wipers, defrosting, and defogging equipment?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.9 - Personal items do not interfere with the access to or operation of the truck within the cab space?

  Yes

  No

  N/A

• 2.10 - The reverse alarm is working and effective?

  Yes

  No

  N/A

• 2.11 - The truck air horn and/or electric horn are in working order?

  Yes

  No

  N/A

• 2.12 - Truck mud flaps are securely mounted and are not damaged?

  Yes

  No

  N/A

• 2.13 - All spreader bars are clearly and permanently marked with their ID#, capacity chart, current inspection, weight, and are free of visible damage?

  Yes

  No

  N/A

• 2.14 - All rigging devices are in good condition with legible manufacturer tags or labels?

  Yes

  No

  N/A

• 2.15 - Personnel basket is clean and free of debris?

  Yes

  No

  N/A

• 2.16 - Personnel basket has a legible copy of the approved hand-signals posted in the basket?

  Yes

  No

  N/A

• 2.17 - Personnel basket has dedicated rigging approved for lifting personnel, and is in good shape with tags and safety shackles?

  Yes

  No

  N/A

• 2.18 -Personnel basket has permanently marked labels, weight, rated capacity and current inspection sticker and ID#?

  Yes

  No

  N/A

• 2.19 - Personnel basket has a proper test weight?

  Yes

  No

  N/A

3.0 - Observation

• 3.1 - Air brake is engaged?

  Yes

  No

  N/A

• 3.2 - The parking area is firm, free of obstructions, and the truck is secure?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 3.4 - Driver has high visibility clothing or vest on, or it is readily available in cab?

  Yes

  No

  N/A

• 3.5 - Trailer is clean and organized?

  Yes

  No

  N/A

• 3.6 - Driver is free from distractions and working with a focus on the job?

  Yes

  No

  N/A

• 3.7 - Load is properly secured with grade 70 chains, binders, straps, or hardware that meet or exceed the necessary load requirements?

  Yes

  No

  N/A

4.0 - Customer Input

• 4.1 - Was the driver on time?

  Yes

  No

  N/A

• 4.2 - Has our driver been polite and courteous?

  Yes

  No

  N/A

Customer Comments

Inspector comments

Signatures

• Operator Signature

  Sign

• Inspector Signature

  Sign