Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicle Condition and Pre & Post Trip

  • Driver walked around vehicle before getting in and starting vehicle

  • Driver checked lights, turn signals, brakes and tires before starting off for day

  • Is seat adjusted for regular driver, or did new driver properly adjust his seat before driving

  • Driver checked mirrors to see if properly adjusted

  • Housekeeping in cab of vehicle was good

  • No papers or other materials on dash to obstruct drivers view or create glare

  • Are vehicles inspected on a regular basis to reduce risk and ensure organization?

  • Nothing hanging from the rear view mirror

  • Vehicle has only approved decals

  • Housekeeping in back of vehicle good and everything properly secured

  • No extra tools, materials or equipment in vehicle other than needed for days service calls

  • Most often used tools and materials staged nearest vehicle doors

  • Tools and materials organized and readily available

  • No loose tools or equipment in cab of vehicle

  • Bungee type cords not used as roof top tie down devices

  • Vehicle parked in approved space

  • Checked parts inventory against days work order expected needs

  • Keys removed from ignition and vehicle locked when parked

  • Enter additional comments:

Driving

  • Used seat belt

  • Obeyed speed limits except to pass

  • Passed other vehicle only in legal passing zone

  • Did not run any red lights

  • Complete stop at stop signs

  • Did not speed up to cross under yellow traffic signal

  • Slowed down and checked for clearance at yield signs and traffic signals

  • Always used turn signals to signal turns or lane changes

  • Avoided backing where possible

  • Did not exhibit any signs of Road Rage

  • Kept eyes moving checking mirrors while driving

  • Maintained erect body posture while driving

  • Checked mirrors and turned his head to check blind spots when changing lanes

  • Did not talk or text using cell phone or talk on two way radio while vehicle in motion

  • Maintained safe following distances from all vehicles ahead. Used 3 Second Rule or better.

  • Did not assume right of way

  • Did not eat, drink or use any hand held device while driving

  • Did not sit in vehicle with engine running while eating lunch or taking break

  • Enter additional comments:

Safety

  • Did employee check in with the customer/vendor

  • Has employee been through OPCO Safety Orientation When hired?

  • Has employee been through OPCO Fleet & Driver Orientation when hired?

  • Used Pre-Task Planning Checklist/JSA prior to starting work

  • Employee was aware of OPCO "Mandatory Safety Rules"

  • Used appropriate occupational hand protection

  • Used appropriate occupational eye protection

  • Used appropriate occupational head protection

  • Were ladders used on the job

  • Was the ladder selected appropriate for the job

  • Was the ladder selected set up properly for use

  • Was the ladder used within recommended limits (type 1, 1A, 1AA)

  • Are appropriate tools used

  • If appropriate, were work areas barricaded or taped off?

  • Did employee perform ladder inspections

  • Utility or Razor knife not used

  • Was fall protection available to the employee

  • Was fall protection inspected prior to use

  • Was fall protection used where required

  • Were Lockout/Tagout procedures utilized (were all sources isolated)

  • Checked for overhead clearance

  • Checked for side clearances

  • Complied with the 2 Minute Rule

  • Enter additional comments:

Service / Installation Work

  • Sufficient task lighting available and used in addition to general lighting

  • Ergonomically designed hand and power tools in use for repetitive tasks

  • Appropriate Lifts, scaffolds, ladders and platform ladders, as appropriate, selected based on task

  • Parked as close as possible to customers entrance

  • Made use of collapsable hand truck, or cart provided by customer, to move tools, materials or equipment

  • Used drop down ladder racks with ladder brought to shoulder height to remove

  • Never stood on back bumper to get ladder down from roof rack

  • Kept tools and materials within 6' of point of installation

  • Worked at waist height whenever possible

  • Manually handled material stored / staged 24" or higher off the ground

  • Always maintained 3 points of contact when climbing ladders or walking up or down stairs

  • Wore proper PPE such as eye, hand, head, hearing, knee, etc.

  • Made no more than 2 trips to vehicle for tools, materials, parts, etc during each service call

  • Did not work in awkward body postures unless required by equipment placement

  • Used a headlamp instead of flashlight in the mouth while working in low light areas

  • All tools in working order and batteries fully charged

  • Enter additional comments:

Overall Preparation for Productivity

  • Was any rework identified?

  • Does the review identify opportunities to increase prefabrication?

  • Enter additional comments:

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.