Title Page

  • Site conducted

  • Document Number

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Unit Number

  • Vehicle Number

  • Primary Driver

  • Current Mileage

  • License Plate Number

  • Miles

  • Hour Meter

Miscellaneous

  • Shovel

  • DMI<br>

  • Measuring Wheel

  • Smart Level

  • Locator

  • Manhole Cover Hook

  • Spot Light

  • Temperature Gun

  • 200' Tape Measure

  • Tool Box

  • Rubber Boots

Unit Overview

  • Tires (Condition)

  • Lug Nuts

  • Appearance

  • Windshield Wipers

  • Windshield Washers

  • Window Condition

  • Horn

Electrical

  • Start Motor (Check volt meter w/ all lights on)

  • Headlights (low/high beam adjust)

  • Back-up Lights

  • License Plate Lights

  • Left Turn Signal (front/rear)

  • Right Turn Signal (front/rear)

  • Four-Way Flashers (front/rear)

  • Brake Lights

  • Tail Lights

  • Warning Lights

Paperwork

  • Driver's Licensee; Exp. Date

  • CDL (A & N Required)

  • Medical Certificate, Exp. Date

  • Insurance Certificate

Cab Interior

  • General Cleanliness

  • Interior Lights

  • Heater

  • Defroster

  • First Aid Kit

  • Flares

  • Flashlight

  • Tool Box/Storage

  • Fire Extinguisher, date checked

  • Operator Knowledge of Unit

  • Hard Hat in Unit

  • Radio Check on WCRC 3/Return to Winter Channel

  • Seat Belts

Equipment and Tools

  • Windshield Scraper

  • 100' Tape Measure

  • Stakes

  • P.K. Nails

  • Hammer

  • Ribbon

  • Paint

  • Generator

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.