Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Driver name

DOT inspection book/log book

  • Log book complete/XRS current?

  • DVIR complete and up to date?

  • Cab box contains all required items?

Driver Appearance/PPE

  • Uniform (no rips/not able to snag).

  • Driver refrains from using personal electronic devices?

  • Wearing steel toe shoes?

  • Stretches at or before first stop?

  • Wearing gloves?

Driving habits

  • Follows driving a laws and regulations?

  • Driver refrains from using phone/texting while driving?

  • Maintains appropriate speed?

  • Maintains proper lane discipline?

  • Maintains appropriate following distance?

  • Driver refrains from eating, drinking, smoking. Not distracted

  • Courteous to other drivers?

Parking habits

  • Selects parking to ensure no backing?

  • Parks in designated parking area away from disabled bay?

  • Uses traffic safety cone?

  • Truck locked / bay doors down/ rear door down?

Lift gate safety

  • Mounts/dismounts lift gate safely?

  • Uses safety flap?

  • Driver does not overload the liftgate?

Hand truck/Pallet jack safety

  • Operates pallet jack safely ( horn, walks to the side)?

  • Positions pallet jack to minimize obstruction?

  • Shrink wrap stowed?

  • Ensures no pallet damages( no wooden splinters)

Product delivery

  • Safely maneuvers carts/break downs/u boats?

  • Down stacks to minimize obstruction?

  • Uses safe lifting techniques/Save A Back principles?

Hand truck use

  • Safely scoops stacks?

  • Clears path to cooler and inside cooler before moving items?

  • Safe keg handling

Truck appearance

  • Cab and trailer clean

  • Pallets stacked on their sides?

  • Equipment safely stowed?

Driver comments

Supervisor signature

Supervisor notes

  • Add signature

Driver signature

  • Add 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.