• Order#

  • Date and time

  • Drivers name

  • Tractor#

  • Location of inspection
  • Operating area

  • Trailer#

  • Commodity

  • UN#

  • Onboard

ROR section (Road Observation Report)

  • Pace (km/h)

  • Radar stationary (km/h)

  • Radar Traveling (km/h)

  • Legal Speed (km/h)

  • Whether conditions

  • Traffic

  • Terrain

  • Road conditions

  • Light conditions

  • Remarks

FLA observation Audit Level 1

  • Unit properly positioned

  • Ground cable attached properly

  • All PPE worn properly

  • Gas monitor worn and Bump tested

  • Number of days Until next calibration due

  • Proper safe work procedure followed

  • Three point contact maintained

  • Chock blocks (if required)

  • Non required electrical devices are shut off

  • In attendance

  • Tire chains

  • CVIP current

  • Log book current and correct

  • Bill of lading correct

  • Pre-trip inspection correct

  • H2S certificate current

  • WHIMIS and TDG certificate current

  • Drivers licence current

  • First aid certificate current

  • ODA/PDIC certificate current

FLA level 2 inspection

  • Insurance valid

  • Registration valid

  • Safety fitness certificate

  • HSSE handbook present

  • All permits current

  • Fluid hose tests current and in good condition

  • Customer sight orientation current

  • SABA/SCBA in good working condition

  • Auto air shutdown switch available

  • Auto air shutdown functional

  • Lights working and clean

  • No audible air leaks

  • Locking cam locks on all hoses

  • Charged fire extinguisher and yearly inspection

  • Placards in good condition and clean

  • Wipers/washer functional

  • Horn (air and steering wheel) Working

  • Windshield condition


  • Evaluation

Safety topic-mandatory

  • Safety topic


  • Comments/suggestions

  • Drivers name/signiture

  • Facilitators name/signiture

Management Section

  • Damerits

  • Section

  • Suspension Days Assigned

  • Points

  • Commendation Awarded

  • Signiture

  • Date

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.