FMSO Water Truck

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Compliance Audit

• Ensure Fire suppression seal is not broken.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Inspect glass for cracks.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check horn for proper operation.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Inspect all lights.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Ensure back-up alarm is in good order and loud.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check under equipment for any oil leaks.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check all fluids for proper levels.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check windshield wipers.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check ROPS label is legible.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check park brake for proper operation.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check steps, guarding and handrails for proper mounting and are in place and not damaged.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check frame for cracks.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check steering for proper operation.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check emergency steering function with engine killed from bumper switch.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check condition of water tank / spray heads?

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check front and rear suspensions.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check condition of seat belt and installation date.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Housekeeping

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Verify pre-shift inspection is accurately completed.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Ensure the by-pass valve on power step ladder works properly.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check tires / rims / lug nuts.

  Environmental

  Health (dust, fumes, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Auditor(s) Signature

  Sign

• Revision 1.0 iCloud posted document is the controlled copy. 06/18/13