Foley Equipment Co.-Manager/Driver Monthly Service Truck-V1

• Audit Title: Truck Unit Number

• Driver Name:

• Managers Name:

• Assigned location / department of truck:

  Select 10-Wichita 13-Salina 14-Dodge City-Park City 30-Topeka 31-Chanute 33-Colby 37-Manhattan 70-Kansas City 73-St. Joseph 74-Sedalia 34-Topeka (EPG Field) 38-Park City (EPG Field) 71-Kansas City (EPG Field)

  • 10-Wichita
  • 13-Salina
  • 14-Dodge City-Park City
  • 30-Topeka
  • 31-Chanute
  • 33-Colby
  • 37-Manhattan
  • 70-Kansas City
  • 73-St. Joseph
  • 74-Sedalia
  • 34-Topeka (EPG Field)
  • 38-Park City (EPG Field)
  • 71-Kansas City (EPG Field)

• Month:

  Select January February March April May June July August September October November December

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

• Year:

  2016

  2017

  2018

• Document Number:

OVERALL CONDITION OF TRUCK

• Overall condition of truck is good

  Yes

  No

  N/A

• Cab and bed: Clean and items secured

  Yes

  No

  N/A

• First Aid Kit: Stocked, expiration dates checked

  Yes

  No

  N/A

• Fire Extinguisher: Mounted, secured, covered if outside, monthly inspection is current

  Yes

  No

  N/A

• DOT and other documents: Copy of current vehicle registration, insurance

  Yes

  No

  N/A

• Safe access: Cab steps clean and grab bar in good condition.

  Yes

  No

  N/A

• Steps and handrails in good condition

  Yes

  No

  N/A

• DOT triangles: Reflective warning if truck is disabled along the road

  Yes

  No

  N/A

• Signage: No Smoking, etc

  Yes

  No

  N/A

• Wheel chocks are proper size (should be orange color)

  Yes

  No

  N/A

• Cargo securement (chains, straps, boomers, etc) are free of defects

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• All required PPE in good condition

  Yes

  No

  N/A

• Employee has all required Fall Protection items: Harness, fixed and retractable lanyards

  Yes

  No

  N/A

• Fall Protection inspections are current

  Yes

  No

  N/A

LIFTING DEVICES

• Synthetic lifting straps in good condition-label is legible

  Yes

  No

  N/A

• Chains are in good condition-inspection tag secured

  Yes

  No

  N/A

• Wire rope devices are in good condition-inspection tag if used for lifting

  Yes

  No

  N/A

TOOLS AND EQUIPMENT

• Tools are in good condition and are not homemade

  Yes

  No

  N/A

• Wooden handled tools are in good condition

  Yes

  No

  N/A

• Extension and power tool electrical cords are in good condition- quarterly inspection is current

  Yes

  No

  N/A

• Monthly Service Truck Crane Inspection is current

  Yes

  No

  N/A

• Air compressor: Relief valve is operational

  Yes

  No

  N/A

• Air hoses are in good condition

  Yes

  No

  N/A

• Ladders are in good condition and manufacturer capacity labels are legible

  Yes

  No

  N/A

• Locks and tags available for all Lockout / Tagout tasks

  Yes

  No

  N/A

• Cribbing / Blocking is in good condition

  Yes

  No

  N/A

CHEMICAL STORAGE/ ENVIRONMENTAL

• Flammables are stored properly and labeled

  Yes

  No

  N/A

• Gas cylinders are stored upright, secured and labels are legible

  Yes

  No

  N/A

• Secondary containers are labeled properly: GHS labels

  Yes

  No

  N/A

• Oily rag / wipers stored in metal container with lid

  Yes

  No

  N/A

• Ignition sources are removed

  Yes

  No

  N/A

MISCELLANEOUS ITEMS

INSPECTION DOCUMENTATION

• Date of Inspection:

  Date

• Signed By:

  Sign