Gate Check Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Gate Check Audit

• Driver Name:

• Select date

  Date

• Unit Number:

• Trailer Number

• Type of Equipment

• Pre-Trip or Post Trip?

• Crew

• Driver's daily log

  Yes

  No

  N/A

• Info

• Truck IVDR

  Yes

  No

  N/A

• Info

• Medical Card

  Yes

  No

  N/A

• Expiration Date

• Select date

  Date

• Current Driver's License

  Yes

  No

  N/A

• Expiration Date

• Select date

  Date

• Endorsements

  Yes

  No

  N/A

• Types:

• Emergency Triangles

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Placards

  Yes

  No

  N/A

• Fire Extinguisher(s)

  Yes

  No

  N/A

• Bill of Lading (match load, weight, ID, etc.)

  Yes

  No

  N/A

• Safety Data Sheets

  Yes

  No

  N/A

• PPE

  Yes

  No

  N/A

• Load Securement

  Yes

  No

  N/A

• Insurance Card

  Yes

  No

  N/A

• Permits - Oversize/Weight

  Yes

  No

  N/A

• Floating axle engaged (prior to entering highway)

  Yes

  No

  N/A

• Densitometer documents

  Yes

  No

  N/A

• Cab Cards

  Yes

  No

  N/A

• DOT Cab binder (all documents current(

  Yes

  No

  N/A

• DOT Inspection current

  Yes

  No

  N/A

• Valid HAZMAT Tanker Inspection

  Yes

  No

  N/A

CORRECTIVE ACTION

• Notice: Vehicle and driver just be 100% compliant with DOT requirements before being allowed to enter a public highway.

• Equipment Operator / Driver Signature

• Add signature

  Sign

• Select date

  Date

• HSE Representative:

• Add signature

  Sign

• Select date

  Date