Title Page

  • Driver Name

  • Truck Number

  • Conducted on

  • Prepared by

  • Location

Daily Gate Check Form

  • Is the driver an approved driver for Groundworks?

  • Why is this person behind the wheel of a Groundworks vehicle?

  • Is this driver SMITH System trained?

  • Why is this person behind the wheel of a Groundworks vehicle?

  • Does this driver understand the Distracted Driving Policy?

  • Why not?

  • Was pre trip completed?

  • Are all employees wearing seat belts?

  • Are any belts not functioning?

  • Is the cab of the truck clean and fee from "dash trash?

  • Is the red binder present and insurance card accounted for?

  • Are all lights, brake lights, and turn signals working?

  • Is the back (cargo area) of the truck organized?

  • Are materials and back door secured?

  • Is the outside of the truck clean?

  • Pulling a trailer?

  • Is the coupling tight and are the chains fastened correctly?

  • Is the emergency brake cable attached properly? (NOT TO THE CHAIN)

  • Are trailer lights working?

  • What time did the driver clock in?

  • What time is this truck leaving the lot?

  • Is the GeoTab device secured with factory zip tie with serial number?

  • Is the GPS route chosen to get to job site is it the safest route?

  • What is the ETA to the jobsite?

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.