Gate Check Inspection

• Driver Name

• Truck Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Daily Gate Check Form

• Is the driver an approved driver for Groundworks?

  Yes

  No

  N/A

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

• Is this driver SMITH System trained?

  Yes

  No

  N/A

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

• Does this driver understand the Distracted Driving Policy?

  Yes

  No

  N/A

• Why not?

  Yes

  No

  N/A

• Was pre trip completed?

  Yes

  No

  N/A

• Are all employees wearing seat belts?

  Yes

  No

  N/A

• Are any belts not functioning?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are materials and back door secured?

  Yes

  No

  N/A

• Is the outside of the truck clean?

  Yes

  No

  N/A

• Pulling a trailer?

  Y

  N

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

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

• Are trailer lights working?

  Yes

  No

  N/A

• What time did the driver clock in?

  Date

• What time is this truck leaving the lot?

  Date

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

  Select Yes No N/A

  • Yes
  • No
  • N/A

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

  Safe

  At Risk

  N/A

• What is the ETA to the jobsite?

  Date