• Coupler Box Platform

  • Code on Front of Coupler Box

  • Station Where Installed

  • GPS Location of Coupler Box
  • Coupler Box Exterior condition

  • Coupler Box Lock Mechanism, does it operated correctly?

  • Coupler Box Door, what is the conditions of the hinges?

  • Overall Condition Rating of BOX

  • Interior Condition of Box

  • Is the coupler adapter present?

  • Is the Trolley Present?

  • Is the Trolley in good Condition and does it Operate Correctly?

  • Are the 2 hoses present and in Good Condition?

  • Take Photos of the box, lock, hinges and contents inside.

  • Add any comments applicable to this box and location.

  • Signature of Auditor

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.