• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Observed Unsafe Conditions / Actions (Safety Incident report).<br>

  • Dept Safety meeting with quiz completed for the month.<br>

  • New Injury or Vehicle Accidents to report (called in w/in 24 hours).<br><br>

  • New Injury or Vehicle Accident Investigation Reports (turned in w/in 2 days).<br><br>

  • New Injury or Vehicle Accident Followup Corrective Reports.<br>

  • Emergency Preparedness Plan and Employee Call Roster.<br>

  • Daily Driver Pre / Post Trip Vehicle Inspection Sheets Completed.<br>

  • Part Time Driving Hours Reported by Driver (monitored & enforced).<br><br>

  • 14 Hr Driver "Total On-Duty" Time Restriction (monitored & enforced).<br><br>

  • 60 Hr Driver "On-Duty" limit in any Consecutive 7 Days (monitored & enforced).<br><br>

  • 70 Hr Driver "On-Duty" limit in any Consecutive 8 Days (CIP, monitored & enforced).<br><br>

  • PPE (Personal Protective Equipment) - gloves, etc.<br>

  • Delivery Tools & Supplies - pallet jacks, dollies, ropes, etc.<br>

  • Container Yard (kept clean of debris).<br><br>

  • Interior of Truck Cab (and floor of box van / container, kept clean of debris).<br><br>

  • HAZMAT Shipping Paperwork, Labeling & Placarding (monitored for accuracy).<br><br>

  • HAZMAT Emergency Response Guidebook (understood & maint'd).<br><br>

  • HAZMAT Response Team & Spill Containment Kit (available & maintained).<br><br>

  • MSDS (Material Safety Data Sheet) Binders (understood & maint'd)<br><br>


  • Used proper lifting and carrying techniques<br>

  • Used the 3-points of contact method to climb up or down<br>

  • Always avoided jumping off or on anything<br>

  • Always avoided kicking anything

  • Always let falling objects fall<br>

  • Always used leg muscles when using a pallet jack<br>

  • Used available lifting and carrying aides<br>

  • Asked for help when item exceeded limitations - "too heavy"<br>

  • Always checked for obstacles prior to backing his / her vehicle<br>

  • Checked overhead clearances prior to moving his her vehicle<br>

  • Watched for & was prepared for loose freight to fall<br>

  • When working over wet surfaces, conscious of balance<br>

  • Wore goggles and gloves as required<br>

  • Abided by HOUSE RULES regarding safety


  • Other observations

  • Photos

  • Name & Signature of Inspector

  • Date & Time of Inspection

  • Safety Manager's Notes

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.