• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicles- Pre-Trip

  • A Pre-Trip inspection was conducted on vehicle before beginning the trip?

  • <br>A Journey management meeting was conducted and documented before beginning the trip?

  • Equipment and supplies are secured by a cargo net or properly strapped?

  • Tractor and trailer paperwork is in the tractor cab?

  • Drivers record of duty status is current indicating last status change?

  • Registration current on trailer and tractor?

  • Annual inspection is current on tractor and trailer?

  • Other?

Vehicle Interior

  • Registration in cab and current?

  • Insurance certificate in cab and current?

  • 5# Fire extinguisher in cab and properly mounted?

  • Safety triangles in vehicle, in good condition and properly mounted?

  • Hazardous Material paperwork and bill of laden in vehicle door?

  • Accident kit in vehicle?

  • Spare fuses and spare bulbs in vehicle?

Pre-Job safety

  • Job hazards identified based on services to be performed?

  • PIC-Person in charge was identified?

  • JSA was completed properly and signed by all crew members?

  • Responsibilities/ Task outlined and delegated to responsible person ?

  • Restricted work areas identified?

  • Crew is working safely ?

  • Other?

Safety Equipment used

  • Hard hats?

  • Safety glasses?

  • Hand protection/ gloves?

  • Hearing protection?

  • Respiratory protection?

  • Gas monitors?

  • Fire extinguishers?

  • Safety Harness available? Inspected / Current

  • Other?

Rig Up

  • Equipment placement / layout acceptable?<br>

  • Iron certification current?

  • Whip checks on iron?

  • Injector head / BOPS secured properly?

  • 20# Fire extinguishers placed at the left front corner of each piece of equipment ?

  • Crane inspection conducted?

  • Guard rails installed correctly and pinned?

  • Lift sling condition? Identification tags attached?

  • Injector gooseneck pinned?

  • Well head bolted properly?

  • Other?

CT Operators Cab

  • 5# Fire Extinguisher in cabin?

  • MSDS'S in cabin for chemicals on site?

  • Field safety manual available?

  • First aid kit available and properly stocked?

  • Emergency response plane available inclusive of emergency phone numbers available?

  • Other?

Job Execution

  • Job started on time?

  • Employees working as a team?

  • Tools in good working order?

  • Regular check of equipment conducted?

  • Trash picked up? Good housekeeping?

  • Spill kit available in each unit?

  • Spill containment available?

  • Any visible leaks on equipment?

  • High pressure areas flagged or taped?

  • Other?

Outside of Equipment

  • Is equipment clean?

  • IFTA decals attached and in good condition?

  • Vehicle equipment number attached and in good condition?

  • Company logo / DOT number attached and in good condition?

  • Mirrors in good condition?

  • Lights and reflectors attached, working and in good condition?<br>Including License plate lights working?

  • License plates readable and in good condition?

  • Windshield wipers I work and in good condition?

  • Windshield in good condition, free of cracks and distortions?

  • Turn and emergency signals working and in good condition?

  • Fuel tanks, tank mounts, tank caps all attached and in good condition?

  • Chock blocks in vehicle?

  • Placards firmly attached and in good condition and properly mounted and displayed?

  • Mud flaps attached and in good condition?

  • Tire chains in vehicle?

  • Tool boxes uncluttered and have secure kids?

  • 2-20# fire extinguishers on vehicle

Post Job Responsibilities

  • Area policed and cleaned up?

  • All spills cleaned up?

  • Other?

Audit Comments

  • Supervisor comments.

  • Company man comments

  • Site auditor comments.

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.