JGI-AZ: Passenger Vehicle Safety Inspection Audit Updated 7/30/14

• Conducted on

  Date

• Inspected by

• Vehicle Number

• Location of Vehicle
  Address

• Personnel

• This audit is to be used when conducting a spot inspection on a Joy Global passenger truck/ SUV. As of June 2014 this audit does not replace the Vehicle Safety Inspection Audit that Is to be performed by the operator on a daily basis and kept in the vehicle at all times.

EXTERIOR

• Is the overall condition of the exterior decent and free of large dents, missing parts, broken parts, etc.

  Yes

  No

  N/A

• Check all the following lights: Brake lights , head lights, running lights, tail lights, emergency flashers and turn signals. Are they all working correctly?

  Yes

  No

  N/A

• Are the windshield wipers blades in good condition (showing no signs of being ripped or dry rotted) and operational?

  Yes

  No

  N/A

• Are the tires in good condition with proper tread and free of damage?

  Yes

  No

  N/A

• Is the windshield, all windows and side mirrors free of cracks, excessive rock chips and excessive dirt build up?

  Yes

  No

  N/A

• Trucks only- is the bed clean with no loose debri and all items secure? (SUV select N/A)

  Yes

  No

  N/A

UNDER THE HOOD

• Is the engine oil at the proper level?

  Yes

  No

  N/A

• Is the power steering fluid at the proper level?

  Yes

  No

  N/A

• Is the coolant at the proper level?

  Yes

  No

  N/A

• Is the transmission oil at the proper level? (If inspected a Nissan mark N/A - this does not apply to the Nissan trucks or SUV's- They have a sealed transmission and is only accessible thru the dealership or other maintenance shop)

  Yes

  No

  N/A

• Is there windshield washer fluid present?

  Yes

  No

  N/A

INTERIOR

• Is the general interior of the vehicle maintained with minimum loose objects and clutter?

  Yes

  No

  N/A

• Is the fabric on the seats and the roof liner in good condition with little or no tears and rips?

  Yes

  No

  N/A

• Are the brakes operational to include the emergency brake?

  Yes

  No

  N/A

• Is the steering good?

  Yes

  No

  N/A

• Are all seat belts present and operate correctly according to manufacture?

  Yes

  No

  N/A

• Is the rear view mirror present and in proper order?

  Yes

  No

  N/A

EQUIPMENT

• Is the fire extinguisher present with the following: at least 5lbs, easily accessible, secured, up to date annual inspection, up to date monthly inspection, labels/stickers intact and readable, gauges in green, hose in good shape, pin secured in place?

  Yes

  No

  N/A

• Is the buggy whip present, in good condition, can extend up to 14ft and have an operational light?

  Yes

  No

  N/A

• If equipped, Is the back -up alarm operational

  Yes

  No

  N/A

• Is the horn operational?

  Yes

  No

  N/A

• Is the first aid kit present, stocked and up to date with no expired items?

  Yes

  No

  N/A

• Are the chock blocks present with no cracks, free of excessive damage, and are not of hollow type?

  Yes

  No

  N/A

POLICY/CUSTOMER/MSHA Requirements

• Is the daily vehicle inspection book present, up to date with that days pre-operation inspection completed and filled out correctly?

  Yes

  No

  N/A

• Was the parking break set?

  Yes

  No

  N/A

• If this vehicle is currently on any FCX/FMI site, is the current Contractors Safety Manual present with part one and part two? (mark N/A if not on a FCX/FMI property)

  Yes

  No

  N/A

ADDITIONAL REMARKS AND COMMENTS

COMPLETE AND REVIEWED

• Completed Audit/inspection needs to be sent to the Manager and Supervisor of Vehicle being inspected for corrective actions to be addressed and to the Health and Safety Department for record keeping.

• Assigned Opertor

  Sign

• Auditor

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