JGI- AZ: Service Truck Audit Updated 7/30/14

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL

• Has the Pre-Shift Inspection been completed?<br>

  Yes

  No

  N/A

• Is the DOT book present and up to date?<br>

  Yes

  No

  N/A

• Are the Insurance / Registration / IFTA stickers present?

  Yes

  No

  N/A

• SDS book present and updated with products on vehicle?

  Yes

  No

  N/A

• Is the field form binder present? (Large binder that has copies of all field forms - FLRA's, site inspections, hot work permits etc)

  Yes

  No

  N/A

• Cab interior is acceptable (clean and organized)

  Yes

  No

  N/A

• Is fire extinguisher present?

• Is the size 20lbs?

  Yes

  No

  N/A

• Are all stickers and labels present and readable

  Yes

  No

  N/A

• Is the yearly certification sticker present, intact and up to date?

  Yes

  No

  N/A

• Is the monthly inspection tag present, secure and up to date?

  Yes

  No

  N/A

• Is the extinguisher properly secured?

  Yes

  No

  N/A

• Bed is acceptable (clean, organized, no loose debri)

  Yes

  No

  N/A

• All three (3) emergency safety traffic triangles present and in working condition.

  Yes

  No

  N/A

• Exterior of vehicle is maintained and is free of excessive mud build up

  Yes

  No

  N/A

• Are all windows and the windshield,clean and without cracks?

  Yes

  No

  N/A

• Is all cargo secure? (ladders, items in bed of truck, fire extinguisher, etc.)

  Yes

  No

  N/A

• Are all steps and handrails in safe and good working order?

  Yes

  No

  N/A

• Are safety whips in good operational order with a maintained flag, lights that are operational, and can reach a height of 14 feet?

  Yes

  No

  N/A

• If applicable, are beacon lights maintained and operational?

  Yes

  No

  N/A

• Are wheel chocks present on vehicle, are not of hollow type, are in proper care (no chunks missing, not broken), and are stored properly when not in use?

  Yes

  No

  N/A

• Check all lights - condition and operation are they up to code?

  Yes

  No

  N/A

• Back up alarm operating?

  Yes

  No

  N/A

• Is the GPS unit is plugged in and working properly?

  Yes

  No

  N/A

• Is Personal Protective Equipment is being stored properly and maintained (fall protection, respirator, etc.)?

  Yes

  No

  N/A

• Have Any objects or tools found to be not in compliance been tagged out of service with date of non compliance listed on tag.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is this inspection taking place on a Freeport McMoran site?

  Yes

  N/A

• Is the contractor manual on hand and is it the most current version with all required sections per FMI policy?

  Yes

  No

  N/A

AIR COMPRESSOR FOR TRUCK

• Is Oil change good and not over due?

  Yes

  No

  N/A

• Is Air pressure maintained with no leaks?

  Yes

  No

  N/A

• Is Performance of compressor good?

  Yes

  No

  N/A

• Are Tank, gauges, hoses in good shape?

  Yes

  No

  N/A

WELDER/GENERATOR

• Are leads in good shape?

  Yes

  No

  N/A

• Is appropriate guarding in place?

  Yes

  No

  N/A

• Is the Overall shape of the welder/generator body in good shape?

  Yes

  No

  N/A

• Is Maintenance up to date (oil changes etc.)?

  Yes

  No

  N/A

BOOM/CRANE

• Is the crane operational?

  Yes

  N/A

• Is the annual inspection sticker in tack and within its expiration date?

  Yes

  No

  N/A

• Is Lifting cable condition good?

  Yes

  No

  N/A

• Is Control Unit in good condition?

  Yes

  No

  N/A

• Is Outrigger condition and operation is in good working order?

  Yes

  No

  N/A

• Certification of chains/slings attached to equipment?

  Yes

  No

  N/A

• Condition of safety latch, come along<br>

  Yes

  No

  N/A

• Chains and slings in good condition with no frays, grease or questionable conditions?

  Yes

  No

  N/A

• Any leaks or out of place wiring

  Yes

  No

  N/A

• Anti- two block device operational

  Yes

  No

  N/A

• Is the required sticker posted for hand signals for crane operations?

  Yes

  No

  N/A

COMPRESSED GAS AND ACCESSORIES

• Are there any cylinders, compressed gasses on the vehicle?

  Yes

  N/A

• Compressed gas properly stored with regulators removed when driving and safety caps in place

  Yes

  No

  N/A

• All pressure has been bleed from regulators

  Yes

  No

  N/A

• Regulator/ Gauges in good order and are not cracked or missing cover

  Yes

  No

  N/A

• All lines are are free from damage and fit properly

  Yes

  No

  N/A

• Bottles and brackets in good condition

  Yes

  No

  N/A

• Equipped with flashback valves

  Yes

  No

  N/A

• Compressed gas properly labeled

  Yes

  No

  N/A

TOOLS

• Have all triggers locks been removed from all power tools?

  Yes

  No

  N/A

• Proper guarding not missing and in place on all tools

  Yes

  No

  N/A

• Hand tools and fabrication tools in proper condition ( no mushroomed heads etc.)

  Yes

  No

  N/A

• All power tools are in the proper working order, no cracked casings, no exposed Wires, right size wheels attached and have been marked for proper inspection color of the month.

  Yes

  No

  N/A

• Extension cords have ground present that is not loose, cord casing is in good shape with no burn marks or repairs and the extension cord has been inspected and marked for the current monthly inspection.

  Yes

  No

  N/A

• Whip Checks (where applicable)

  Yes

  No

  N/A

FLAMMABLES

• Are there any flammables on the service truck?

  Yes

  N/A

• All product containers (paint, spray cans, fuel, grease etc) are marked with contents and have a label that is in-tacked and legible.

  Yes

  No

  N/A

• Flammable storage cabinet present and secure

  Yes

  No

  N/A

• There are no spills or leaks evident in or around the flammable cabinet storage area

  Yes

  No

  N/A

• Adequate signage present (decals and labeling, ex: No Smoking, flammable storage)

  Yes

  No

  N/A

• Are the cabinets free of combustible materials ( cardboard paper etc. )

  Yes

  No

  N/A

TIRES

• Tire treat a minimum of 3/32 on all tires

  Yes

  No

  N/A

• Proper tire position (Steer, single treat tires on front and Drive tires on rear)?

  Yes

  No

  N/A

OTHER ITEMS FOUND

• Safety Issues

• Add media

  Media

• Employee Behavior

• Add media

  Media

REVIEW

• Remarks

• Add media

  Media

• Remarks

• Add media

  Media

SIGN OFF

• Completed Audit/inspection shall be forwarded to the Supervisor and Manager of Vehicle Inspected for corrective actions to be addressed and to the Health and Safety Department for record keeping

• On Site Represenative

  Sign

• Auditors Signature

  Sign