LNA Fleet Safety Recognition Program Housekeeping Checklist

• Tractor/Trailer Numbers

• Site

• Conducted on

  Date

• Personnel

Truck Cab - General Condition

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  Media

• Clean/Free of Waste (Spills, Dust, Accumulation Cleaned Regularly)

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Clear/Free of Obstructions (Loose Items in Cab Secured)

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Hazard Triangles In Good, Working Condition

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Seatbelts in Good, Working Condition

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

Truck Cab Fire Fighting Equipment

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  Media

• Available

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Clearly Marked (Regular Inspections Noted)

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Accessible

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

Truck Steps

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  Media

• Clean/Free of Waste, Spills & Accumulations Cleaned Promptly

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Clear/Free of Obstructions

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• In Good Condition

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

Trailer - General Condition

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  Media

• In Good Condition

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• If Provided, Lhoist Logo is Well-Marked

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Trailer Does Not Have Significant Material Build-Up Underneath

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

Trailer - Reflector Strips

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  Media

• In Good Condition

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Adequate Reflectors on the Rear & Sides of Trailer

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

Exterior Lights on Truck & Trailer

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  Media

• Truck Headlights, Turn Indicators, Break Lights Are Clean & Free of Debris

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable

• Trailer Break & Turn Indicators Are Clean & Free of Debris

  Select 5 - Meets All Expectations 4 - Meets Most Expectations 3 - Meets 50% of Expectations 2 - Does Not Meet Most Expectations 1 - Does Not Meet Any Expectations N/A - Not Applicable

  • 5 - Meets All Expectations
  • 4 - Meets Most Expectations
  • 3 - Meets 50% of Expectations
  • 2 - Does Not Meet Most Expectations
  • 1 - Does Not Meet Any Expectations
  • N/A - Not Applicable