NRS Belt Trailers

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

Nickel Rim South Belt Trailers

• Driver Name or Unit Number

PPE

• Hard Hat

  Yes

  No

  N/A

• Safety Glasses

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• High Visability clothing

  Yes

  No

  N/A

• Safety Boots

  Yes

  No

  N/A

Procedure Compliance

• Communicates with loader operator as per dumping location

  Yes

  No

  N/A

• Waits for permission before entering the crushing pad

  Yes

  No

  N/A

• Wearing Seatbelt

  Yes

  No

  N/A

• Honks Twice when reversing

  Yes

  No

  N/A

• 3 point contact

  Yes

  No

  N/A

• Tailgate lock applied

  Yes

  No

  N/A

• Cleans off any debris located on the truck or under the belt.

  Yes

  No

  N/A

• Check tailgate and remove debris

  Yes

  No

  N/A

• Complete the walk around

  Yes

  No

  N/A

• uses radio communication before going down belly dump ramp

  Yes

  No

  N/A

• comments or concerns