Title Page
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Site conducted
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Equipment Worthiness
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Are all the air tanks on the truck being drained daily?
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Is the mixer Hopper and Cone clean?
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Is the equipment clean? (Ex: interior and exterior)
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Is the oil at normal operating level in the rear assist air compressor crankcase?
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Is the cement gun in good working condition ?
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Is the cement hose in good working condition ?
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Are the air lines in good condition ?
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Is the grout system working properly ?( Ex: grout pump or gun leaking)
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Are the grout tanks in good condition?
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Are the plugs in good condition? (Ex: not leaking or have bubbles)
Jobsite Setup
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Does the driver have a plan for the day? Has he reviewed maps prior so he has his day set up?
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Did the operator properly set up the job site? Are the following being used? Road hose, ramps, flaggers, wheel chocks, cones and manhole cage?
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Is the driver aware of any overhead obstructions on the site?
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Does the operator know proper procedure if something goes wrong with the truck? Both while driving or during operation?
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Is the truck equipped with absorbent pads/speedi-dry?
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Is the confined space permit filled out?
Productivity/Safety
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Is there a spare nozzle on the truck?
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Is the tripod/winch in good working condition without defects?
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Do the safety lights work on the truck?
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is there a spare cement hose/air lines/cement gun/Pressure washer hose?
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Are the air holes on the cement gun the proper size?
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Is there a spare cement cone?
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Is there an eye wash station on the truck?
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Does the truck have proper safety equipment? (Ex: fire extinguisher, three triangles, med kit, wheel chocks, Spill Kit)
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Does the truck have all of the proper PPE for what the employee is doing?
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Is the Tripod, Winch, and Harness all in good condition?
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Does the air meter need to be calibrated?
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Is the AV100 and AP separated?
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Is the employee wearing the proper Respiratory cartridge for the corresponding application?
Road Worthiness
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Is all the paperwork up to date? ( Ex: registration, insurance card, IFTA, HUT)
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Is the trailer properly attached to the truck?
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Do the trailer wheels lock when you pull the pin?
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Do the trailer breaks work properly and do all lights work?
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Does the battery charge when the lights are on (if not most likely trailer has no brakes)?
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Does the driver have his driver's license and medical card?
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Does the driver have his current DVIR and previous day's DVIR?
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Is the driver's log book present and up to date?
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Are the tires and rims in good condition? (Ex: cracks, treads, bolts tight)
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Is the load secured?
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Were all fluids checked and topped off if needed?
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Are the mirrors in working order and are clean.