On site Truck and Driver Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

CMV

• Vehicles Onsite

• Annual Inspections Completed On All CMV's

  Yes

  No

  N/A

• Annual Inspection Current On All Trailers

  Yes

  No

  N/A

• Pre and Post Trip Completed

  Yes

  No

  N/A

• All defects that were found on Pre/post trip fixed before vehicle was used

  Yes

  No

  N/A

• Vehicle was tagged out if found unsafe for operation during Pre/post trip inspection

  Yes

  No

  N/A

• Pre/Post trip completed accurately and truthfully

  Yes

  No

  N/A

• Truck Defects<br>

  Yes

  No

  N/A

• Trailer Defects

  Yes

  No

  N/A

• Registration and Insurance current

  Yes

  No

  N/A

• CMV Being Used Are In Safe Operating Condition

  Yes

  No

  N/A

• Fire Extinguisher In the Correct Place and In Working Condition

  Yes

  No

  N/A

CMV Drivers

• Drivers Onsite

• Current Medical card

  Yes

  No

  N/A

• Current CDL

  Yes

  No

  N/A

• Log Book Current

  Yes

  No

  N/A

• Driver Is Not Ill or Fatigued

  Yes

  No

  N/A

• Driver Demonstrates Safe Operation Of Vehicle

  Yes

  No

  N/A

• CMV Drivers Within the HOS

  Yes

  No

  N/A

• Comments

• Person Completing Audit

  Sign

• Rig Supervisor

  Sign