Inspected by who:
Site:
Date:
Date
Service Truck Inspection
House Keeping Interior
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Black Binder up to date (DOT MEC, Insurance, Registration, ELD instructons
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
DOT Annual inspection by 3rd party
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Annual crane inspection
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Fire Extinguisher mounted and inspected
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
First aid kit adequate and up to date
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
House Keeping Exterior
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Safety stickers clean and legible
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Gas cylinders capped and stored properly
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Welder is mounted and in safe condition
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Cargo Securement straps on vehicle in good condition
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Safety Whip on truck and in good condition
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Wheel chalks on the truck and in good condition
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Fall protection on truck, inspected and cared for
Approved lifting devices only and are in good working order.
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Soft Face Bash hammer
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Lifting chains or wire ropes had an annual inspection by a qualified person
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
All lifting devices are in good working condition with legible load tags
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Tool storage boxes clean and organized
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
Other comments or recommendations:
Safe 1 pt
Not safe 0 pt
critical -5
Repeat Safety Violation -5
link copied
Nicholas Eimer
PMC Monthly Service Truck Inspection
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