Information

  • Document No.

  • Audit Title

  • Conducted on

  • Terminal Location

Employee

  • Manager conducting audit

  • Employee being audited

  • Truck being audited

  • Is employee wearing his/her safety belt?

  • Is employee wearing required eye protection?

  • Is employee wearing required lime green breakway vest?

  • Is employee wearing steel toe work boots with ankle protection and a defined heel?

  • Is employee wearing a hardhat (If out of vehicle)?

  • Does employee have a valid erailsafe badge on his/her person?

  • Note: A badge in an employees locker or personal vehicle is not considered "on his/her person". Badge must be able to be readily produced if approached.

  • Does employee attire meet H&M prescribed standards? No loose or torn clothing, no shorts or sleeveless shirts.

Pickup Truck

  • Is vehicle exterior neat & clean?

  • There is no garbage in bed of truck?

  • Are the vehicles headlights, hazards and break lights fully functional?

  • Is vehicle equipped with a strobe light?

  • If so, was it activated at start of audit?

  • Do the vehicles back-up lights and alarm function properly?

  • Is the interior of the cab free of debris, trash and loose tools etc...?

  • Do the seats appear to be in good repair?

  • Are there any other issues that need to be identified with the truck?

  • Any other observations?

  • Other observations photos.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.