Title Page

  • Conducted on

  • Inspected By

  • Office

  • Truck #

  • Mileage

Paper Work

  • Insurance Card

  • Accident Report Form

  • Vehicle Registration

  • Annual FMC Inspection

Safety Equipment

  • First Aid KIT (up to date)

  • Fire Extinguishers

  • Lights/Strobes

  • Reflective Vest (1per man)

  • Hwy Flags-2

  • Triangle Reflector-Set

  • Chainsaw Chaps

  • Stop/Slow Paddle Signs

  • Load Securement Straps

  • Cones-4

  • Wheel Chocks

  • Outrigger Pads (1 per outrigger)

Grounds/Jumpers

  • Test Dates For Personal Grounds

  • Test Dates for Truck Grounds

  • Screws/Nuts Tight

  • Clamp Jaws Clean

Tools

  • Sharp Edges Guarded

  • Slings (must have load rating)

  • Test Dates For Hot Sticks

  • Test Dates For Cover Up

  • Belts/Harness

  • Safety Lanyards/Fall Arrest

Hoists

  • General Condition

  • Chain/Webbing

  • Hook/Safety Winch

Winch

  • General Condition

  • Cable/Eye/Hook/Rollers

Boom

  • General Condition

  • Tie Down

Hitch

  • General Condition

  • Work Keys (all)

Fire Extinguishers Date: (Month/Year)

  • #1

  • #2

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.