RMX - Jobsite/Employee Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

• Audit Date

  Date

• Employee Name

• Employee Plant

  Select 0071-Ft Worth 0077-S Dallas 0111-Charles Schwab 0135-Alliance 0136-N Dallas 0209-Waxahachie 0226-Desoto 0227-Midlothian 0228-Prosper 0229-Mesquite 0259-Lewisville 0260-Frisco 0261-Kennedale 0262-Haltom City 0263-Denton 0265-Gainesville 0269-Sherman 0271-Little Elm 0601-Wylie 0602-Rockwall 0603-Forney 0644-Facebook 0664-Interstate Crossing 0716-Potter1-Bonnie 0717-Potter3-Grandscape 0718-Potter6-Proj Passport 0719--Potter7-NP1 1145-W Ft Worth Plant Maintenance Shop Quality Control 0605-Red River 0230-Chatfield 0256-AHI-Bulk 0312-AHI-Aggregate 0687-AHI-Lime

  • 0071-Ft Worth
  • 0077-S Dallas
  • 0111-Charles Schwab
  • 0135-Alliance
  • 0136-N Dallas
  • 0209-Waxahachie
  • 0226-Desoto
  • 0227-Midlothian
  • 0228-Prosper
  • 0229-Mesquite
  • 0259-Lewisville
  • 0260-Frisco
  • 0261-Kennedale
  • 0262-Haltom City
  • 0263-Denton
  • 0265-Gainesville
  • 0269-Sherman
  • 0271-Little Elm
  • 0601-Wylie
  • 0602-Rockwall
  • 0603-Forney
  • 0644-Facebook
  • 0664-Interstate Crossing
  • 0716-Potter1-Bonnie
  • 0717-Potter3-Grandscape
  • 0718-Potter6-Proj Passport
  • 0719--Potter7-NP1
  • 1145-W Ft Worth
  • Plant Maintenance
  • Shop
  • Quality Control
  • 0605-Red River
  • 0230-Chatfield
  • 0256-AHI-Bulk
  • 0312-AHI-Aggregate
  • 0687-AHI-Lime

• Truck Number

• Customer Name

• Address/Location

• Manager Name

• Auditor Name(s)

Vehicle/DOT Safety

• Was pre-trip inspection properly completed?

  Yes

  No

  N/A

• Comments

• Is vehicle in proper working order (use DVIR)?

  Yes

  No

  N/A

• Comments

• Is vehicle paperwork up to date?

  Yes

  No

  N/A

• Comments

• Is cab clean with no loose debris on floor?

  Yes

  No

  N/A

• Comments

• Were chute/augers properly cleaned after use?

  Yes

  No

  N/A

• Comments

• Was post-trip properly performed & documented?

  Yes

  No

  N/A

• Comments

• Are guards installed properly and being utilized?

  Yes

  No

  N/A

• Comments

• Is vehicle/plant operating properly?

  Yes

  No

  N/A

• Comments

Equipment/Tool/Jobsite Safety

• Is proper housekeeping being performed?

  Yes

  No

  N/A

• Comments

• Have proper permits been issued and followed?

  Yes

  No

  N/A

• Comments

• Are tools/equipment in proper working order?

  Yes

  No

  N/A

• Comments

• Is railing/guarding being utilized where necessary?

  Yes

  No

  N/A

• Comments

• Is traffic control being used where required?

  Yes

  No

  N/A

• Comments

• Is safe access/walkways/travel ways being used?

  Yes

  No

  N/A

• Comments

• Is tools/equipment being used properly?

  Yes

  No

  N/A

• Comments

Driving Safety

• Did employee test brakes prior to leaving yard?

  Yes

  No

  N/A

• Comments

• Is employee wearing seatbelt?

  Yes

  No

  N/A

• Comments

• Is employee changing lanes properly?

  Yes

  No

  N/A

• Comments

• Is employee leaving proper following distance?

  Yes

  No

  N/A

• Comments

• Is employee following speed limits?

  Yes

  No

  N/A

• Comments

• Is employee distracted while driving?

  Yes

  No

  N/A

• Comment

• Is employee using proper backing techniques?

  Yes

  No

  N/A

• Comments

Employee Safety

• Are 3 points of contact being used where required?

  Yes

  No

  N/A

• Comments

• Is employee operating equipment safely?

  Yes

  No

  N/A

• Comments

• Are safe work procedures being followed?

  Yes

  No

  N/A

• Comments

• Is employee using proper body positioning?

  Yes

  No

  N/A

• Comments

• Is all PPE in working order and inspected?

  Yes

  No

  N/A

• Comments

• Are proper lifting/carrying techniques being used?

  Yes

  No

  N/A

• Comments

• Is employee using all required PPE properly?

  Yes

  No

  N/A

• Comments

• Is employee properly using LOTO where required?

  Yes

  No

  N/A

• Comments

• Is employee using fall protection where required?

  Yes

  No

  N/A

• Comments

Comments

• Auditor Signature

  Sign

• Employee Signature

  Sign

• Comments