Safety DOT Checklist for Drivers

• Conducted on

  Date

• Prepared by

• Location
  Address

• Truck/Unit Number

• Signature

  Sign

Vehicle Cleanliness

• Is the vehicle clear of any obstacles that may interfere with the drivers ability to operate the vehicle? Example: Loose trash, obstructions blocking the view of the driver such as cracked windshield, or dirt/ mud/ debris that could interfere with the controls.

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Seat/ Seat Belts

• Is the seat adjusted to allow full manipulation of controls?

  Yes

  No

  N/A

• Does you and your passengers seat belts work properly?

  Yes

  No

  N/A

Vehicle Damage

• Is there no damage to the vehicle? If there is, please take pictures of each incident? (large scratches in paint, dents, holes in panels, etc...)

  Yes

  No

  N/A

Mirrors/Lights/ Windows

• Are all lights working and in good condition? (I.E. blinkers, high beams, lenses are not overly foggy)

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Are the windows and mirrors clean and in good working condition? Mirrors adjusted for the driver to make full use when backing up/ changing lanes?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Are the wipers present and in good condition?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Emergency Equipment

• Vehicle has at least one spare fuse for each type of fuse used?

  Yes

  No

  N/A

• The vehicle has a first aid kit that can accommodate all passengers?

  Yes

  No

  N/A

• The vehicle has a roadside emergency kit complete with three bidirectional emergency reflective triangles?

  Yes

  No

  N/A

• Is there a fire extinguisher that is readily accessible and mounted in the truck? Is the inspection current?

  Yes

  No

  N/A

Insurance Card

• Is there a current copy of the insurance card in the vehicle?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Vehicle Registration

• Is the vehicle's registration current and a copy of the registration in the vehicle?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Fuel Card

• Is there a Element Fuel Card assigned to the truck/driver? And, is the fuel card present?

  Yes

  No

  N/A

Engine Compartment

• Does the vehicle have the proper oil level?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Oil change not required?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Are indicator lights in cab not illuminated and gauges reading properly? (I.E. check engine light, low battery, over-heat)

  Yes

  No

  N/A

• Are pulleys, belts, fuel lines, fan blades in good working order?

  Yes

  No

  N/A

Tires

• Are tires inflated to proper PSI? Are tires in good overall condition? (tread missing, bulges, cuts, tears or worn)

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Doors/ Lift-gate

• Do all doors close/lock properly including the back door and is it secured with a lock?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Does the lift-gate unfold and move as its intended?

  Yes

  No

  N/A

Undercarriage/ Suspension

• Is the vehicle free of parts/ debris hanging from the undercarriage that would inhibit or be unsafe?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• No leaks present? (I.E., pooling fluid on the ground, dripping from undercarriage)

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Are the shock absorbers in good working condition?

  Yes

  No

  N/A

Accident Response Kit

• Including: Camera, pen , drivers report at accident form, witness cards and accident notification card.

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Markings

• Is the company's branding on the vehicle clean, undamaged and graffiti free?

  Yes

  No

  N/A

• Yes

  No

  N/A

Driver Inspection Authorized Driver. In accordance with BMS's driver policy, is the driver an authorized driver.

Driver License

• As required, does the driver have a valid driver license on his/her possession while operating a company owned vehicle?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

DOT Med Card

• Does the driver have his/her current DOT Med Card on person when operating a company vehicle?<br>

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Log Books

• Has the driver completed the required logs for the last 7 days?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

Records/ Vehicle Files

• Does each truck have a vehicle file that displays the company name , vehicle make and model, vin # and tire size?

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Pre and Post trips inspections (last 90 days)

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Maintenance Records

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Driver's Logs (last 6 months)

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Copy of Federal Inspection

  Yes

  No

  N/A

• If no, corrective action must be taken before driver leaves.

  

• Hard copy or printed copy of insurance and vehicle registration

  Yes

  No

  N/A

• If no, corrective action must be made before driver leaves.