Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Truck and location description

  • Type of location

  • Job Name

  • Truck Number

  • Vehicle condition

  • Container Number

  • Trailer Number

  • Approximate time observed

  • Traveling direction

  • Highway or Road Name

  • Highway or Roadway conditions

  • Traffic Conditions

  • Weather and Driving conditions

Driver Performance

  • Posted Speed limit

  • Drivers speed

  • Speed verified by

  • Is cargo secured

  • Is cargo covered

  • Communicate intensions well with others

  • Looks for overhead power lines

  • Performs safe lane changes

  • Keeps a safe following distance

  • Performs job task correctly

  • Was wearing seatbelt at all times

  • Used 3 point contact when entering and exiting vehicle.

  • Was wearing personal protective equipment as required

  • Correct procedures were followed at job site, landfill, or yard

  • Safe operation

Truck Condition

  • Headlights were working

  • Tail lights were working

  • Clearance Lights were working

  • Brake lights were working

  • Turn signals were working

  • Reflectors are in good condition

  • Mud flaps are in place and in good condition

  • Wheels,tires are in good condition

Corrective Actions

  • List actions taken

  • Select date

  • Add signature

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.