Solid Waste Service Vehicle Safety Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Driver Name

• Select date

  Date
• Add location
  Address

Truck Number

Route Number

• Service

  Select BULKY YARD WASTE AREA 1 YARD WASTE AREA 2 GARBAGE AREA 1 GARBAGE AREA 2 GARBAGE AREA 3

  • BULKY
  • YARD WASTE AREA 1
  • YARD WASTE AREA 2
  • GARBAGE AREA 1
  • GARBAGE AREA 2
  • GARBAGE AREA 3

Safety Equipment

• Driver-PPE

  YES

  NO SAFETY GLASSES

  NO GLOVES

  N/A

• Labor/ PPE

  YES

  NO SAFETY GLASSES

  NO GLOVES

  N/A

• Labor #2/ PPE

  YES

  NO SAFETY GLASSES

  NO GLOVES

  N/A

• Fire Extinguisher Charged, Signed and Mounted

  YES

  NO

  NO SIGNATURE

  NO CHARGE

• Quick Oil Dry/ Spill KIt

  YES

  NO

• Reflective Triangles

  YES

  NO

• Horn

  YES

  NO

• Reverse Alarm

  YES

  NO

• Back-Up Lights

  YES

  NO

• Turn Signals

  Select YES Right rear not working Left rear not working RIght front not working Left front not working

  • YES
  • Right rear not working
  • Left rear not working
  • RIght front not working
  • Left front not working

• 4 Way Flashers

  Select YES Right rear not working Left rear not working RIght front not working Left front not working

  • YES
  • Right rear not working
  • Left rear not working
  • RIght front not working
  • Left front not working

• Lights

  Select YES Right rear not working Left rear not working RIght front not working Left front not working

  • YES
  • Right rear not working
  • Left rear not working
  • RIght front not working
  • Left front not working

• Brake lights

  YES

  Left rear not working

  Right rear not working

Wheel Inspection

• All Tires Inflated

  Select YES R R inside tire flat L R inside tire flat R R outside tire flat L R outside tire flat Left front tire flat Right front tire flat

  • YES
  • R R inside tire flat
  • L R inside tire flat
  • R R outside tire flat
  • L R outside tire flat
  • Left front tire flat
  • Right front tire flat

• Front Hub Seal

  No leak

  Leaking

• Front Tire Indicators all going in same direction or pattern

  YES

  NO

• Rear Hub Seal

  No leak

  Leaking

• Rear Tire Indicators all going in same direction or pattern

  YES

  NO

Vehicle Inspection

• Gas Tank Secure

• Hydraulic Tank Secure

• Please note any leaks notice around vehicle. Hydraulic, Coolant, Motor Oil ect.

• Battery Box

• Mirrors

• Steps

• Doors

• Radio Working

Automation

• Automation Arm

  Secure no leaks

  On route no leaks

  Unsecured

• Gripper

  On route working no leaks

  Secure

  No pin

• Hydraulic Hose, cylinders, not leaking

Driving

• Please note any unsafe driving behavior

Driver Concerns

• List any driver concerns

Corrective Actions

• List any corrective action taken

Completed field inspection

• Safety Team Leader Signature

  Sign

• Drivers Signature

  Sign