Spot Check-Chattanooga

• Service Order No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Movers

• Are safety cones being used?

  Yes

  No

  N/A

• Insert a photo of the cones.

  Media

• Are two (2) chocks being used?

  Yes

  No

  N/A

• Insert a photo of chocks.

  Media

• Is the truck safely parked?

  Safe

  At Risk

  N/A

• Insert a photo of the parked truck. Be sure to show the access to the load/unload.

  Media

Are the following items present and in good condition?

• First Aid Kits

  Yes

  No

  N/A

• Charged Fire Extinguisher

  Yes

  No

  N/A

• Triangles

  Yes

  No

  N/A

• Comments:

• Are items being properly padded?

  Yes

  No

  N/A

• Insert a photo of the back of the truck.

  Media

• Is the floor runner placed in the entryway?

  Yes

  No

  N/A

• Insert a photo of the entryway.

  Media

• Comments:

• Are the Movers in uniform?

  Yes

  No

  N/A

• Insert a photo of all Movers.

  Media

• Comments:

• Is the truck being properly packed?

  Yes

  No

  N/A

• Insert photo of the load.

  Media

Are the following forms being properly used?

• Move Services Agreement

  Yes

  No

  N/A

• Release of Liability

  Yes

  No

  N/A

• Previous Damage Report

  Yes

  No

  N/A

• Valuation

  Yes

  No

  N/A

• Bill of Lading

  Yes

  No

  N/A