SPOT CHECK INSPECTION 5 (LOAD SECUREMENT)

• Name of Driver

Driver Name:

• undefined

• Date and Time:

  Date

Truck/tractor number

• OWERNSHIP?

  Select

Trailer number

• undefined

Location

• Add location
  Address

Safety Checklist

• Cab free of trash

  Pass

  Fail

• Proper PPE

  Pass

  Fail

• Safety Triangles

  Pass

  Fail

• Did you inform dispatch, shop,or office?

  Yes

  No

  N/A

• Who did you inform?

• Fire Extinguisher (current inspection)

  Pass

  Fail

• 1 load bar

  Pass

  Fail

• Straps available for securing loads

  Yes

  No

  N/A

• Straps securing loads property

  Pass

  Fail

• Vehicle condition

  Pass

  Fail

• Trailer deck clear of debris

  Pass

  Fail

LOAD SECUREMENT

• MATERIAL

  Select

• UPRIGHTS PROPERLY SECURED WITH CHAINS AND BINDERS?

  Pass

  Fail

• CHAINS FOR UPRIGHTS HAVE COTTER PINS AND PLACED CORRECTLY?

  Pass

  Fail

• STRAPS TIGHT AND SECURE ?

  Pass

  Fail

• AMOUNT OF STRAPS ON LOAD?

• OVERSIZED LOADS HAVE PROPER BANNERS?

  Yes

  No

  N/A

• WHY IS IT NOT?

• CONDITION OF STRAPS ?

  Select Good Fair Poor

  • Good
  • Fair
  • Poor

• EXTRA STRAPS ON HAND?

  Yes

  No

  N/A

• WHY NOT?

• HOW MANY EXTRA ON HAND?

ASSESMENT VERIFICATION

• Driver Name and Number

• Inspector Name:

• Inspectors Signature

  Sign

• Date of Signature

  Date

• REMEDIAL TRAINING REQUIRED?

  Yes

  No

  N/A

• Driver pass or fail

  Select Pass Fail

  • Pass
  • Fail