Sweeper Safety Inspection

• Driver Name:

• Conducted on

  Date

• Truck Number

• Submitted To:

ADMINISTRATIVE

• License plate and tags are current?

  Yes

  No

  N/A

SAFETY & PROJECT MANAGEMENT

• Are Lights in working order?

  Yes

  No

  N/A

• There are no visible signs of oil leaks?

  Yes

  No

  N/A

• Safety Manual in the truck?

  Yes

  No

  N/A

• First Aid kit is complete and items within the expiration date?

  Yes

  No

  N/A

• Fire extinguisher mounted with current inspection tag and charged?

  Yes

  No

  N/A

INTERIOR OF VEHICLE

• Interior clean of trash and dirt?

  Yes

  No

  N/A

• Instrument panel is indicating properly?

  Yes

  No

  N/A

• Windshield and mirrors clean and free from cracks?

  Yes

  No

  N/A

EXTERIOR & MECHANICAL

• Is truck due an Oil Change per windshield sticker (5000 miles)?

  Yes

  No

  N/A

• Brakes? (Pedal Pressure is good)

  Safe

  At Risk

  N/A

• Visible Fluid Leaks?

  Safe

  At Risk

  N/A

• Horn?

  Yes

  No

  N/A

• Steering & Alignment is good operating order?

  Yes

  No

  N/A

• Tires & Pressure good?

  Yes

  No

  N/A

CARGO & EQUIPMENT (LEAN)

• All equipment (blower, gas can, trash bags & hand tools) is secured & adequately stored?

  Yes

  No

  N/A

PLEASE PROVIDE PHOTOS

• Any Damage to truck Photos

  Media

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