Teammate Site evaluation

• Teammate

• Unit#

• Conducted on

  Date

• Prepared by

• Customer

Personal Protective Equipment

• Safety Glasses

  Yes

  No

  N/A

• Ear plugs

  Yes

  No

  Na

• Hard hat

  Yes

  No

  Na

• Safety Vest

  Yes

  No

  N/A

• Safety Shoes

  Yes

  No

  N/A

• Gloves

  Yes

  No

  Na

Safety equipment at job site

• Beacon light

  Yes

  No

  N/A

• Safety Cones/triangles

  Yes

  No

  N/A

• Vehicle tagged out?

  Yes

  No

  N/A

• Wheel Chocks

  Yes

  No

  N/A

• Jack stands

  Yes

  No

  N/A

• Air regulator/ whip hose

  Yes

  No

  Na

• Safety cage being used properly?

  Yes

  No

  N/A

Torque

• Clean hub & studs

  Yes

  No

  N/A

• Clean wheel or wheels

  Yes

  No

  N/A

• Inspection of components wheels,Drums,studs,hubs

  Yes

  No

  N/A

• Motor oil used on hub piloted wheels

  Yes

  No

  N/A

• Torque to specs 450 to 500

  Yes

  No

  N/A

Appearance

• Tech in proper uniform?

  Yes

  No

  N/A

• Service truck appearance ( clean ) including tools

  Yes

  No

  N/A

• Teammate

• Truck#

• Add signature

  Sign

• Observation