Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job briefing conducted and documented

  • Radio operation check was performed

  • Pre-trip inspection was performed on CMV

  • Pre-flight of aerial unit was performed

  • Hard hat properly worn and in good condition

  • Eye protection worn

  • Hearing protection worn

  • Proper hand protection worn

  • Safety toed boots

  • Chainsaw chaps

  • Fall protection worn and in good condition

  • First aid kit fully stocked

  • Fire extinguisher in working order

  • Truck cab is free of trash and debris

  • All manuals present

  • Cones placed properly

  • Signs placed properly according to conditions

  • Wheel chocks in place

  • Outrigger pads in place

  • Ropes properly stored

  • Employees know the line voltage and MAD

  • Cut stumps have been sprayed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.