Vehicle & Driver Inspection Form - duplicate

• Site conducted

  Select

• Conducted on

  Date
• Location
  Address

• Auditor Name

• Location:

• Driver Name :

• Driver Number :

• Client/ Customer Name:

Driver Safety

• Driver

  Yes

  No

  N/A

• PPE / Uniform Available/Condition

  Yes

  No

  N/A

• Hard Hat

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Appropriate Gloves

  Yes

  No

  N/A

• Footwear

  Yes

  No

  N/A

• Eye Protection/Face Shields

  Yes

  No

  N/A

• Lifting Equipment/Condition

  Yes

  No

  N/A

• First Aid Kit Available

  Yes

  No

  N/A

• Fire Extinguishers in Place

  Yes

  No

  N/A

• All Slings, Restraints -Condition & Rated

  Yes

  No

  N/A

Vehicle Safety

Mechanical

• Directional Lights Right Front, Left Front, Right Rear, Left Rear

  Yes

  No

  N/A

• Parking Lights

  Yes

  No

  N/A

• Clearance Lights

  Yes

  No

  N/A

• Stop Lights

  Yes

  No

  N/A

• Tail Lights

  Yes

  No

  N/A

• Emergency Flashers

  Yes

  No

  N/A

• Headlights (Bright & Dim)

  Yes

  No

  N/A

• Spot Lights

  Yes

  No

  N/A

• Seat Belts

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Warning Lights or Gauges-Dash

  Yes

  No

  N/A

Compartment Lights

• Horn

  Yes

  No

  N/A

• Foot Brakes

  Yes

  No

  N/A

• Emergency Brakes

  Yes

  No

  N/A

• Windshield

  Yes

  No

  N/A

• Windshield Wipers

  Yes

  No

  N/A

• Door Glasses

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Tires - Gen. Condition

  Yes

  No

  N/A

• Body Condition

  Media

Fire Extinguishers

Inspection Tag

• Comments/Suggestions: