VEHICLE AUDIT FORM

• Document No.

• Vehicle Audited

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Type of vehicle audit

  In Bound Gate Check

  Out Bound Gate Check

  Wellsite/Staging Check

  Yard/Parked Check

Front of Vehicle

• 1.1 Windshield

  Safe

  At Risk

  N/A

• 1.2 Bumper

  Safe

  At Risk

  N/A

• 1.3 License Plate Valid on vehicle?

  Yes

  No

  N/A

• 1.4 Head lights

  Safe

  At Risk

  N/A

• 1.4a Head light low beam operation

  Safe

  At Risk

  N/A

• 1.4b Head light high beam operation

  Safe

  At Risk

  N/A

• 1.5 Turn signals and clearance lights

  Safe

  At Risk

  N/A

• 1.5a Turn signal operation

  Safe

  At Risk

  N/A

• 1.5b Clearance light operation

  Safe

  At Risk

  N/A

• 1.6 Mirror condition

  Safe

  At Risk

  N/A

• 1.7 Cleanliness front Exterior

  Safe

  At Risk

  N/A

Rear of Vehicle

• 2.1 DOT Bumper condition

  Safe

  At Risk

  N/A

• 2.2 Reflective tape

  Safe

  At Risk

  N/A

• 2.3 brake lights condition

  Safe

  At Risk

  N/A

• 2.3a Brake light operation

  Safe

  At Risk

  N/A

• 2.3b Turn signal operation

  Safe

  At Risk

  N/A

• 2.4 Rear ID lamp condition and operation

  Safe

  At Risk

  N/A

• 2.5 Load Securement

  Safe

  At Risk

  N/A

• 2.6 Cleanliness Rear Exterior

  Safe

  At Risk

  N/A

Sides of vehicle

• 3.1 Driver Steps

  Safe

  At Risk

  N/A

• 3.2 Driver Window

  Safe

  At Risk

  N/A

• 3.3 Mirror condition

  Safe

  At Risk

  N/A

• 3.4 Fuel tank straps on Powered Vehicle

  Safe

  At Risk

  N/A

• 3.4a Fuel tank caps on Powered equipment

  Safe

  At Risk

  N/A

• 3.4b Fuel tank condition

  Safe

  At Risk

  N/A

• 3.5 Fuel tank straps on towed Equipment

  Safe

  At Risk

  N/A

• 3.5a Fuel tank caps on towed equipment

  Safe

  At Risk

  N/A

• 3.5b fuel tank condition on towed equipment

  Safe

  At Risk

  N/A

• 3.6 IFTA Annual sticker

  Safe

  At Risk

  N/A

• 3.7 Amber Clearance lights

  Yes

  No

  N/A

• 3.7a Amber clearance light operation

  Safe

  At Risk

  N/A

• 3.8 Tire Tread and side wall condition

  Safe

  At Risk

  N/A

• 3.8a Steer tires Tread Depth (must be at least 4/32)

  Safe

  At Risk

  N/A

• 3.8b Driver tire tread depth (must be at least 2/32)

  Safe

  At Risk

  N/A

• 3.8c Trailer tire tread depth (must be at least 2/32)

  Safe

  At Risk

  N/A

• 3.9 Rim/Wheel condition

  Safe

  At Risk

  N/A

• 3.9a Wheel lug condition (look for signs of rust which may indicate loose lug nuts)

  Safe

  At Risk

  N/A

• 3.10 Wheel/Hub seals

  Safe

  At Risk

  N/A

• 3.10a lube level (when applicable)

  Safe

  At Risk

  N/A

• 3.11 Coupling condition (Fifth wheel, Pintle hitch, Ball hitch)

  Safe

  At Risk

  N/A

• 3.11a Locking devices properly engaged

  Safe

  At Risk

  N/A

• 3.12 Tractor Hoses and lines

  Safe

  At Risk

  N/A

• 3.13 Frame Condition

  Safe

  At Risk

  N/A

• 3.14 Suspension Condition

  Yes

  No

  N/A

• 3.15 Load/Item Securement

  Safe

  At Risk

  N/A

• 3.16 Reflective Tape

  Safe

  At Risk

  N/A

• 3.17 Visible leaks

  Safe

  At Risk

  N/A

• 3.18 Audible leaks

  Safe

  At Risk

  N/A

• 3.19 Cleanliness exterior sides of vehicle

  Safe

  At Risk

  N/A

• 3.20 Mud flap condition

  Safe

  At Risk

  N/A

In Vehicle Cab

• 4.1 Fire Extinguisher condition and Securement

  Safe

  At Risk

  N/A

• 4.2 Hazard Triangles in vehicle and condition

  Safe

  At Risk

  N/A

• 4.3 fuses

  Safe

  At Risk

  N/A

• 4.4 Paperwork

  Safe

  At Risk

  N/A

• 4.5 Regulations book

  Safe

  At Risk

  N/A

• 4.6 Interior Cab Cleanliness

  Safe

  At Risk

  N/A

• Vehicle Mileage

Equipment Cabin

• 5.1 Cleanliness

  Safe

  At Risk

  N/A

• 5.2 Securement

  Safe

  At Risk

  N/A

Other

• 6.1 Misc Damage

  Safe

  At Risk

  N/A

• Comments on unsatisfactory areas.

Verification

• Auditor Signature

  Sign

• Driver Signature

  Sign

• Manager Signature

  Sign