VEHICLE SAFETY AUDIT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL INFORMATION

• Select date

  Date

• License Plate

• Mileage

• Last service

PHYSICAL CONDITION

• Vehicle serviced according to schedule

  Yes

  No

  N/A

• Engine in good working condition

  Yes

  No

  N/A

• Wiper blades in good condition

  Yes

  No

  N/A

• Headlights operational

  Yes

  No

  N/A

• Turn signals operational

  Yes

  No

  N/A

• Brake lights operational

  Yes

  No

  N/A

• Blind-spot mirrors installed

  Yes

  No

  N/A

• Vehicle body in good condition

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

• Truck bed and cab clean and organized

  Yes

  No

  N/A

• All items stowed securely

  Yes

  No

  N/A

DOCUMENTATION

• MSDS book intact and inventory list is up to date

  Yes

  No

  N/A

• Proof of insurance and registration easily accessible & current

  Yes

  No

  N/A

• All chemicals properly labeled

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Safety glasses & goggles used and in good condition

  Yes

  No

  N/A

• Face shield used & in good condition

  Yes

  No

  N/A

• Dust masks available

  Yes

  No

  N/A

• Arc Flash gear (stored, clean, in good condition and in sealed bag)

  Yes

  No

  N/A

• Fall Protection (stored, clean, in good condition & in sealed bag)

  Yes

  No

  N/A

• Gloves used and in good condition

  Yes

  No

  N/A

• Hard hat in good condition

  Yes

  No

  N/A

• Hearing protection available and in good condition

  Yes

  No

  N/A

OTHER SAFETY ITEMS

• Fire extinguisher charged and inspected (properly mounted)

  Yes

  No

  N/A

• Electrical cords in good condition with ground plug in tact

  Yes

  No

  N/A

• GFCI

  Yes

  No

  N/A

• First aid kit stocked and up to date

  Yes

  No

  N/A

• Hazard cones , caution tape

  Yes

  No

  N/A

• Ladder in good condition and properly secured

  Yes

  No

  N/A

• LOTO devices readily accessible

  Yes

  No

  N/A

ACTION ITEMS

Sigatures

• Employee

  Sign

• Safety Manager

  Sign