Information

  • Audit Title

  • Site

  • Division

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Division Possesses the current Maintenance Manual<br>

  • Division is Utilizing the prescribed forms for services, repairs, driver checks

  • Are the proper DVIR's being used? <br>

  • Are the DVIR's filed according to "Flow Path"?

  • Are the DVIR pink copy signed off by mechanic & driver?

  • Division's vehicle count / status up to date

  • Original Vehicle Condition Reports in the VCR file for 90 days plus current month

History File Label: A DOT Vehicle History File must be labeled with the following information

  • Site Name

  • Unite Number

  • Year

  • Make & Model Number

  • Equipment Type

  • Body Style

  • Body - Make, Model, Serial #, Capacity <br>

  • Tire Size - Front, Rear, Tag Axle <br>

  • Tare / GVWR

  • Annual or Biannual State Inspections <br>

Maintenance Folders

  • Are the correct folders being utilized according to the Maintenance Manual?

  • History File Folder: A DOT file folder must be maintained on all vehicles owned or leased

  • Vehicle Condition Reports in history file?

  • VCR’s are referenced on Repair Order and signed by mechanic?

  • Repair Orders utilized and properly completed in history file?

  • Is the Manager / lead person signing off on all repair orders (Closing RO in Maintain It)?

  • Major Repairs recorded on equipment

  • Major rebuilds must include all components rebuild at time of major rebuild, i.e., engine, transmission, differential / planetary gears, hydraulics, sheet metal

  • All safety-related items repaired?

  • Oil analysis used for all equipment components

  • Oil Analysis Reports monitored with Chevron program

  • Warranty Folder - Log the repair order number, unit number, supplier, date sent and expected recovery on the WARRANTY LOG

  • Warranty items recorded for unit

  • Are efforts made to recover all warranty possible by recording claims and tracking payment?

  • Road Side Inspection Folder - Copies of DOT or State specific roadside inspections

  • DOT standards must be met before truck is used again

  • PM Folder - All PM forms with corresponding Repair Orders for deficiency repair <br>

  • PM checklists utilized and properly completed in history file?

  • Does manager/supervisor periodically check quality of PM service being performed?

  • Facility Inspection complete and on file

  • Is vehicle misuse/abuse documented and action taken?

  • Are shop meetings held and documented and action taken?

  • Is a repair backlog being used?

Personnel Folders

  • Brake inspector certification

  • Air conditioning certification

  • DOT Inspector Certification

  • Mechanics have been trained in DOT “Out-of Service” criteria

  • Vendor training utilized

  • Maintenance training records kept

Preventative Maintenance

  • Number of Overdue PMs

  • PM schedule is present in a computerized maintenance program (Maintain It) that shows current information of next due inspections for at all levels defined<br>

  • Correct Preventative Maintenance forms being used

  • PM’s being performed as scheduled

  • Each location must schedule and complete preventive maintenance services on a timely basis using engine hours/miles and calendar days as the criteria

  • PM inspections are performed by trained technician

  • Evidence of periodic PM inspection review by Journeyman level mechanic or supervisor (Initialed PM inspection)

  • All brake inspections and adjustments made by a certified technician who meets DOT 396.25 requirements (Brake inspection certification The certificate must be kept in the personnel and/or DOT file)

  • Air filters replaced when required by filter minder

  • Division is performing services in accordance to WCA specifications, follow-up work is referenced to subsequent work orders

  • Lubricants that meet or exceed OEM specifications utilized

  • Number of PM’s overdue – if there are 2 PM’s overdue, per 10 Vehicles, mark the question as NO

Posters Logs & Data Sheets

  • Company rules and regulatory required postings up. Bulletin board kept current? (Job Safety and Health Protection, Employees Rights and Responsibilities, Employee’s Rights and Responsibilities, Hearing Conservation Standard)

  • Is the injury record (OSHA 300 log) maintained up to date? (Any new recordable injury must be recorded within 7 days of the injury date) <br>

  • Are DOT accidents recorded on a DOT Accident Register?

  • Is Material Safety Data Sheet notebook up-to-date?

  • MSDS book available - last reviewed date and signature

Repair Area

  • Are the shop floors striped with proper OSHA lines?

  • Are spare keys tagged and stored in a key box?

  • Are there wheel chocks present for each bay, plus one set?

  • Are trucks being service locked out, wheel chocked and have a steering wheel cover?

  • Above and below ground storage tanks - requirements may include monthly inspections, training, labeling, leak testing and inventory reconciliation<br>

  • All tanks marked with product and capacity in gallons

  • Proper use of refrigerants and associated equipment in servicing motor air conditioning systems

  • Secondary containment around single wall tanks

  • Secondary containment under drums containing fluid

  • Drill Press bolted down (signage)

  • Chop Saw bolted down (signage)

  • Is the grinder guards adjusted properly (signage)

  • Are the jaws on vises loose

  • Parts solvent reasonably clean

  • Are parts washer lid and fusible link in working order?

  • Lockout / Tagout station <br>

  • Are the jacks marked with capacity & numbered - periodically Inspected?

  • Are all shop walk in doors working and lockable?

  • Are overhead doors and controls in good working order?

  • Any change in elevation (steps, concrete floor) must be painted yellow?

  • Are floor openings and platforms or workstations 48” or higher guarded by a cover, a guardrail, or equivalent on all sides?

  • Are grates or covers over floor openings such as floor drains, secured?

  • Are step risers on stairs uniform from top to bottom?

  • Are lunchrooms, rest rooms and break rooms kept clean?

  • Are first aid kits available and maintained? Any items expired?

  • Eye Wash station present

  • Are eyewash stations (and safety showers) clean, operable and accessible?

  • Is pressure washer in good working order (hoses, vent, and fuel lines)?<br>

Yard Area

  • Is the outside of the shop and office building clean and free of weeds?

  • Lighting in parking lot and on the building working

  • Do vehicles have numbered parking spaces?

  • Are containers stored in an organized manor?

  • Is the parameter yard fencing in good shape with no repairs needed?

  • Is the fueling area clean and free from fuel spills?

  • Is fuel storage double wall or has confinement?

  • Fuel tank Emergency shut off switch accessible and labeled

  • Fuel tank fire extinguisher present and labeled

  • Are out of service trucks in yard locked out and have a steering wheel cover?

  • CNG - is the charging station inspected and documented?

  • WCA mirror check station<br>

  • WCA mirror check station - documentation of inspections<br>

Safety Lane Check

  • Is there a location to perform post trip safety checks?

  • Are safety lane checks documented by WCA form?

  • Are tire pressures checked on post trip

  • Are safety lane check repair items on VCR?

  • Are safety lane forms reviewed by supervisor?

  • Shop is in neat, Tables organized and presentable order

  • Parts area organized and clean

  • Equipment parking organized

  • Is the shop office clean and organized?

  • Is there any standing oil on shop floor?

  • Is there any standing oil on truck parking area?

  • Are closed containers provided for soiled rag disposal?

  • Are unused portions of service pits and pits not actually in use either covered or protected by guardrails or equivalent?

  • Are employees who are exposed to the hazards created by welding, cutting or brazing operations protected by appropriate personal protective equipment?

  • Are suitable gloves, hearing protection, and protective clothing worn as necessary?

  • Are appropriate safety glasses, face shields, etc. used while using hand tools or abrasive wheels or equipment which might produce flying materials or be subject to breakage?

  • Is battery storage in a well ventilated area, on containment tray, & no smoking sign posted?

  • Are respirators clean, properly stored and respirator program in effect?

Fire Protection, Emergencies & Exits

  • Are “No Smoking” signs posted in required areas: fuel area, painting department, battery charging and storage area, etc., with no sign of cigarette butts in the areas?

  • Are exits and aisles leading to exits visible, clearly marked, kept clean and with a pathway at least 28 inches wide? Exit signs illuminated, if applicable?

  • Exit / Not an Exit signs above doors

  • Exit signs w/ emergency lighting working properly

  • Are portable fire extinguishers kept at their designated places at all times (accessible, mounted, charged, pinned and sealed) except during use?

  • Fire extinguishers present and current in inspection with proper signage

  • Is the minimum vertical clearance between automatic sprinklers and material below them at least 18 inches (36 inches for bales)?

  • Are automatic sprinkler fusible links clean, unpainted, and undamaged?

  • Test emergency lighting equipment as required

  • Test fire/security detection/protection devices as required

  • Are flammable liquids contained in approved safety cans and (except aerosol cans) stored in a fire resistant cabinet?

  • Are 95% of the exterior and interior lights adequate and all in working order?

Ladders

  • Are portable ladders numbered and in good condition with slip proof feet and no cracks on the rungs (no wooden ladders)?

  • Are fixed metal ladders painted or treated to resist corrosion and not rusting?

  • Is the fixed ladder’s clearance distance at least 36 inches between the nearest permanent object and the center line of the rungs? Rung spacing 12 inches or less?

  • Is the fixed ladder’s clearance distance at least 7 inches between the backside of the ladder from the center of the rung to the nearest permanent object?

  • Does the ladder hand hold extend 3-1/2 feet above the parapet or landing?

Cranes, Hoists & Slings

  • Is the rated load of the crane, hoists and slings (for each type of hitch) plainly marked on each component?

  • Are all functional operating mechanisms checked on a daily basis for maladjustment that could interfere with proper operation?

  • Are lines, tanks, valves, drain pumps and other parts of the air or hydraulic systems inspected daily?

  • Does rope reeving comply with manufacturer’s recommendations?

  • Is a Chain, Sling and Hoist Inspection program implemented?

  • Are cranes used only by designated personnel in accordance with their rated load and operation specifications with brakes tested each time a load approaching the rated limit is handled? Does the operator test them?

  • Is each sling in use free from excessive wear or defects and securely attached to their load when in use?

  • Safety latches present on all cable hooks

  • Fall protection & harness in good working condition

Electrical Safety

  • Is each disconnect legibly marked to indicate its purpose?

  • Is clear working space in front of an electrical panel maintained at no less than 36”?

  • Is illumination provided for all working spaces about service equipment, switchboards, panel-boards and motor control centers installed indoors?

  • Are all live parts of electrical equipment operating at 50 volts or more guarded against accidental contact?

  • Drop cord not being used for permanent wiring

  • Are there any frayed cords on extension or welding cables?

  • Are electrical circuit breakers (and fuel pump switches) identified and labeled and are outlet boxes in good condition?

  • Are electric cords, extension cords, and trouble lights are of approved 3-wire ground type and in good condition?

Welding, Burning & Brazing

  • Are welder cables, clamps and guards in good condition and are torch hoses, regulators and valves equipped with anti-flash back valves?

  • Are “Hot Work Permits” used or is welding conducted in designated areas, at least 35 feet from combustible materials, spray painting, etc.?

  • Are fire watch employee(s) required whenever welding or cutting is performed in location where other than a minor fire might develop, and the fire watch maintained for at least a half hour after completion of welding or cutting operations to detect and extinguish possible smoldering fires (at all floor levels that could be exposed to sparks)?

Compressed Gas Cylinders

  • Are cylinders legibly marked and labeled to clearly identify the gas contained?

  • Are oxygen and acetylene (or other fuel) tanks properly stored and secured, separated by 20’ or with a 5’ high fire resistant wall between oxygen and fuels?

  • Are cylinders stored in areas that are protected from heat and flame, located at least 25 feet from electrical equipment and people and at least 20 feet from flammable liquids or combustible materials?

  • Are cylinders transported in a manner to prevent them from creating a hazard by, falling or rolling?

  • Are all valves closed off before a cylinder is moved, when the cylinder is empty, and at the completion of each job and are valve protectors used when cylinders are not in use?

Compressors & Compressed Air

  • Are compressors equipped with pressure relief valves, pressure gauge, and spring-loaded safety valves, a totally enclosed belt drive system, and are air filters installed and maintained on the compressor intake?

  • Are no valves of any type placed between the air receiver and its’ safety valve(s) and is safety valve in good condition (test the valve’s operation)?

  • Are all receivers periodically drained of moisture and oil and are they lubricated in accordance with the manufacturer’s recommendations?

  • Is the inlet of air receivers and piping systems kept free of accumulated oil and carbonaceous materials?

  • Are air guards used for cleaning equipped with chip guards and operable dead-end pressure regulators of 30 psi, and reduced to less than 10 psi, if used to clean off clothing?

  • When using compressed air for cleaning, do employees wear personal protective equipment?

Machine Guarding

  • Have all hazards from points of operation, ingoing nip points, rotating parts, flying chips, sparks, moving chains, gears, pulleys and belts (within 7 feet of the floor) been guarded?

  • Are guards securely affixed to the machine or secured elsewhere if attachment to the machine is not possible and is the guard designed so that it does not create an accident hazard in itself?

  • Are machines in fixed locations securely anchored and kept clean and properly maintained?

  • Are revolving drums, barrels and containers guarded by an enclosure that is interlocked with the drive mechanism, so that revolution cannot occur unless the guard enclosure is in place?

  • Are saws used for ripping, equipped with anti-kick back devices and spreaders?

  • Do fixed grinders have side guards that cover the spindle, nut, and flange and 75% of the wheel diameter, a tool rest adjusted to within 1/8” and a tongue guard adjusted to within 1/4” of wheel?

  • Before new abrasive wheels are mounted, are they visually inspected and ring tested?

  • Are splashguards mounted on grinders that use coolant to prevent the coolant reaching employees?

Hand Tools, Power Operated Tools & Equipment

  • Equipment guarding present and within specified adjustment with proper signage

  • Are all tools and equipment (both company and employee-owned) in good condition and used with the correct shield, guard, or attachment, recommended by the manufacturer?

  • Are hand tools such as chisels, punches, wrenches, etc. which are worn, bent or mushroomed during use, reconditioned or replaced as necessary?

  • Are appropriate handles used on files and similar tools?

  • Are tool cutting edges kept sharp so the tool will move smoothly without binding or skipping?

  • Are rotating or moving parts of equipment guarded to prevent physical contact?

  • Are all cord-connected, electrically operated tools and equipment effectively grounded or of the approved double insulated type?

  • Are portable fans provided with full guards or screens having openings 1/2” or less?

  • Are ground-fault circuit interrupters provided on all temporary electrical 15 and 20-ampere circuits, used during periods of construction?

  • Are pneumatic and hydraulic hoses on power-operated tools checked regularly for deterioration or damage?

Personal Protection

  • Is ventilation system functioning adequately (Static pressure drop at the exhaust ducts leading from the equipment should be checked periodically to assure satisfactory operation)?

  • Is protective eye and face equipment worn where required and are safety glasses worn over corrective lenses or do corrective lenses conform to ANSI Z-87.I-1968 (Shatter Proof Lenses)?

  • Are hard-hats worn where there is risk of impact and penetration from falling and flying objects and are safety shoes or work boots worn as required?

  • Are employees in uniform with approved work shoes?

  • Are appropriate gloves worn?

Materials Handling & Storage

  • Where mechanical handling equipment is used, are there sufficient safe clearances allowed for aisles, at loading docks, through doorways and wherever a turn or passage must be made?

  • Are aisle ways and passageways kept clean and in good repair and are there no obstructions across aisle ways that could create a hazard?

  • Does the storage of material not create a hazard - stacked, blocked, interlocked and limited in height to ensure they are stable and secured against sliding or collapse?

  • Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion or harborage of pests?

Tire Program

  • Implementation of a Tire Management Program is to be in place to insure tire life

  • Wheel nut check indicators on all route vehicles

  • Master gauge or station in the shop

  • Working tire gauges checked weekly - documentation

  • Tires at 6/32 should be pulled off for retread

  • Tire in dual configuration should be matched within ½” circumference or ¼” in diameter

  • Tires matched across drive axle

  • New and new recap mounted on reconditioned rims

  • Current certificate of insurance in the amount $1,000,000 from retread tire vendor is on file and WCA name additional insured with waiver of subrogation?

  • All tires are DOT approved as evidenced by the DOT number cured into the sidewall?

  • Weekly air pressure / tire depth survey performed and on file

  • Flow through valve cap in use (Alligator V2B)

  • Scrap tire documentation from dealer

  • Are tires stored in a secure and organized area (steers and drives separated by tire size)

  • Daily VCR checklist for tires used

  • Is tire repair equipment in good working order?

Containers / Compactors

  • System in place to identify and control the inventory of containers

  • Maintenance and repair costs shall be documented

  • All roll off containers (both open-top and compactor) are to be assigned permanent serial numbers

  • Inventory control – units placed with customer shall be recorded in routing program for tracking purposes.

  • All containers should be surveyed annually

  • Ongoing inventory kept for containers in yard?

  • Container Condition Reports used by drivers and or supervisors

  • Is the paint being used water base

  • A preventive maintenance inspection program will be performed on all compactors on a regular-scheduled basis. Appearance, condition and safety requirements

  • Proper PM forms used correctly?

  • Container Condition Reports used by drivers and or supervisors

  • Master log is maintained for all company-owned compactors?

  • Compactors have unit number which corresponds to asset number stamped or welded on frame?

  • System to identify units and control the inventory of units in place

  • Files are maintained for each type of container, containing cumulative repair orders documenting repair costs?

  • Maintenance and repair costs are documented

  • Compactor unit meets ANSI standards?

  • Compactors serviced every 25 pulls / 365 days whichever occurs first

  • All personnel, both WCA employees and customers, involved in operating compactors, are trained (Documentation)

  • Reconditioning program implemented

Equipment

  • Vehicle appearance satisfactory and clean

  • No evidence of excessive leaks / damage

  • Cab Interiors clean and in good repair

  • Is the area behind the ejector panel free from debris

  • Insurance cards - DOT Annual current and present

  • All equipment operating on public streets fit with an emergency reflector kit

  • All front loaders equipped with a fork-up warning device

  • Any road vehicle fitted with functioning body up / boom extended safety system and warning decals

  • All collection equipment operating on public streets fitted with reflective tape (minimum 900 candle power) on the lower horizontal rail or panel on all front loaders, recycle trucks, residential trucks, roll-offs, and side loaders

  • Warning flashers or mounted strobe lights on the rear of all front loaders, recycle trucks, residential trucks, and side loaders

  • Lockout – Tag out utilized during repairs

  • Battery disconnects on all heavy equipment and collection vehicles

  • Mid-body turn signal lights on all vehicle bodies over 20’ long

  • Factory installed body safety stands present and utilized on all dump/tilt equipment

  • Roll-off cable guarding (steel mesh at rear window) on all cable type roll-off units

  • Backup alarms on all route and heavy equipment

  • An effective seat belt system for the driver and all passengers is present in all equipment and route vehicles

  • No recap tires present in steer position on route equipment operating on public streets

  • Sufficient additional mirrors to provide adequate rear and side vision on all trucks

  • Engine Protection System operable in equipment when present

  • All factory installed fire suppressant system current on inspection and functional regardless of battery disconnect

  • Evidence of CNG Fuel filters being drained

  • Seat cushions free from rips or need of replacement

  • Evidence that operators are draining water/oil from the equipment's air storage tanks

  • Wash program implemented?

  • Random fleet survey conducted and documented?

  • Vehicle components certified by manufacturers to meet Federal safety or emission standards have not been removed, changed or modified to a lesser component that could result in the transfer of liability to the owner?

  • All non route collection equipment fitted with an amber strobe or rotating light on top of cab. The light operates independent of ignition to illuminate whenever the battery disconnect switch is on

  • Vehicle Condition Reports (Review 10% of fleet for one month) properly filled out daily by driver/operator?

  • All vehicles equipped with operating hour meters?

  • All equipment has proper WCA signage

  • All equipment is fit with a 20 ABC fire extinguisher

  • Backup Cameras on all front loaders, commercial rear loaders, and single-person residential and recycling trucks

Powered Industrial Trucks - Maintenance & Fueling

  • Are all nameplates and markings in place and legible on powered industrial trucks?

  • Are industrial trucks kept in a clean condition, free of lint, excess oil and grease?

  • Is directional lighting provided on each industrial truck(s)?

  • Does each industrial truck(s) have a warning horn, or other device which can be clearly heard above the normal noise in the areas where operated?

  • Does each industrial truck have a reverse signal alarm audible above the surrounding noise level?

  • Are the brakes on each industrial truck capable of bringing the vehicle to a complete and safe stop when fully loaded and does the parking brake effectively prevent the vehicle from moving when unattended?

  • Are industrial trucks when found to be in need of repair, defective, or in any way unsafe taken out of service and repaired by an authorized mechanic using replacement parts that are equal to the original in safety?

  • Are fuels storage and handling areas (gasoline, diesel or liquefied petroleum gas) clean, free from combustibles and cigarette butts, is there always metal contact between the container and the fuel tank and are fuel tank caps replaced and secured before starting the engine?

  • Are precautions taken to prevent open flames, sparks or electric arcs (are metallic objects kept away) in battery charging areas?

Powered Industrial Trucks - Operations

  • Are industrial truck(s) with internal combustion engine, operated in buildings or enclosed areas, carefully checked to ensure such operations do not cause harmful concentration of dangerous gases or fumes such as carbon monoxide?

  • Are powered industrial trucks driven by authorized personnel only?

  • Do personnel stay clear of the elevated portion of any truck, loaded or empty?

  • Is Pre-Trip / Post-Trip examination of industrial trucks made daily?

  • Are industrial trucks left in an off position when unattended or when the operator is more than 25 feet from the vehicle?

  • Are loads only handled within the rated capacity of the truck and is the backrest extension used when necessary to stabilize the load?

  • Are industrial trucks operated at safe speeds and stopped with the horn sounded at cross aisles and other locations where vision is obstructed?

  • Are the brakes of highway trucks set and wheel chocks placed under the rear wheels (lock between dock and ICC bar) while trucks are boarded with powered industrial trucks?

Heavy Equipment

  • Track type equipment must have tracks cleaned at the end of each day

  • All non route collection equipment fitted with an amber strobe or rotating light on top of cab. The light operates independent of ignition to illuminate whenever the battery disconnect switch is on

  • Minimal wheel tip height measured from the wheel surface to top of tip is 4 ½”

  • Are all windows not broken and have proper field of vision

  • Are radiators clean of debris

  • Are all wheels free of wire and trash build up

  • Is there a working back up alarm

  • Is there a 20 lb fire extinguisher with inspection tag

  • Are there no visible oil or fuel leak

  • All equipment has proper WCA signage

  • All vehicles equipped with operating hour meters?

  • Seat cushions free from rips or need of replacement

  • There are no hydraulic cylinders leaking oil

  • Documentation of undercarriage inspection

  • Are the machines greased daily

  • Vehicle Condition Reports (Review 10% of fleet for one month) properly filled out daily by driver/operator?

  • Are the machines greased daily - Documented on DIR

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.