Woodson DOT audit form Rev 1 6-1-2015

Information

Project Name
Client
Conducted on
Workgroup
Number of Employees
Job Titles
Prepared by
Location
Personnel (first and last name)

Audit Guidance: -All unsafe acts shall be stopped immediately. -Field Observations shall include photos for both safe and unsafe operations. Photos should be annotated with what the observer is focused on at the time of the audit. -Any item marked as a deficiency shall have a photo (if possible) and a detailed description. -All comments should identify those crew members performing the task correctly and/or incorrectly. -Equipment being inspected shall be listed and/or have a photo with the unit number displayed. -All audits shall be reviewed with the PIC prior to departure from the site. Corrective actions shall be assigned with due dates and noted on the audit. -Any audits being forwarded to the client shall be reviewed by more than one safety team member prior to being sent.
All audit findings shall have an assigned weight (1-4) assigned per the below matrix. Document the weighted number rating in the comment section associated with the applicable question.

In Cab Items

Check Pre and Post Trip Inspection Book and Trip Inspection form: Verify & Perform a check of multiple items (Photos Included)
Check Paper work: □ Registration □ Permits □ Insurance □ Bill of Laden □ State and Federal □ Cab Card □ IFTA
Check Windshield for cracks (longer than 8" and obstructing view)?
Check Seatbelt for condition and usage?
Check Instrument Cluster. Are the gauges working?, All controls and gauges properly labeled?
Check Steering Play (4.4 inches on 16" wheel, 4 3/4 inches on 18" wheel, 5 1/4 " on 20" wheel)?
Check Clutch Play (within unit specifications)?
Check Parking Air Knobs and Pop out low pressure warning
Verify operation of parking brake?
Check and make sure that the Escort equipment is in place (flags, signs, flares, lights, etc.) □ 3-Oversized load signs □ 6-18”x18” red flags
Verify that a laminated PTO instruction sheet, laminated trailer/low boy attachment sheet, laminated traffic control scenario sheet, and mat weight chart are inside the truck
Verify that equipment manuals are in place and properly stored.
Check the housekeeping and make sure there are no loose items. Make sure the floor and dashboard are clean.
Check and make sure there is a sun visor and it is used.

Outside The Cab

Frame and body of vehicle and trailer (cracks, clean, painted, bent etc.)?
Wheels, rims and tires in good order (tread depth, no rust, lug nut indicators, cracks etc.)?
Sliding fifth wheel in good working order?
All of the lights and signals working and turn on and off?
Reflective tape in good condition and in place?
Suspension on all sides (Front, rear and axles) in good order (no cracks or missing bolts etc.)?
All brakes checked (brake check within last 7 days, properly calibrated)?
Tire pressure per required specs as designated in pre-post trip?
Tread depth per required specs pre-post trip?
Trailer landing gear in good working order?
Trailer brake connections and all other trailer connections in good working order and properly connected?
Exhaust system in good order ( no leaks, missing bolts, rusted etc.)?
Fuel tanks and brackets in good order ( leaks, bolts, rust, cracks, full etc.)?
Air and electric lines (properly protected, no leaks or shorts, secured and in good condition)?
Trailer decking in good condition? (coating applied)
Outrigger pads available and in good condition (if applicable)? being used?
Assure there is a spare key in the key tube including the toolbox keys?
Assure door and compartment locks are working properly?
Assure there is a JJ Keller cargo securement handbook and DOT regulation book are available?
No excess grease on or around any alamites? Alamites wiped before and after?
Correct quantity of cones (15 on OTR's, 2 on light duty and 6 on trailers)? stenciled with unit numbers?
All open areas between the cab and the 5th wheel are covered
Tools to check tire pressure and tread depth are in the truck?
Glad hand covers are utilized?
Hydraulic hose covers are utilized?
Chocks are stored and in good condition?
Jack plate is raised and secured?
Verify the following on the tractor: □ 1-3/8”x20’ grade 70 load chain □ 5-3/8”x1/2” ratchet binders □ 6-2”x27’ ratchet straps □ 12-bungee cords □ Chains and binders are same color □ 1-load bar
Verify the following on the Trailer: □ 8-1/2”x6’-I’ Grade 70 □ 8-1/2” ratchet binders □ 6-3/8” chains (20’) □ 6-3/8” ratchet binders □ Chains and binders same color
Mud flaps in good condition with reflective tape applied?

Other items

Verify hours of service compliance?
Check drivers list of oversized loads?
Assure Sagequest and Drivecam are properly working?
Verify decals are in good condition and properly applied (DOT, Woodson, BMM decal, 3 points of contact, control labels, last oil/tire rotation)?
Assure service intervals are within operating range? (oil change, tire rotation, brake checks etc.)