Audit Forms

Select Form

Equipment Audit Form

Safety Audit Form

Pre-Op Equipment Inspection Form

Pre-Op Vehicle Inspection

Operators Daily Visual Inspection

Equipment Audit Form

Safety Audit Form

Pre-Op Equipment Inspection Form

Layout

Equipment #

Hours

Location

Layout

Inspected By:

Date:

Status

S= Satisfactory
D= Deficient
N/A= Not Applicable

General

	Satisfactory	Deficient	N/A (Not Applicable)
1. Housekeeping	Satisfactory1. Housekeeping Satisfactory	Deficient1. Housekeeping Deficient	N/A (Not Applicable)1. Housekeeping N/A (Not Applicable)
2. Tires / Wheels	Satisfactory2. Tires / Wheels Satisfactory	Deficient2. Tires / Wheels Deficient	N/A (Not Applicable)2. Tires / Wheels N/A (Not Applicable)
3. Lights (Head, Tail, Turn, Marker)	Satisfactory3. Lights (Head, Tail, Turn, Marker) Satisfactory	Deficient3. Lights (Head, Tail, Turn, Marker) Deficient	N/A (Not Applicable)3. Lights (Head, Tail, Turn, Marker) N/A (Not Applicable)
4. Work Lights	Satisfactory4. Work Lights Satisfactory	Deficient4. Work Lights Deficient	N/A (Not Applicable)4. Work Lights N/A (Not Applicable)
5. Grab Rails / Steps / Platforms	Satisfactory5. Grab Rails / Steps / Platforms Satisfactory	Deficient5. Grab Rails / Steps / Platforms Deficient	N/A (Not Applicable)5. Grab Rails / Steps / Platforms N/A (Not Applicable)
6. Doors / Latches	Satisfactory6. Doors / Latches Satisfactory	Deficient6. Doors / Latches Deficient	N/A (Not Applicable)6. Doors / Latches N/A (Not Applicable)
7. Glass (windshield, windows, wipers)	Satisfactory7. Glass (windshield, windows, wipers) Satisfactory	Deficient7. Glass (windshield, windows, wipers) Deficient	N/A (Not Applicable)7. Glass (windshield, windows, wipers) N/A (Not Applicable)
8. Mirrors	Satisfactory8. Mirrors Satisfactory	Deficient8. Mirrors Deficient	N/A (Not Applicable)8. Mirrors N/A (Not Applicable)
9. Seat Belts	Satisfactory9. Seat Belts Satisfactory	Deficient9. Seat Belts Deficient	N/A (Not Applicable)9. Seat Belts N/A (Not Applicable)
10. Instruments / Gauges	Satisfactory10. Instruments / Gauges Satisfactory	Deficient10. Instruments / Gauges Deficient	N/A (Not Applicable)10. Instruments / Gauges N/A (Not Applicable)
11. Horn	Satisfactory11. Horn Satisfactory	Deficient11. Horn Deficient	N/A (Not Applicable)11. Horn N/A (Not Applicable)
12. Steering	Satisfactory12. Steering Satisfactory	Deficient12. Steering Deficient	N/A (Not Applicable)12. Steering N/A (Not Applicable)
13. Parking Brake	Satisfactory13. Parking Brake Satisfactory	Deficient13. Parking Brake Deficient	N/A (Not Applicable)13. Parking Brake N/A (Not Applicable)
14. Service Brake	Satisfactory14. Service Brake Satisfactory	Deficient14. Service Brake Deficient	N/A (Not Applicable)14. Service Brake N/A (Not Applicable)
15. Accelerator / Throttle Control	Satisfactory15. Accelerator / Throttle Control Satisfactory	Deficient15. Accelerator / Throttle Control Deficient	N/A (Not Applicable)15. Accelerator / Throttle Control N/A (Not Applicable)
16. Air Cond. / Heater / Defrost	Satisfactory16. Air Cond. / Heater / Defrost Satisfactory	Deficient16. Air Cond. / Heater / Defrost Deficient	N/A (Not Applicable)16. Air Cond. / Heater / Defrost N/A (Not Applicable)
17. Guards / Covers	Satisfactory17. Guards / Covers Satisfactory	Deficient17. Guards / Covers Deficient	N/A (Not Applicable)17. Guards / Covers N/A (Not Applicable)
18. Lubrication (grease points, chains, slide plates, etc.)	Satisfactory18. Lubrication (grease points, chains, slide plates, etc.) Satisfactory	Deficient18. Lubrication (grease points, chains, slide plates, etc.) Deficient	N/A (Not Applicable)18. Lubrication (grease points, chains, slide plates, etc.) N/A (Not Applicable)
	SatisfactorySatisfactory	DeficientDeficient	N/A (Not Applicable)N/A (Not Applicable)
	SatisfactorySatisfactory	DeficientDeficient	N/A (Not Applicable)N/A (Not Applicable)

Safety Equipment / Devices

	Satisfactory	Deficient	N/A ( Not Applicable)
19. First Aid Kit	Satisfactory19. First Aid Kit Satisfactory	Deficient19. First Aid Kit Deficient	N/A ( Not Applicable)19. First Aid Kit N/A ( Not Applicable)
20. Fire Extinguisher	Satisfactory20. Fire Extinguisher Satisfactory	Deficient20. Fire Extinguisher Deficient	N/A ( Not Applicable)20. Fire Extinguisher N/A ( Not Applicable)
21. Backup Alarm	Satisfactory21. Backup Alarm Satisfactory	Deficient21. Backup Alarm Deficient	N/A ( Not Applicable)21. Backup Alarm N/A ( Not Applicable)
22. Safey/Warning Decals & Labels	Satisfactory22. Safey/Warning Decals & Labels Satisfactory	Deficient22. Safey/Warning Decals & Labels Deficient	N/A ( Not Applicable)22. Safey/Warning Decals & Labels N/A ( Not Applicable)
23. Strobe Lights	Satisfactory23. Strobe Lights Satisfactory	Deficient23. Strobe Lights Deficient	N/A ( Not Applicable)23. Strobe Lights N/A ( Not Applicable)

Engine

	Satisfactory	Deficient	N/A ( Not Applicable)
24. Belts/Hoses	Satisfactory24. Belts/Hoses Satisfactory	Deficient24. Belts/Hoses Deficient	N/A ( Not Applicable)24. Belts/Hoses N/A ( Not Applicable)
25. Oil Level & Quality	Satisfactory25. Oil Level & Quality Satisfactory	Deficient25. Oil Level & Quality Deficient	N/A ( Not Applicable)25. Oil Level & Quality N/A ( Not Applicable)
26. Coolant Level & Quality	Satisfactory26. Coolant Level & Quality Satisfactory	Deficient26. Coolant Level & Quality Deficient	N/A ( Not Applicable)26. Coolant Level & Quality N/A ( Not Applicable)
27. Air Cleaners / Filters	Satisfactory27. Air Cleaners / Filters Satisfactory	Deficient27. Air Cleaners / Filters Deficient	N/A ( Not Applicable)27. Air Cleaners / Filters N/A ( Not Applicable)

Transmission / Torque Converter

	Satisfactory	Deficient	N/A ( Not Applicable)
28. Fluid Level & Quality	Satisfactory28. Fluid Level & Quality Satisfactory	Deficient28. Fluid Level & Quality Deficient	N/A ( Not Applicable)28. Fluid Level & Quality N/A ( Not Applicable)
29. Drive Line / Drive Chain	Satisfactory29. Drive Line / Drive Chain Satisfactory	Deficient29. Drive Line / Drive Chain Deficient	N/A ( Not Applicable)29. Drive Line / Drive Chain N/A ( Not Applicable)
30. Travel / Component Chains	Satisfactory30. Travel / Component Chains Satisfactory	Deficient30. Travel / Component Chains Deficient	N/A ( Not Applicable)30. Travel / Component Chains N/A ( Not Applicable)

Electrical System

	Satisfactory	Deficient	N/A ( Not Applicable)
31. Warning Devices	Satisfactory31. Warning Devices Satisfactory	Deficient31. Warning Devices Deficient	N/A ( Not Applicable)31. Warning Devices N/A ( Not Applicable)
32. Battery Shut Off Switch	Satisfactory32. Battery Shut Off Switch Satisfactory	Deficient32. Battery Shut Off Switch Deficient	N/A ( Not Applicable)32. Battery Shut Off Switch N/A ( Not Applicable)
33. Switches (operation, limit, safety)	Satisfactory33. Switches (operation, limit, safety) Satisfactory	Deficient33. Switches (operation, limit, safety) Deficient	N/A ( Not Applicable)33. Switches (operation, limit, safety) N/A ( Not Applicable)
34. Electric Motors	Satisfactory34. Electric Motors Satisfactory	Deficient34. Electric Motors Deficient	N/A ( Not Applicable)34. Electric Motors N/A ( Not Applicable)

Air System

	Satisfactory	Deficient	N/A ( Not Applicable)
35. Warning Devices	Satisfactory35. Warning Devices Satisfactory	Deficient35. Warning Devices Deficient	N/A ( Not Applicable)35. Warning Devices N/A ( Not Applicable)
36. Compressor	Satisfactory36. Compressor Satisfactory	Deficient36. Compressor Deficient	N/A ( Not Applicable)36. Compressor N/A ( Not Applicable)
37. Air Lines	Satisfactory37. Air Lines Satisfactory	Deficient37. Air Lines Deficient	N/A ( Not Applicable)37. Air Lines N/A ( Not Applicable)

Hydraulic Systems

	Satisfactory	Deficient	N/A ( Not Applicable)
38. Hydraulic Hoses	Satisfactory38. Hydraulic Hoses Satisfactory	Deficient38. Hydraulic Hoses Deficient	N/A ( Not Applicable)38. Hydraulic Hoses N/A ( Not Applicable)
39. Oil Level & Quality	Satisfactory39. Oil Level & Quality Satisfactory	Deficient39. Oil Level & Quality Deficient	N/A ( Not Applicable)39. Oil Level & Quality N/A ( Not Applicable)
40. Hydraulic Oil Filters	Satisfactory40. Hydraulic Oil Filters Satisfactory	Deficient40. Hydraulic Oil Filters Deficient	N/A ( Not Applicable)40. Hydraulic Oil Filters N/A ( Not Applicable)
41. Hydraulic Motors	Satisfactory41. Hydraulic Motors Satisfactory	Deficient41. Hydraulic Motors Deficient	N/A ( Not Applicable)41. Hydraulic Motors N/A ( Not Applicable)

Comments

Pre-Op Vehicle Inspection

Layout

Vehicle #:

Trailer #:

Mileage:

Layout

Driver:

Location:

Date:

General

	Satisfactory	Deficient	N/A (Not Applicable)
1. Housekeeping	Satisfactory1. Housekeeping Satisfactory	Deficient1. Housekeeping Deficient	N/A (Not Applicable)1. Housekeeping N/A (Not Applicable)
2. Tires / Wheels	Satisfactory2. Tires / Wheels Satisfactory	Deficient2. Tires / Wheels Deficient	N/A (Not Applicable)2. Tires / Wheels N/A (Not Applicable)
3. Lights (Head, Tail, Turn, Marker)	Satisfactory3. Lights (Head, Tail, Turn, Marker) Satisfactory	Deficient3. Lights (Head, Tail, Turn, Marker) Deficient	N/A (Not Applicable)3. Lights (Head, Tail, Turn, Marker) N/A (Not Applicable)
4. Work Lights	Satisfactory4. Work Lights Satisfactory	Deficient4. Work Lights Deficient	N/A (Not Applicable)4. Work Lights N/A (Not Applicable)
5. Grab Rails / Steps / Platforms	Satisfactory5. Grab Rails / Steps / Platforms Satisfactory	Deficient5. Grab Rails / Steps / Platforms Deficient	N/A (Not Applicable)5. Grab Rails / Steps / Platforms N/A (Not Applicable)
6. Doors / Latches	Satisfactory6. Doors / Latches Satisfactory	Deficient6. Doors / Latches Deficient	N/A (Not Applicable)6. Doors / Latches N/A (Not Applicable)
7. Glass (windshield, windows, wipers)	Satisfactory7. Glass (windshield, windows, wipers) Satisfactory	Deficient7. Glass (windshield, windows, wipers) Deficient	N/A (Not Applicable)7. Glass (windshield, windows, wipers) N/A (Not Applicable)
8. Mirrors	Satisfactory8. Mirrors Satisfactory	Deficient8. Mirrors Deficient	N/A (Not Applicable)8. Mirrors N/A (Not Applicable)
9. Backup / Side View Cameras	Satisfactory9. Backup / Side View Cameras Satisfactory	Deficient9. Backup / Side View Cameras Deficient	N/A (Not Applicable)9. Backup / Side View Cameras N/A (Not Applicable)
10. Seat Belts	Satisfactory10. Seat Belts Satisfactory	Deficient10. Seat Belts Deficient	N/A (Not Applicable)10. Seat Belts N/A (Not Applicable)
11. Instruments / Gauges	Satisfactory11. Instruments / Gauges Satisfactory	Deficient11. Instruments / Gauges Deficient	N/A (Not Applicable)11. Instruments / Gauges N/A (Not Applicable)
12. GPS Unit	Satisfactory12. GPS Unit Satisfactory	Deficient12. GPS Unit Deficient	N/A (Not Applicable)12. GPS Unit N/A (Not Applicable)
13. Horn	Satisfactory13. Horn Satisfactory	Deficient13. Horn Deficient	N/A (Not Applicable)13. Horn N/A (Not Applicable)
14. Steering	Satisfactory14. Steering Satisfactory	Deficient14. Steering Deficient	N/A (Not Applicable)14. Steering N/A (Not Applicable)
15. Parking Brake	Satisfactory15. Parking Brake Satisfactory	Deficient15. Parking Brake Deficient	N/A (Not Applicable)15. Parking Brake N/A (Not Applicable)
16. Service Brake	Satisfactory16. Service Brake Satisfactory	Deficient16. Service Brake Deficient	N/A (Not Applicable)16. Service Brake N/A (Not Applicable)
17. Air Cond. / Heater / Defrost	Satisfactory17. Air Cond. / Heater / Defrost Satisfactory	Deficient17. Air Cond. / Heater / Defrost Deficient	N/A (Not Applicable)17. Air Cond. / Heater / Defrost N/A (Not Applicable)
18. Guards / Covers	Satisfactory18. Guards / Covers Satisfactory	Deficient18. Guards / Covers Deficient	N/A (Not Applicable)18. Guards / Covers N/A (Not Applicable)
19. Fuel Transfer / Storage Tank	Satisfactory19. Fuel Transfer / Storage Tank Satisfactory	Deficient19. Fuel Transfer / Storage Tank Deficient	N/A (Not Applicable)19. Fuel Transfer / Storage Tank N/A (Not Applicable)

Safety Equipment / Devices

	Satisfactory	Deficient	N/A (Not Applicable)
20. First Aid Kit	Satisfactory20. First Aid Kit Satisfactory	Deficient20. First Aid Kit Deficient	N/A (Not Applicable)20. First Aid Kit N/A (Not Applicable)
21. Fire Extinguisher	Satisfactory21. Fire Extinguisher Satisfactory	Deficient21. Fire Extinguisher Deficient	N/A (Not Applicable)21. Fire Extinguisher N/A (Not Applicable)
22. Backup Alarm	Satisfactory22. Backup Alarm Satisfactory	Deficient22. Backup Alarm Deficient	N/A (Not Applicable)22. Backup Alarm N/A (Not Applicable)
23. Safety / Warning Decals & Labels	Satisfactory23. Safety / Warning Decals & Labels Satisfactory	Deficient23. Safety / Warning Decals & Labels Deficient	N/A (Not Applicable)23. Safety / Warning Decals & Labels N/A (Not Applicable)
24. Buggy Whip (lighted)	Satisfactory24. Buggy Whip (lighted) Satisfactory	Deficient24. Buggy Whip (lighted) Deficient	N/A (Not Applicable)24. Buggy Whip (lighted) N/A (Not Applicable)
25. Emergency Roadside Kit	Satisfactory25. Emergency Roadside Kit Satisfactory	Deficient25. Emergency Roadside Kit Deficient	N/A (Not Applicable)25. Emergency Roadside Kit N/A (Not Applicable)
26. Strobe Lights	Satisfactory26. Strobe Lights Satisfactory	Deficient26. Strobe Lights Deficient	N/A (Not Applicable)26. Strobe Lights N/A (Not Applicable)

Engine

	Satisfactory	Deficient	N/A (Not Applicable)
27. Belts/Hoses	Satisfactory27. Belts/Hoses Satisfactory	Deficient27. Belts/Hoses Deficient	N/A (Not Applicable)27. Belts/Hoses N/A (Not Applicable)
28. Fluid Levels	Satisfactory28. Fluid Levels Satisfactory	Deficient28. Fluid Levels Deficient	N/A (Not Applicable)28. Fluid Levels N/A (Not Applicable)
29. Air Cleaners / Filters	Satisfactory29. Air Cleaners / Filters Satisfactory	Deficient29. Air Cleaners / Filters Deficient	N/A (Not Applicable)29. Air Cleaners / Filters N/A (Not Applicable)

Air System

	Satisfactory	Deficient	N/A (Not Applicable)
30. Warning Devices / Gauges	Satisfactory30. Warning Devices / Gauges Satisfactory	Deficient30. Warning Devices / Gauges Deficient	N/A (Not Applicable)30. Warning Devices / Gauges N/A (Not Applicable)
31. Compressor	Satisfactory31. Compressor Satisfactory	Deficient31. Compressor Deficient	N/A (Not Applicable)31. Compressor N/A (Not Applicable)
32. Air Lines	Satisfactory32. Air Lines Satisfactory	Deficient32. Air Lines Deficient	N/A (Not Applicable)32. Air Lines N/A (Not Applicable)

Hydraulic / PTO Systems

	Satisfactory	Deficient	N/A (Not Applicable)
33. Hyd. Hoses	Satisfactory33. Hyd. Hoses Satisfactory	Deficient33. Hyd. Hoses Deficient	N/A (Not Applicable)33. Hyd. Hoses N/A (Not Applicable)
34. Hyd. Oil Level	Satisfactory34. Hyd. Oil Level Satisfactory	Deficient34. Hyd. Oil Level Deficient	N/A (Not Applicable)34. Hyd. Oil Level N/A (Not Applicable)
35. Hyd. Oil Filters	Satisfactory35. Hyd. Oil Filters Satisfactory	Deficient35. Hyd. Oil Filters Deficient	N/A (Not Applicable)35. Hyd. Oil Filters N/A (Not Applicable)
36. Hyd. Motors	Satisfactory36. Hyd. Motors Satisfactory	Deficient36. Hyd. Motors Deficient	N/A (Not Applicable)36. Hyd. Motors N/A (Not Applicable)

Trailers

	Satisfactory	Deficient	N/A (Not Applicable)
37. Tires / Wheels / Leaf Springs	Satisfactory37. Tires / Wheels / Leaf Springs Satisfactory	Deficient37. Tires / Wheels / Leaf Springs Deficient	N/A (Not Applicable)37. Tires / Wheels / Leaf Springs N/A (Not Applicable)
38. Hitches, Hookups, Couplers	Satisfactory38. Hitches, Hookups, Couplers Satisfactory	Deficient38. Hitches, Hookups, Couplers Deficient	N/A (Not Applicable)38. Hitches, Hookups, Couplers N/A (Not Applicable)
39. Safety Chains, Breakaway Cables	Satisfactory39. Safety Chains, Breakaway Cables Satisfactory	Deficient39. Safety Chains, Breakaway Cables Deficient	N/A (Not Applicable)39. Safety Chains, Breakaway Cables N/A (Not Applicable)
40. Brakes	Satisfactory40. Brakes Satisfactory	Deficient40. Brakes Deficient	N/A (Not Applicable)40. Brakes N/A (Not Applicable)
41. Lights (tail, marker, turn signals)	Satisfactory41. Lights (tail, marker, turn signals) Satisfactory	Deficient41. Lights (tail, marker, turn signals) Deficient	N/A (Not Applicable)41. Lights (tail, marker, turn signals) N/A (Not Applicable)

Hi-Rails

	Satisfactory	Deficient	N/A (Not Applicable)
42. HI-Rail / Guide Wheels	Satisfactory42. HI-Rail / Guide Wheels Satisfactory	Deficient42. HI-Rail / Guide Wheels Deficient	N/A (Not Applicable)42. HI-Rail / Guide Wheels N/A (Not Applicable)
43. Hi-Rail Brakes	Satisfactory43. Hi-Rail Brakes Satisfactory	Deficient43. Hi-Rail Brakes Deficient	N/A (Not Applicable)43. Hi-Rail Brakes N/A (Not Applicable)
44. Lights / Flashers	Satisfactory44. Lights / Flashers Satisfactory	Deficient44. Lights / Flashers Deficient	N/A (Not Applicable)44. Lights / Flashers N/A (Not Applicable)
45. Safety Locks, Latches, Pins	Satisfactory45. Safety Locks, Latches, Pins Satisfactory	Deficient45. Safety Locks, Latches, Pins Deficient	N/A (Not Applicable)45. Safety Locks, Latches, Pins N/A (Not Applicable)
46. Steering Lock	Satisfactory46. Steering Lock Satisfactory	Deficient46. Steering Lock Deficient	N/A (Not Applicable)46. Steering Lock N/A (Not Applicable)

Comments

Operators Daily Visual Inspection

Select Location

Layout

Name: *

Unit #:

Job #:

Date *

Hours:

Systems

	OK	Repair Req'd	Safety Issue
All Fluid Levels	OKAll Fluid Levels OK	Repair Req'dAll Fluid Levels Repair Req'd	Safety IssueAll Fluid Levels Safety Issue
Engine	OKEngine OK	Repair Req'dEngine Repair Req'd	Safety IssueEngine Safety Issue
Cooling System	OKCooling System OK	Repair Req'dCooling System Repair Req'd	Safety IssueCooling System Safety Issue
Hydraulic System	OKHydraulic System OK	Repair Req'dHydraulic System Repair Req'd	Safety IssueHydraulic System Safety Issue
Tire/Tracks	OKTire/Tracks OK	Repair Req'dTire/Tracks Repair Req'd	Safety IssueTire/Tracks Safety Issue
Safety Equipment	OKSafety Equipment OK	Repair Req'dSafety Equipment Repair Req'd	Safety IssueSafety Equipment Safety Issue
Gauges/Instruments	OKGauges/Instruments OK	Repair Req'dGauges/Instruments Repair Req'd	Safety IssueGauges/Instruments Safety Issue
Housekeeping	OKHousekeeping OK	Repair Req'dHousekeeping Repair Req'd	Safety IssueHousekeeping Safety Issue

360° Circle of Safety Completed? *

Safety Issue Notes:

Supervisor Notified? *

Audit Forms

Select Form

Equipment Audit Form

General Safety

From The Ground

Engine Compartment

Outside the Cab

Inside the Cab

Safety Audit Form

Job Briefing/On Shift Inspection

PPE

Additional PPE (As necessary)

HazCom

Power Tools

Hand Tools

Welding/Cutting

Electrical

Vehicle/Equipment #

Tool Trailer/Trailer #

Status

Operators Daily Visual Inspection

Address