ENVIRONMENT HEALTH AND SAFETY DEPARTMENT

TRUCK LOAD OUT CHECKLIST

LOCATION: DATE :

INSPECTED BY : SIGNED :

TRUCK PLATE No. : MODEL :

% SCORED :S/

No. ITEMSYES NO

N/A COMMENTS

1.0 General Truck Check

1.1 Does the Truck have IVMS?

1.2 Does the Truck have Caution Stickers?

1.3 Has the Vehicle been Premob/Date?

1.4 Last Service date?

1.5Does the Truck have any body damage? (Specify the part)

1.6Does the Truck have spare tyre? (Check the condition of the tyre)

1.7 Does the Truck have Jack & Wheel Spanner?

2.0 First Aid CheckYES NO

N/A

2.1 Does Truck have first aid box?

2.2 Is it the right type?

2.3 Is it secured and accessible?

2.4 Is it fully equipped?

2.5 Are the drugs usable or expired?

2.6 Is it checked monthly?

3.0 Fire Extinguisher CheckYES NO

N/A

3.1 Does the Vehicle have fire extinguisher?

3.2 What is the capacity of the extinguisher?

3.3Is the extinguisher well positioned and secured?

3.4Is access to extinguisher clear and unobstructed?

3.5 Is the extinguisher usable or expired?

3.6 What is the type of extinguisher? DCP/CO2

4.0 Engine Off ChecksYES NO

N/A

4.1Leaks - Fuels, Hydraulic Oil, Engine Oil or Radiator Coolant

4.2 Tyres - Check Visually the Condition and Pressure

4.3Load Backrest, Tailboard and Sanctions - Securely Attached

4.4Hydraulic Hoses, Mast Chains, Cables and Stops - Check Visually

4.4 Overhead Guards - Attached

4.6 Diesel Tank - Rust Corrosion, Damage

4.7 All Engine Belts - Check Visually

4.8Seat Belt - Functioning Smoothly

4.9Name/Plate Number - Attached firmly

5.0 Engine On Checks - Unusual Noises Must Be Investigated

YES NO

N/A

5.1

Accelerator or Direction Control Pedal - Functioning Smoothly

5.2Service Brake - Functioning Smoothly

5.3Parking/Hand Braking System - Functioning Smoothly

5.4 Steering Operation - Functioning Smoothly

5.5Gear System - Forward/Reverse - Functioning Smoothly

5.6 Horn and Lights - Functioning

5.7 A/C, Heater, Defroster, Wipers - Functioning

5.7Gauges: Speedometer, Thermometer, Fuel/oil Level - Functioning

5.9Lifting Gears/Slings Hoist and Lowering Control-Are they Certified?

6.0 Truck Driver's CheckYES NO

N/A

6.1 Are the Vehicle Particulars Still Valid?

6.2 Does the Driver have a Valid Driver's License?

6.3 Has Alcohol Test been Conducted on the Driver?

6.4Has the Driver been Trained on Defensive Driving Course?

6.5Is the Driver Competent and Authorized to Operate Company Vehicle?

SCORE = Number of Yes Responses x 100

Total Number of Scored Items

Total Number of Scored Items = Yes + No (Do not include N/A Responses)

Total % Scored =

LEGEND

70 % AND ABOVE = SATISFACTORY

50 % AND ABOVE = ACCEPTABLE

50 % AND BELOW = NOT ACCEPTABLE

COMMENTS