ENVIRONMENT HEALTH AND SAFETY DEPARTMENT

TRUCK LOAD OUT CHECKLIST

LOCATION: DATE :
INSPECTED BY : SIGNED :

TRUCK PLATE No. : MODEL :


% SCORED :


S/No. ITEMS YES 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?

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

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

1.7 Does the Truck have Jack & Wheel Spanner?

2.0 First Aid Check YES 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 Check YES NO N/A

3.1 Does the Vehicle have fire extinguisher?

3.2 What is the capacity of the extinguisher?

3.3 Is the extinguisher well positioned and secured?

3.4 Is 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 Checks YES NO N/A

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

4.2 Tyres - Check Visually the Condition and Pressure

4.3
Load Backrest, Tailboard and Sanctions - Securely
Attached

4.4
Hydraulic 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

4.8
Seat Belt - Functioning Smoothly

4.9
Name/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


5.2
Service Brake - Functioning Smoothly

5.3 Parking/Hand Braking System - Functioning Smoothly


5.4 Steering Operation - Functioning Smoothly


5.5
Gear System - Forward/Reverse - Functioning
Smoothly


5.6 Horn and Lights - Functioning


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


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


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


6.0 Truck Driver's Check YES 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?


6.4
Has the Driver been Trained on Defensive Driving
Course?


6.5
Is 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