BIC #:

BLOWFACTS INSPECTION CHECKLIST

7603 Dela Rosa Centre, Dela
Rosa St. Makati City
DRIVER’S/OPERATOR’S NAME:
DATE & TIME INSPECTED:
EQUIPMENT NO. :
EQUIPMENT PLATE NO.:
DESTINATION:
TIME OF DEPARTURE:
Prime Mover 6-Wheeler /
4-Wheeler Truck Trailer Unit Other Vehicle: __________
Truck
______________________
_____________________ TYPE OF CARGO LOADED: ______________________ TOOL BOX Yes No
_____________________ WEIGHT OF CARGO : ______________________
_____________________ HEIGHT OF TRUCK/CARGO: ______________________ WORK Yes No
_______________________ PERMIT
MANDATORY – Will not be deployed on operation if damaged or defective
_____________________ MINOR – Will be deployed on operation but must be repaired/fixed before its next trip/operation

PRE DEPLOYMENT BLOWFACTS INSPECTION CHECKLIST

PARTICULARS CONDITION Equipment CATEGORY STATUS
Parts and Situation to be _Mandatory OKAY NOT OKAY
checked _Minor _In good _Defective REMARKS
condition
Battery Level/ Corroded / Terminal / Bracket Mandatory
Brakes Fluid level/parking/service/ Pad / Leak Mandatory
B Body & cab Paint/Dents/Bumper/Bar locks/Doors/ Windows Minor
Lights Head/Stop/Signal/Back-up/Park/ Dome/Clearance Mandatory
L License Available, valid, and not expired Mandatory
Locks Twist locks/lashing (Rope and Chain) Mandatory
Oil Engine Level/Leaks/Color/thickness/Cap & Stick Mandatory
O OR/CR Available, valid, and not expired Mandatory
W Water Level/Rusty/Radiator/cap/Hoses/Belt Mandatory
Wheels Tires/Rims/Stud & Nut/cap/Extension/ Spare Mandatory
Fuel Level/Leaks/Cap/Strainer Mandatory
F Fire Extinguisher Available and Not Expired Mandatory
Fluids Steering Level/ Leaks/Cap/Strainer Mandatory
Accessories Mirror/Wiper/Windshield/Seat Belt Mandatory
A Air Filter / Air Tank Mandatory
Air
Clutch Fluid Level/Leak/Free Ply/Pad Mandatory
C Cleanliness Cab/Body/Trailer/Wheels Minor
Tire Spare Tire/Tire Blocks/Tire Condition Mandatory
Transmission Shifting/Noise/Loose/Leak Mandatory
T Tools Jack/Tire Wrench/Pry Bar/Spare handle
Floor/Chassis/Trusses/Landing Gear/Pit Wheel/
Minor
Trailer
Spring Equalizer/Torque Rod/Bushing/ Spring/ Mandatory
Chamber/Brake Connector/Electrical Connection
Starting Won’t Start/Hard noise Mandatory
Steering Free Play/Noise/Hard/Loose Mandatory
S Safety Safety Cone/Early Warning Device/ PPE’s Mandatory

Inspected By: __________________________________ Checked and Verified/Approved By: _____________________________________

Name & Signature (Truck Driver/FL Operator) Name & Signature (Trucking/FL Supervisor (OIC))
F ET
A
S

PRE DEPLOYMENT SAFETY INSPECTION CHECKLIST Date & Time: _______________ Y

F
I R S
T

Safe Unsafe Remarks

License
Human Condition
Tire Condition (Actual & Spare Tire)
Brake Condition ( Truck & Trailer )
Cargo Lashing and Twist Locking Condition
Truck Height
Tool box (Maintenance Tools)
Lights (Head, Signal, Clearance, Back, Stop)
First Aid Kit
Back Horn

Required PPE’s

Final Remarks:

SAFETY RECOMMENDATION: Okay for Deployment (SAFE) Okay for deployment but must be repaired Stop Operation (Unsafe)
prior to its next operation / deployment
CHECKED & EVALUATED BY: ___________________________________
Name & Signature (Safety Officer / Supervisor)

POST OPERATION BLOWFACTS INSPECTION (Unusual Findings/Defects on equipment after the operation) Date & Time: _________

Inspected & Observed By: __________________________________ Noted By: ____________________________________

Name & Signature (Truck Driver/FL Operator) Name & Signature (Trucking/FL Supervisor (OIC))
Effectivity Date: 02/01/2014 FM-EMU-01 rev 01