Transportation Safety Audit Checklist
Use this form to record a transportation safety audit, inspection findings, checklist results, and corrective actions.
Audit Identification
Audit Date
*
-
Month
-
Day
Year
Date
Audit Time
*
Hour Minutes
AM
PM
AM/PM Option
Auditor Name
*
Organization / Department
*
Location / Site Being Audited
*
Transportation Mode / Type
*
Bus
Truck/Fleet
Taxi/Ride Service
Rail
Shuttle
Other
Audit Reference / Checklist ID
Vehicle and Asset Details
Vehicle / Unit Identifier or Fleet Number
*
Vehicle Type / Class
*
Bus
Coach
Truck
Van
Trailer
Car
Pickup
Motorcycle
Other
License Plate or Asset Tag
Year / Model
Current Operational Status
*
In Service
Out of Service
Restricted Use
Unknown
Safety Compliance Checklist
Safety compliance rating by inspection item
*
Rows
Pass
Fail
Not Inspected
Not Applicable
Brakes
1
2
3
4
Tires
5
6
7
8
Lights
9
10
11
12
Mirrors
13
14
15
16
Seat belts / restraints
17
18
19
20
Emergency exits
21
22
23
24
Horn / alarms
25
26
27
28
Fire extinguisher
29
30
31
32
First aid kit
33
34
35
36
Reflective markings / signage
37
38
39
40
Loading / securement
41
42
43
44
Cleanliness / obstructions
45
46
47
48
Inspection item notes and observations
Corrective action needed for failed items
Brakes condition
*
Pass
Fail
Not Inspected
Not Applicable
Tires condition
*
Pass
Fail
Not Inspected
Not Applicable
Lights and signals
*
Pass
Fail
Not Inspected
Not Applicable
Mirrors and visibility
*
Pass
Fail
Not Inspected
Not Applicable
Seat belts and restraints
*
Pass
Fail
Not Inspected
Not Applicable
Emergency exits and access
*
Pass
Fail
Not Inspected
Not Applicable
Horn and audible alarms
Pass
Fail
Not Inspected
Not Applicable
Fire extinguisher and first aid kit
Pass
Fail
Not Inspected
Not Applicable
Loading, securement, and interior obstructions
*
Pass
Fail
Not Inspected
Not Applicable
Incident and Hazard Findings
Hazards Found
Unsafe Conditions Observed
Near-Misses or Incidents Noted During Audit
Severity Level
*
Low
Medium
High
Critical
Immediate Corrective Action Required
*
Yes
No
Corrective Actions and Follow-Up
Recommended Corrective Actions
*
Responsible Person or Team
*
Target Completion Date
*
-
Month
-
Day
Year
Date
Follow-Up Required
*
Yes
No
Follow-Up Notes or Reinspection Comments
Overall Audit Result
Overall safety rating
*
Excellent
Good
Fair
Poor
Final status
*
Pass
Pass with corrective actions
Fail
Needs reinspection
Summary comments
Auditor confirmation
*
Yes
No
Submit Audit
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