Contractors Equipment Security Checklist

Contractors Equipment SecurityChecklistDate: _______________ Person Conducting Inspection:___________________________________Jobsite Location/Number: _____________________________________________________________Contractor: _________________________________________________________________________Superintendent: _____________________________________________________________________Inspections & TrainingOperator record of daily inspection Yes No N/AEmployee training (documented) Yes No N/AFire Extinguisher on equipment Yes No N/AOther Yes No N/AEquipment SecurityKeys removed from unattended Yes No N/AequipmentKey control system in place Yes No N/ALo-jack, National EquipmentYes No N/ARegistry, GPS, or similartransmitting devicesEquipment immobilized (remove Yes No N/Arotors and batteries, lower bladesor buckets, lockout electric startingsystem, chain to immobile object)Alarms on major pieces ofYes No N/AequipmentLighting or fencing Yes No N/ASecurity guards if high risk area Yes No N/ASmaller equipment block orYes No N/Aencircled with larger equipmentWheels removed from small trailer Yes No N/APolice requested to make frequent Yes No N/AroundsGage covers locked at night Yes No N/AFiller caps locked Yes No N/AComments/Corrective ActionComments/Corrective ActionRS 1073 (9/13) © 2013 Nationwide Mutual Insurance Company Page 1 of 2All Rights Reserved

Contractors Equipment SecurityChecklistAdministrationWritten inventory of equipment on Yes No N/Asite maintained at shopAll VIN and serial numbersYes No N/Arecorded (duplicate serial numberin at least two places-one obviousand one not)Equipment on National Registry Yes No N/AOperators screening (MVR check, Yes No N/Adrug test, field test, referencecheck)ShopLighting Yes No N/AGates locked Yes No N/AFuel pumps locked Yes No N/ATransportationBrakes set, wheels chocked Yes No N/AMinimum 4 corners shackled Yes No N/AMinimum fuel levels on loadedYes No N/AequipmentRoutes planned, permit received Yes No N/A(height & width of load know)Comments/Corrective ActionComments/Corrective ActionComments/Corrective ActionThe information and suggestions contained in this data sheet have been developed from sources believed to be reliable.However, we accept no legal responsibility for the correctness or completeness of this material or its application tospecific factual situations. This information may not address all hazardous conditions at your location and does notwarrant workplace safety or compliance with federal, state or local laws.RS 1073 (9/13) © 2013 Nationwide Mutual Insurance Company Page 2 of 2All Rights Reserved