| Driver Name | |
|---|---|
| Date | |
| Vehicle/Trailer Number | |
| Location |
| Item | Compliant | Non-Compliant | N/A | Notes |
|---|---|---|---|---|
| Is the load properly secured to prevent shifting? | ||||
| Are tie-downs in good condition (no cuts/frays)? | ||||
| Does the number of tie-downs meet regulations? | ||||
| Cargo does not obscure driver visibility? | ||||
| No damaged or loose securement devices? | ||||
| Edge protection provided where necessary? | ||||
| Is the load evenly distributed? | ||||
| Blocking/bracing used as required? | ||||
| Vehicle structure suitable for securement? | ||||
| Other (specify) |
| Name | |
|---|---|
| Signature | |
| Date |