Information
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Driver Safety Checklist
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Conducted on
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Location
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Prepared by
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Personnel
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Tractor Number
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Trailer Number
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Is the driver wearing FR clothing?
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Is the driver wearing all required PPE? <br> (H2S Monitor, Hard Hat, Safety Glasses, Gloves, and Steel Toe Boots?)<br>
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Is the driver aware of the Life Saving Rules?
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Is the driver aware of the maximum 65MPH speed limit?
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Is the driver aware of the Journey Management Process?
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Does the driver appear alert and fit for duty? (No signs of fatigue)<br>
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Is the driver outside of the cab, ready to disengage the pump and stop the flow during the product transfer?<br>
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Is the driver NOT using any electronic devices during the product transfer? (iPod, Cell Phone, Bluetooth, etc.)<br>
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Are the truck wheels chocked?
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Is the truck grounded during the product transfer?
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Did driver verify tank level before loading/unloading?<br>
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Was appropriate bucket used to capture oil release during loading/unloading?
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Was 3 points of contact used when entering/exiting vehicle?<br>
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Did driver follow API Standards for guaging/sampling oil?<br>
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Is driver utilizing proper guaging/sampling equipment?
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Is driver utilizing actual measured temperatures on tickets?<br>
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Is driver aware never to pull from a PRODUCTION TANK?
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Is driver aware to document all beginning and ending meter readings when using a LACT unit?
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Is driver aware to notify AOM of any lease or offload facility issues?
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Is driver aware of Emergency Hotline # and when to use it?
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Is truck in proper working condition? (lights, Tires, Placards, etc.)
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Does Driver have Current CDL with Hazmat and Med Card?
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Are tank inspections current?
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Positive Feedback And Additional Comments
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Driver Signature
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Auditor Signature