1.0 Morning Yard Check
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1.1 Did the driver check his hours before clocking in?
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1.2 Did the driver log into the ELD before departure?
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1.3 Did the driver conduct a proper Pre-Trip inspection before departure?
-Interior cab including defroster, wipers, gauges, horns, lights, emergency equipment, air pressure check, past trip DVIR
-Engine Compartment including belts, hoses, wires, air dryer, shock and springs, brake pads, drums, cans, fluid levels
-Circle Check including tires, rims, fuel tanks & straps, cap chains, air cans, shocks, under carriage, lights, bumpers, axles, frame and lifts/ramps
-Load -
1.4 Did the driver gather all essential equipment before departure?
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1.5 While in the yard did the driver obey 10 mph speed limits and stop at all stop signs?
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1.6 Was the driver secured with a seatbelt before moving?
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1.7 Did the driver use headlights and emergency flashers while in the yard?
2.0 Smith System Driving
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2.1 Did the driver review his paperwork and address anticipated issues with dispatch?
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2.2 Does the driver check his surroundings before departure by using S.M.O.G.?
-Signal, Mirrors, Over the Shoulder, Go -
2.3 Does the driver tap their horn before leaving a parked location or backing?
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2.4 Is Key 1, Aim High In Steering, utilized?
-Scan the road in front of the vehicle by 15 seconds
-Adjust space by reducing speed or changing lanes to minimize risk -
2.5 Is Key 2, Get The Big Picture, utilized?
-Scans at least one mirror every 5-8 seconds
-Scans intersections prior to entry
-Stops far enough behind stop lines and comes to complete stop -
2.6 Is Key 3, Keep Your Eyes Moving, utilized?
-Does not stare at objects for more than 2 seconds
-Activates peripheral vision, fights fatigue and increases awareness. -
2.7 Is Key 4, Leave Yourself An Out, utilized?
-Maintains 4 second following distance
-Maintains proper space around vehicle, does not get trapped into a space -
2.8 Is Key 5, Make Sure They See You, utilized?
-Communicates with others with lights, horns and hand to make themselves more visible
-Uses turn signals with proper timing
-Avoids pedestrian heavy areas in parking lots
-Turns on flashers and lights in parking lots -
2.9 Is the driver using Smith System when backing?
-Pre-plans parking/dock choices thinking about departure upon arrival
-Scans the entire area for the safest parking locations and travel path
-Chooses parking area to reduce conflicts
-Backs slowly, less than 2 mph, and uses horn while backing
-Communicates with others to make intentions known -
2.10 Did the driver refrain from using electronic devices while driving?
3.0 Hours of Service
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3.1 Does the driver continually check his available hours and communicate issues with dispatch?
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3.2 Did the driver take their required 30 minute brake at the proper time (not too early, not too late)?
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3.3 We’re there any HOS violations throughout the day?
-10 hours off
-30 min brake after 8 hours of duty time
-Drives no more than 11 hours
-Does not drive after having been on duty for 14 hours unless a Big Day (16 hour alibi) is available
-Does not remain on the clock after 16 hours if the alibi is used
-Not on duty for more than 70 hours in any 8 day period
4.0 Safety In Motion
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4.1 Did the driver stretch prior to working the load?
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4.2 Maintains proper elbow positions when lifting.
-Green Zone (elbows touching the sides on their body)
-Yellow Zone (elbows within 6 inches on the sides of their body)
-Red Zone (elbows past 6 inches from the sides of the body, not to be in this position)
-Uses 2 hands when at all possible -
4.3 Flexes knees when lifting.
-Can be used also to reduce risk of injury when reaching out into the red zone -
4.4 Aligns spinal incurves.
-Head up, chest out, butt out -
4.5 Uses Mid-Range wrist motion.
-Does not hyper flex the wrist up, down, or side to side
-Pushes with the pinky side of the hand
-Relaxes thumb and index finger when gripping objects
-Changes objects position to utilized mid-range wrist motion -
4.6 Does not lift objects that are too heavy or that are out of the Power Zone (waist high).
-Objects lifted over the head should be 10 lbs or less
-Objects being lifted from the ground should be less than 25 lbs and proper position used
-NO OBJECTS more than 55 lbs should be lifted without help
5.0 End of Day
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5.1 Did the driver perform proper post-trip inspection?
-Physical inspection (See morning yard check) -
5.2 Did the driver fill out the DVIR form correctly?
-Was the proper forms taken to the proper places (garage, office, truck)? -
5.3 Did the driver log out of the ELD properly?
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5.4 Was equipment replaced to the proper locations?
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5.5 Was final day paperwork filed out correctly and turned in?
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5.6 Did the driver review their HOS before leaving?
-How many hours were worked that day
-How many hours are available for the next work day
-When can they return to duty (10 off or 34 hour reset necessary)
6.0 PPE
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6.1 Did the driver use a HiViz vest while in the yard or busy parking lots?
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6.2 Did the driver have the proper uniform and was it clean and in good shape?
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6.3 Was the driver using the proper hook and was it sized correctly?
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6.4 Was the driver using proper approved footwear?
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6.5 Was the hand truck in good condition?
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6.6 If required, was the driver using Winter Walkers?
7.0 Did you or the driver have any other safety concerns?
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7.0 Type information here or add pictures