1.0 Morning Yard Check
1.1 Did the driver check his hours before clocking in?
1.2 Did the driver log into the ELD before departure?
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
1.4 Did the driver gather all essential equipment before departure?
1.5 While in the yard did the driver obey 10 mph speed limits and stop at all stop signs?
1.6 Was the driver secured with a seatbelt before moving?
1.7 Did the driver use headlights and emergency flashers while in the yard?
2.0 Smith System Driving
2.1 Did the driver review his paperwork and address anticipated issues with dispatch?
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?
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
3.1 Does the driver continually check his available hours and communicate issues with dispatch?
3.2 Did the driver take their required 30 minute brake at the proper time (not too early, not too late)?
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
4.1 Did the driver stretch prior to working the load?
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
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?
5.4 Was equipment replaced to the proper locations?
5.5 Was final day paperwork filed out correctly and turned in?
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)
6.1 Did the driver use a HiViz vest while in the yard or busy parking lots?
6.2 Did the driver have the proper uniform and was it clean and in good shape?
6.3 Was the driver using the proper hook and was it sized correctly?
6.4 Was the driver using proper approved footwear?
6.5 Was the hand truck in good condition?
6.6 If required, was the driver using Winter Walkers?
7.0 Did you or the driver have any other safety concerns?
7.0 Type information here or add pictures