COO Field Evaluation

• Teammate Name

• Unit Number

• Conducted on

  Date

• Conducted By

• Customer Name

• Location
  Address

• Type of Equipment Worked on

Description of Inspection

• Are Proper Torquing Procedures being followed

  YES

  NO

  N/A

• Is inspection of studs, lug nuts and wheels being done

  YES

  NO

  N/A

• Safety Cage IN USE or approved restraining device (OTR)

  YES

  NO

  N/A

• Jack stands in use

  YES

  NO

  N/A

• Wheel chocks in use

  YES

  NO

  N/A

• Proper Air Equipment Being Used

  Yes

  No

  N/A

• Minimum of 6' Whip Hose

  YES

  NO

  N/A

• Proper Air Chuck

  YES

  NO

  N/A

• In-Line Air Gauge

  YES

  NO

  N/A

Personal Protective Equipment

• Safety Glasses or Goggles or Face Shield

  YES

  NO

  N/A

• Hard Hat Being Used

  YES

  NO

  N/A

• Hearing Protection Being Used

  YES

  NO

  N/A

• Safety Vest In Use

  YES

  NO

  N/A

Vehicle Safety and Procedures

• Beacon Lights & Flashers On

  YES

  NO

  N/A

• Triangles In Place

  YES

  NO

  N/A

• Vehicles Being Serviced Tagged Out

  YES

  NO

  N/A

• Service Truck Safe Distance from Road

  YES

  NO

  N/A

• Was Tech Between Vehicles

  YES

  NO

  N/A

• Was Emergency Brake Set on Service Truck

  YES

  NO

  N/A

• Was a Mounted Fire Extinguisher in Place

  YES

  NO

  N/A

Appearance

• Tech in Proper Uniform

  YES

  NO

  N/A

• Overall Work Area Messy

  YES

  NO

  N/A

• Service Truck Appearance Professional

  YES

  NO

  N/A

• Pictures of Job Site

  Media

• Witness

  Sign

• Corrective Action Plan

• Team Member

  Sign

• Location Manager

  Sign

• All inspection/performance checklists must be kept in each team member's driver file and one copy sent to Katie Edwards via fax for tracking purposes. (615) 493-2851