Crew and Vehicle Observation Report

• Driver name

• Unit number and plate number

• DVIR completed prior to trip?

  Yes

  No

  N/A

• Location

  Landfill

  Jackson Pike

  Morse rd

  Fleet

  Operations

• Weather conditions

• Conducted on

  Date

• Prepared by

• Document No.

Safe Driving

• Medical card in possession? ( include expiration in comments)

  Yes

  No

  N/A

• Driver license and or CDL in possession? ( include expiration in comments)

  Yes

  No

  N/A

• Drives appropriate speeds for the conditions?

  Yes

  No

  N/A

• Keeps appropriate following distance between vehicle? (Key#1 Aim high in steering, Key#2 Get the big picture)

  Yes

  No

  N/A

• Changes lanes safely? (Use of turn signals)

  Yes

  No

  N/A

• Drives on correct side of the street? (No snaking)

  Yes

  No

  N/A

• Slows when approaching intersection? (Key#3 keep your eyes moving check mirrors every 8 seconds)

  Yes

  No

  N/A

• Yields to right of way when necessary?

  Yes

  No

  N/A

• Driver leaves themselves a out? (Key#4 leave yourself a out)

  Yes

  No

  N/A

• Stays out of blind spots? (Key#5 make sure they see you)

  Yes

  No

  N/A

• Turns from correct lane?

  Yes

  No

  N/A

• Uses turn signal properly?

  Yes

  No

  N/A

• Slows/Stops carefully?

  Yes

  No

  N/A

• Aims high in steering to time the red lights to avoid coming to a complete stop?

  Yes

  No

  N/A

• Parks vehicle properly and scan ahead to select safest possible parking location?

  Yes

  No

  N/A

• Backs up only when necessary looks for safest possible space?

  Yes

  No

  N/A

• Does not back or turn left from right side driving?

  Yes

  No

  N/A

• Obeys all traffic laws?

  Yes

  No

  N/A

• Headlights on when vehicle is in use at all times?

  Yes

  No

  N/A

• Uses 4 way beacon light when collecting?

  Yes

  No

  N/A

• Uses seat belts as required? ( must remain buckled until vehicle come to a complete stop)

  Yes

  No

  N/A

• Uses 3pt contact when entering vehicle and exiting vehicle?

  Yes

  No

  N/A

• Secures load? ( Ro 3pt securement and tarps)

  Yes

  No

  N/A

• Unloads vehicle safely?

  Yes

  No

  N/A

• Follows rule prohibiting scavenging?

  Yes

  No

  N/A

• Turns off truck to avoid leaving it idle?

  Yes

  No

  N/A

Vehicle condition

• Current state and/or Federal inspection sticker on vehicle and current registration?

  Ok

  Needs Attention

  N/A

• Headlights, windshield, mirrors, and lights are clean and in good working condition?

  Ok

  Needs Attention

  N/A

• Cab clean and free of loose objects?

  Ok

  Needs Attention

  N/A

• Rear vision system operational, with side camera for dual side drivers?

  Ok

  Needs Attention

  N/A

• Camera monitors are clean and visible?

  Yes

  No

  N/A

• Front strobes operational all except ( FEL)?

  Yes

  No

  N/A

• All alarms (visible and audible) are in working condition per SWACO and vehicle requirements?

  Yes

  No

  N/A

• Reflective triangles and spill kits present and in good condition?

  Yes

  No

  N/A

• Hydraulic controls labeled as to functions?

  Yes

  No

  N/A

• Body access door interlock installed and working?

  Yes

  No

  N/A

• Lockable battery disconnect installed?

  Yes

  No

  N/A

• Fire extinguishers accessible, mounted, charged, and displaying annual inspection?

  Yes

  No

  N/A

• Behind blade and above blade clean?

  Yes

  No

  N/A

• All lights operational on vehicle including strobes, mid body turn signals, taillights,marker lights and reverse lights?

  Yes

  No

  N/A

• Tires in good condition and meet SWACO standards?

  Yes

  No

  N/A

• Reflective tape if present, is in good condition?

  Yes

  No

  N/A

• Two working rear securement devices and auto tarp system for rollfoff?

  Yes

  No

  N/A

• Rear step ANSI compliant and undamaged?

  Yes

  No

  N/A

• Hopper and hoist lights present and working?

  Yes

  No

  N/A

• Back up alarm functional?

  Yes

  No

  N/A

• License plate visible, and light is in working condition?

  Yes

  No

  N/A

• Was DVIR completed pre-trip and post trip?

  Yes

  No

  N/A

Personal Safety

• Hard hat as required?

  Yes

  No

  N/A

• 6" High steel toe work boots?

  Yes

  No

  N/A

• ANSI Class 2 Vest and Clothing outermost garment?

  Yes

  No

  N/A

• Safety Glasses being worn as required?

  Yes

  No

  N/A

• Proper container handling?

  Yes

  No

  N/A

• Proper lifting techniques? (bends at knees and lifts not with the back)

  Yes

  No

  N/A

• Conforms to SWACO cell phone, ear bud and electronics policy?

  Yes

  No

  N/A

Lock-out/Tag-out

• Was Equip locked out and tagged out with a Pad Lock & Tags? ( if not in use ask employee where they are located)

  Yes

  No

  N/A

• Were all Keys Removed ?( If LO/TO is not in use at time of observation explain to employee why keys should be removed)

  Yes

  No

  N/A

• Employee understand LO/TO Principles?

  Yes

  No

  N/A

• Employee know where to find LO/TO program for Reference?

  Yes

  No

  N/A

• Employee Blocks or Chalks Wheels? ( Explain to employee that they should be available in case of break down or for emergency use )

  Yes

  No

  N/A

supervisor/Safety comments and signatures. Driver/Employee comments and signatures.

• Drivers comments:

• Drivers signature:

  Sign

• Supervisor/Safety comments:

• Supervisor/Safety signature

  Sign

• Corrective action required? ( Explain any action and date when to be completed by)

• Add any Pictures Relevant to Observation

  Media