Title Page
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Site conducted
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Conducted on
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Prepared by
Driver Safety
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Are Safe work practices being observed?
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Are all employees using 3 points of contact when mounting and dismounting equipment?
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Is Freight being handled in such a way as to prevent injury
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Are employees using all required PPE ?
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Are employees wearing proper footwear? (ANSI Approved Safety Shoes)
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Are employees wearing a company issued uniform?
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Are all loads properly secured to prevent movement or shifting while in transit?
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If required are tarps or covers being utilized.
Equipment
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Are Tractors and Trailers in Overall Good Condition?
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Any visible damage to equipment?
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Is the Electronic vehicle Inspection completed daily? Pre and Post trip Inspections
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Is the Annual Inspection current for all equipment?
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Do all tractors have: Current ERG, Blank Logbook, Geotab Manual and current Insurance card?
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Do all tractors have required permits. ( cab card, hazmat registration, etc)
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Do all tractors have Spare Fuses, Fire Extinguisher and Emergency Triangles?
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Are both the Fire Extinguisher and Emergency Triangles secured in the tractor?
Forklift/Moffet
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Are Forklifts only operated by trained personnel
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Is there a current Forklift evaluation form on file for each employee
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Are Forklifts in overall good condition?
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Are forklifts inspected prior to use
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Are Forklift inspections maintained on file for 30 days then destroyed
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Is each Forklift equipped with:
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An operating back up Alarm
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An overhead guard (properly Secured)
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Operable Seatbelt no tears or other visible defects
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Are Forklifts free of water, oil or other fluid leaks.
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Are brakes, Horn,mast,blades,tires,and lights free of defects and in good operating condition?
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Are all lifts equipped with a specification plate indicating the weight capacity.
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Are trailer mounted forklifts loaded and secured properly to the trailer
Driver Logs
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Are all Drivers logging in and out of their ELD as required?
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Are Drivers entering all required information on their logs? (Trailer numbers, Shipment information)
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Any Log violations in the past 90 days?
Drive Cam
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Is Drive Cam coaching Current?
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Any noticeable trends or areas of concern with behaviors exhibited via DriveCam?
Review
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Additional Comments
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I have read and discussed the items marked as needing corrective action. I understand that these require immediate attention. It is my responsibility to see that proper corrections are made so that we maintain compliance with all applicable regulations, both those of federal, state, and local agencies, as well as those set internally.
