Information

  • Driver

  • Driver Helper

  • Tractor/Truck #

  • Trailer #

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

  • Personnel

Section 1 - Arrival at store

General Observations:

  • Is the driver's medical card and license up to date?

  • Is current registration in Tractor/Trailer?

  • Is Annual Inspection up to date?

  • Did driver complete pre-trip inspection (DVIR completed)?

  • Is driver logged into on-board computer with hours available?

  • Is the driver in proper uniform?

  • Is the driver wearing a safety vest during nighttime delivery?

  • Is the driver helper in proper uniform?

  • Is the driver helper wearing safety vest during nighttime delivery?

  • Comments:

  • Supporting Photos

Parking

  • Did the driver park in a way to avoid backing up at any time upon arrival?

  • Did the driver helper assist the driver in backing?

  • Did the driver avoid blocking the following:

  • Pumps

  • Air Hose

  • Front entrance

  • Obstruct store view of pumps?

  • Handicap Parking

  • Handicap Accessible Ramp

  • Fuel Fills

  • Comments:

  • Supporting Photos

Truck

  • Back door locked upon arrival?

  • Freezer/Cooler doors locked upon arrival?

  • Record of reefer temps:

  • Freezer:

  • Cooler:

  • Was load bars and straps in place upon arrival?

  • Are the cab doors locked when driver/helper is not present?

  • Comments:

  • Supporting Photos:

Section 2 - Delivery

Unloading Product:

  • Does the driver use the rear ramp to unload product?

  • Are the cones being used at the end of the ramp?

  • Does the driver use the ramp/ladder for access to Freezer/Cooler?

  • Is product being dropped from any compartment?

  • Does driver have proper descent on ramp putting the handcart first?

  • Does the driver have unobstructed vision (handcart not overstocked)?

  • Are the doors closed and locked when no one is present?

  • Does the driver close the doors after descent?

  • Comments:

  • Supporting Photos:

Product Placement

  • Is the freezer product placed in freezer?

  • If NO, did driver notate on manifest and have store lead initial?

  • Is cooler product placed in cooler?

  • If NO, did driver notate on manifest and have store lead initial?

  • Are cigarettes placed in secure location as directed by store?

  • Are totes stacked no more than 5 high?

  • Are boxes stacked no more than 5 feet high?

  • Are totes and corrugated boxes intermixed in stacks?

  • Is product safely stacked with lighter product on top of heavier product?

  • Is product securely stacked to prevent toppling?

  • Comments:

  • Supporting Photos:

Assumed Delivery Check-In:

Cigarettes:

  • Did the driver and store lead check carton quantity together?

  • Is there a Shortage/Overage?

  • Did the driver call in the Shortage/Overage to the Transportation Manager on duty?

  • Was credit issued (if needed)?

  • Did store lead initial manifest properly?

  • Comments:

  • Supporting Photos:

Non-Cigarettes

  • Did the driver verify case count by category with store lead?

  • Did the driver issue credit for any shortages?

  • Did the store lead initial manifest properly?

  • Comments:

  • Supporting Photos:

Returns:

  • Did the driver pick up store returns for which the driver had paperwork for?

  • Did the driver pick up magazine returns and make proper notation on manifest?

  • Did the driver pick up USST returns and make proper notation on manifest?

  • Did the driver pick up empty totes and verified count with store?

  • If driver was unable to pick up empty totes, did driver call transportation manager for approval?

  • Did driver notate "Delivered" and "Returned" count on manifest and have store lead initial?

  • Comments:

  • Supporting Photos:

Section 3 - Departing Store

  • Is the driver manifest completely and accurately filled out and signed?

  • Is the tote manifest completely and accurately filled out?

  • Are the load bars and straps in place?

  • Are empty totes and store returns properly secured?

  • Is the rear door locked?

  • Is the freezer/cooler doors locked?

  • Does the driver need to back out to leave the store?

  • Does the driver helper assist the driver in backing?

  • Comments:

  • Supporting Photos:

Overall Observations & Comments

  • General Observations:

  • Add drawing

  • Add media

  • Store Comments:

  • Auditor Printed:

  • Auditor Signature:

  • Title:

  • Date:

  • Transportation Manager Printed:

  • Transportation Manager Signature:

  • Date:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.