Driver Roadside Safety Observation Report

• Conducted on

  Date

• Completed By:

• Date:

  Date

• Location:

Vehicle:

• Driver:

• Vehicle VRN

• Vehicle. Defect Check/Any unreported defects

  No

  Yes

  N/A

• Is the load secured before delivery?

  No

  Yes

  N/A

• Is the grab secured before delivery?

  No

  Yes

  N/A

• **ANY FAIL MUST REQUIRE DELIVERY TO STOP AND RE-START SAFELY**

• Arrival at the delivery point

  No

  Yes

  N/A

• Beacons and hazard warning lights used?

  No

  Yes

  N/A

• Position of vehicle does not obstruct traffic, or is on a bend, corner, pedestrian crossing, box junction etc

  Safe

  At Risk

  N/A

• Leaves cab using 3 points of contact – monitor during rest of the delivery

  No

  Yes

  N/A

• All PPE is use – hard hat, chin strap, gloves, boots, hi-vis jacket – no rigger boots

  No

  Yes

  N/A

• Cones deployed to mark discharge area/stabiliser legs

  No

  Yes

  N/A

• 4 Discharge Procedure: If any of the following are observed as failed, then the driver must be stopped immediately

• Stabiliser legs fully extended out – Mandatory on discharge side but both feet fully down and with pads used

  No

  Yes

  N/A

• Area of set down is clear, level and/or hard standing and/or in a safe location

  Safe

  At Risk

  N/A

• Vehicle is not positioned on an excessive incline during delivery

  Safe

  At Risk

  N/A

• All Feet on the Ground Protocols adhered to

  No

  Yes

  N/A

• Driver using Gloves, Hard Hat and Chin Strap during crane delivery (Gloveless hands using the remote control only are ok)

  No

  Yes

  N/A

• Driver has not accessed the load bed in any way other than correct access steps and gate

  Safe

  At Risk

  N/A

• Driver has not accessed the bed of the vehicle with remote control and/or is using the remote control on the bed

  Safe

  At Risk

  N/A

• Driver has not accessed the load bed with dropside down

  Safe

  At Risk

  N/A

• Driver does not attempt to unload onto scaffolding, other temporary structure, or inside any structure

  Safe

  At Risk

  N/A

• Driver is not unloading materials using the crane to a level lower than the vehicle (danger of vehicle tipping)

  Safe

  At Risk

  N/A

• Crane is not operating too close to overhead power lines – must be 15m away (pylons) / 9m (wood/concrete poles)

  Safe

  At Risk

  N/A

• Discharge area kept clear of pedestrians/customers

  Safe

  At Risk

  N/A

Pack-up Procedure

• All straps refitted without throwing over load into pedestrian area, or the area is clear

  No

  Yes

  N/A

• All ratchet straps secure to metal sides of load bed/chassis, not rope hooks or otherwise. No ropes used

  No

  Yes

  N/A

• All dropsides, Safe-T-Rails and gates closed, all anti-shake pins fitted/functional and used

  No

  Yes

  N/A

• All crane foot pads/cones and slings collected and stowed safely

  No

  Yes

  N/A

• Crane Legs are FULLY retracted (including feet)

  No

  Yes

  N/A

• Crane is secured using correct yellow restraint strap (temp. blue strap acceptable if not available)

  No

  Yes

  N/A

• Leaves site with help of banksman where needed, no unescorted reversing into traffic flow

  Safe

  At Risk

  N/A

• Leaves site with no other hazard, no damage left on site (pavements/overhead cables etc)

  Safe

  At Risk

  N/A

• Improvement Notes:

• Is this driver operating within the requirements of all company policies and legislation YES / NO Any dangerous activity must be challenged

  No

  Yes

  N/A

• Further action:

General points

• Is driver aware of correct vehicle defect procedure

  No

  Yes

  N/A

• Discuses vehicle activity- depart/yard times

  No

  Yes

  N/A

• Discuss driver risk score/grading

  No

  Yes

  N/A

Disciplinary Action

• ATO revocation

  No

  Yes

  N/A

Driver Improvement Training

• Crane training

  No

  Yes

  N/A

General advice and guidance

• PPE Re-issue needed: HARD HAT / GLOVES / HI-VIS / CHINSTRAP / BOOTS / SAFETY GLASSES

  No

  Yes

  N/A

• Signed: BUD/ BM / RTM / LTM/ Other (please state: )

  Sign

• Print: Date:

  Date

• Signed: (Driver)

  Sign

• Print: Date:

  Date

• When complete, please file in the drivers' personnel records and also send by email to transport-compass@sgbd.co.uk