Driver Safety Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Driver's Name

Preparation

• Does the driver stretch before he begins each stop?

  Yes

  No

• Does the driver complete a DVIR and a PIT inspection at the beginning of the shift?

  Yes

  No

Lifting

• Does the driver consistently maintain the natural curve of his/ her back?

  Yes

  No

• Does the driver avoid bending at the waist?

  Yes

  No

• Does the driver keep from twisting at the waist by moving his/ her feet in the direction of travel?

  Yes

  No

• Does the driver hold product close to his/her body?

  Yes

  No

Equipment

• Does the driver wear company issued safety shoes?

  Yes

  No

• Does the driver always wear gloves when engaged in material handling processes?

  Yes

  No

• Does the driver keep his/her hands clear of the lift gate when in operation?

  Yes

  No

• Does the driver place cones to mark his work area or high exposure areas immediately after parking?

  Yes

  No

• Does the driver always close the trailer door before putting the vehicle in motion?

  Yes

  No

• Does the driver always use three points of contact when climbing in or out of the cab?

  Yes

  No

• Does the driver avoid jumping off of truck, lift gates or docks?

  Yes

  No