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Dual-Vision Supervisors Review Form
Dual-Vision Supervisors Review Form
ATS Medical Services, Inc.

Dual-Vision Supervisors Review Form

Review of vehicle camera data

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Free Dual-Vision Supervisors Review Form Checklist

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Information

  • Document No.

  • Audit Title

  • Conducted on

  • Prepared by

  • Select date

  • Operational Location

  • Vehicle reviewed

  • Crew involved?

  • Type of activation

  • Was Driver wearing seatbelt?

  • Was Passenger wearing seatbelt?

  • Type of Response

  • Was Driver using Phone?

  • Were there other distractions?<br><br>If yes, indicate below.

  • Other distractions

  • Has Supervisor addressed the findings of this review with crew involved?

  • Type of discipline administered

  • Additional notes.

  • Supervisor performing review

  • Copy of this review and discipline form placed in employee file?

Dual-Vision Supervisors Review Form
ATS Medical Services, Inc.

Dual-Vision Supervisors Review Form

Review of vehicle camera data

Use this Template
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.

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