Title Page

  • Driver Name

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Driver Info

  • Driver

  • License Expiration

  • Med Card Expiration

  • Driver Helper

  • Truck/Tractor #

  • Current Registration?

  • OBC Cab Card available?

  • Trailer #

Arrival at Customer

  • Supporting Photos:

  • Does the driver enter the customer parking lot slow and careful?

  • Is the driver being aware of canopies and low awnings?

  • Does the driver put his flashers on in the lot prior to exiting the truck?

  • Is the driver patient while waiting to park?

  • Does the driver avoid backing up to park?

  • Does the driver helper assist in backing?

  • Does the driver avoid blocking the air hose?

  • Does the driver avoid blocking the front entrance?

  • Does the driver avoid blocking store view of the pumps?

  • Does the driver avoid blocking the handicap parking/ramps?

  • Does the driver avoid blocking the fuel fills?

  • Does the driver avoid blocking use of the pumps?

  • Does the driver exit the cab correctly facing the interior using 3 points of contact?

  • Are the headlights turned off while delivery is being made?

  • Did the driver arrive to the stop prior to the ETA?

Food Safety / Food Defense

  • Is the driver in proper uniform, this includes wearing appropriate boots?

  • Is the uniform clean and in good shape not torn?

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

  • Is the driver helper in proper uniform?

  • Is the uniform clean and in good shape not torn?

  • Is the driver helper wearing a safety vest for nighttime delivery (Speedway)?

  • Is the driver handling the totes and product with care to prevent from damaging product?

  • Is the driver in good health, no signs of illness?

  • Is the trailer clean and sanitary, no evidence of pests or leaks and spills?

  • Are cab doors locked during delivery?

Unloading Process

  • Does the driver use the rear ramp for unloading?

  • Does the driver use a cone at the end of the ramp?

  • Does the driver scan the store barcode to verify at correct location?

  • Does the driver close the back door when not in attendance?

  • Supporting Photos:

  • Does the driver visually check all cigarette boxes for correct load/stop while loading onto their handcart?

  • Does the driver count the cigarettes with the customer at time of delivery before going back to the truck?

  • Are totes stacked no more than 5 high in the store?

  • Supporting Photos:

  • Are boxes stacked no more than 5 feet high?

  • Is product stacked securely with little risk of falling over in the store?

  • Is lighter product stacked on top of heavier product?

  • Is all the correct product delivered to the correct store?

  • Is the driver correctly scanning all the product prior to bringing it inside the store?

  • Does the driver use the ramp/ladders to access the freezer/cooler?

  • Supporting Photos:

  • Are the freezer/cooler doors locked?

  • Does the driver avoid throwing boxes/totes on the ground from the truck?

  • Supporting Photos:

  • Does the driver keep all frozen product inside the truck freezer until placed on the handcart and brought directly inside the store?

  • Does the driver pick up all empty totes?

  • Does the driver pick up all scheduled returns?

  • Were the freezer/cooler items placed in the freezer/cooler?

  • If not did the driver put a note on the receipt saying they were left out?

  • Does the driver unload at an adequate pace? 80 repacks per hour or 120 repacks per hour with a helper.

Departure

  • Are all loose straps hung up on the E-track?

  • Supporting Photos:

  • Does the driver secure all returns, totes and remaining product prior to departure?

  • Are all doors locked when departing?

  • Did the driver avoid backing out to leave the store?

  • Did the helper assist the driver in backing?

Completed Customer Receipt

  • Does the driver have a working printer?

  • Did the driver leave invoices/signed receipt with customer?

  • Is the receipt signed by a store representative?

  • Is the correct name listed who signed it?

  • Is the correct name listed who verified the cigarette count?

Overall Observations and Comments

  • Per the store rep was it a good delivery with no issues?

  • Store Comments:

  • Auditor Observations:

  • Auditor Printed:

  • Auditor Signature:

  • Title:

  • Date:

  • How does this audit rank?

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.