Eby-Brown Driver Ride Along Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PART 1 - BASIC OPERATIONS

1.A - General Observations

• Is the driver in proper uniform?

  Yes

  No

  N/A

• Is the vehicle's interior clean and in good order?

  Yes

  No

  N/A

• Is the vehicle's exterior clean or reasonably clean for safe operation considering the weather (Windshield, Side Windows, Mirrors, Headlights, Clearance Lights, Tail Lights, Blinkers, etc.,)?

  Yes

  No

  N/A

• Does the driver have the right attitude and his emotions under control to drive?

  Yes

  No

  N/A

1.B - Review the Driver's Pre-Trip Inspection Form

• Does the driver perform an adequate pre-trip inspection?

  Yes

  No

  N/A

• Is the DVIR completed properly?

  Yes

  No

  N/A

• Were the registration, IFTA, insurance card, lighter permit, extinguisher, triangles and other items checked?

  Yes

  No

  N/A

• Are any problems with the vehicle described accurately?

  Yes

  No

  N/A

• Are the exterior diagrams marked appropriately with body damage?

  Yes

  No

  N/A

• Is the form signed & dated with the correct vehicle number listed?

  Yes

  No

  N/A

• Camera and accident packet available?

  Yes

  No

  N/A

• DOT annual review sticker(s) on units?

  Yes

  No

  N/A

• ERG and FMCSR handbooks in cab or with driver?

  Yes

  No

  N/A

• "How Am I Driving" sticker on truck/trailer?

  Yes

  No

  N/A

• Ramp(s) inspected for safety items (Missing screws, cracked plates, etc.,)?

  Yes

  No

  N/A

• Does the truck/trailer have all required locks (side door(s), rear door)?

  Yes

  No

  N/A

• Xata working correctly and driver logs in and reviews hours or is driver completing a paper log and have the last 7 days?

  Yes

  No

  N/A

• Driver has manual log book in case of Xata failure?

  Yes

  No

  N/A

• Does the driver perform an adequate post-trip inspection?

  Yes

  No

  N/A

1.C - Review the Driver's Manifest

• Is the driver following his/her manifest in the proper order?

  Yes

  No

  N/A

• Hazardous Manifest signed and placed on seat or drivers door when driver is out of truck?

  Yes

  No

  N/A

• Is the driver operating on time?

  Yes

  No

  N/A

• Does the driver call in to Transportation if problems arise?

  Yes

  No

  N/A

• Does the driver take the most direct route between stops?

  Yes

  No

  N/A

• Is the manifest completed clearly and accurately?

  Yes

  No

  N/A

• Does the driver count cigarette cartons with the manager before leaving product?

  Yes

  No

  N/A

PART 2 - DRIVING SAFETY HABITS

2.A - General Driving Skills

• Does the driver wear his/her seatbelt at all times?

  Yes

  No

  N/A

• Is the vehicle driven at appropriate speeds and within limits?

  Yes

  No

  N/A

• Does the driver slow down for corners, bumps, etc. and provide a smooth ride?

  Yes

  No

  N/A

• Are headlights and appropriate signals/flashers used?

  Yes

  No

  N/A

• Does the driver keep adequate space cushions around the vehicle?

  Yes

  No

  N/A

• Does the driver keep both hands on the steering wheel?

  Yes

  No

  N/A

• Is the driver prepared for the unexpected when approaching intersections?

  Yes

  No

  N/A

• Does the driver check his/her mirrors appropriately?

  Yes

  No

  N/A

• Does the driver obey traffic signals, warning signs, etc.,?

  Yes

  No

  N/A

• Does the driver GOAL "Get Out And Look" when backing up?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

2.B - General Delivery Skills

• Does the driver use 3 points of contact while entering and exiting the vehicle?

  Yes

  No

  N/A

• Does the driver stretch before performing any unloading activities for the day?

  Yes

  No

  N/A

• Does the driver stretch between delivery stops?

  Yes

  No

  N/A

• Does the driver follow safe lifting practices during the entire delivery process?

• Lifting with legs not back?

  Yes

  No

  N/A

• Keeping the product in the power zone while lifting?

  Yes

  No

  N/A

• Moving his/her feet instead of twisting?

  Yes

  No

  N/A

• Firm grip on product before lifting?

  Yes

  No

  N/A

• Does the driver use load bars and straps between stops?

  Yes

  No

  N/A

• Are the load bars and straps in good mechanical condition?

  Yes

  No

  N/A

• Does the driver use the side platform or steps correctly at each stop?

  Yes

  No

  N/A

• Does the driver use the ramp at the side door when needed?

  Yes

  No

  N/A

• Does the driver use the ramps correctly?

  Yes

  No

  N/A

• Does the driver lock the cab door when away from truck?

  Yes

  No

  N/A

• Does the driver lock the rear and side doors?

  Yes

  No

  N/A

• Does the driver interact well with the customers?

  Yes

  No

  N/A

• Does the driver promptly move onto the next stop when finished?

  Yes

  No

  N/A

• How is the drivers pace?

  Fast

  Steady

  Slow

• General Observations & Improvement Goals

• Evaluating Supervisor/Trainer Signature

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• By signing below, I verify that i have had the opportunity to discuss the Safety Ride with the Supervisor/Trainer who evaluated me today.

• Driver's Signature

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