Eby-Brown Driver Ride Along Form

• Driver

• Supervisor/Trainer

• Conducted on

  Date

Section 1 - Basic Operations

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 considering the weather?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Review the Driver's Pre-Trip Inspection Form:

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

  Yes

  No

  N/A

• Is the driver correctly logged into Driver Pro?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the driver correctly mark pass or fail for their inspections checklist?

  Yes

  No

  N/A

• Does the driver correctly scan all the bar codes for the inspection?

  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 doors, rear door)?

  Yes

  No

  N/A

• Driver is correctly logged into Omnitracs?

  Yes

  No

  N/A

• Driver has manual log book in case of Omnitracs does not work?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Review the Driver's Manifest:

• Is the driver delivering their stops in the correct order?

  Yes

  No

  N/A

• Hazardous Materials form signed and placed in door pocket?

  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

• Does the store rep correctly sign for the delivery?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Section 2 - Delivery

General Driving Skills:

• Does the driver wear their 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 get out and look before backing up?

  Yes

  No

  N/A

• Is the driver patient while waiting to park?

  Yes

  No

  N/A

• Did the driver use the "Drive For Five" program?

  Yes

  No

  N/A

• Is the driver looking far enough ahead while driving?

  Yes

  No

  N/A

• Does the driver walk around the truck before leaving the stop?

  Yes

  No

  N/A

• Is the driver wearing their safety vest?

  Yes

  No

  N/A

• Does the driver use the safety cones?

  Yes

  No

  N/A

Section 3 - Driving Safety Habits

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?

  Yes

  No

  N/A

• a. Lifting with legs not back b. Keeping the product in the power zone while lifting c. Moving his/her feet instead of twisting d. Firm grip on product before lifting

• 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 scan all cases/totes per policy?

  Yes

  No

  N/A

• Does the driver pick up all returns and empty totes?

  Yes

  No

  N/A

• Does the driver use all ramps and platforms correctly?

  Yes

  No

  N/A

• Does the driver lock the cab doors when away from the 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 driver's pace?

  Fast

  Steady

  Slow

Overall Observations & Comments

• General Observations and Improvement Goals:

• Add drawing

  Drawing

• Evaluating Supervisor/Trainer Signature:

  Sign

• Date:

  Date

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

• Driver's Signature:

  Sign

• Date:

  Date

• Yes

  No

  N/A