Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
Driver name
DOT inspection book/log book
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Log book complete/XRS current?
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DVIR complete and up to date?
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Cab box contains all required items?
Driver Appearance/PPE
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Uniform (no rips/not able to snag).
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Driver refrains from using personal electronic devices?
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Wearing steel toe shoes?
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Stretches at or before first stop?
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Wearing gloves?
Driving habits
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Follows driving a laws and regulations?
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Driver refrains from using phone/texting while driving?
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Maintains appropriate speed?
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Maintains proper lane discipline?
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Maintains appropriate following distance?
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Driver refrains from eating, drinking, smoking. Not distracted
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Courteous to other drivers?
Parking habits
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Selects parking to ensure no backing?
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Parks in designated parking area away from disabled bay?
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Uses traffic safety cone?
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Truck locked / bay doors down/ rear door down?
Lift gate safety
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Mounts/dismounts lift gate safely?
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Uses safety flap?
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Driver does not overload the liftgate?
Hand truck/Pallet jack safety
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Operates pallet jack safely ( horn, walks to the side)?
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Positions pallet jack to minimize obstruction?
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Shrink wrap stowed?
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Ensures no pallet damages( no wooden splinters)
Product delivery
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Safely maneuvers carts/break downs/u boats?
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Down stacks to minimize obstruction?
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Uses safe lifting techniques/Save A Back principles?
Hand truck use
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Safely scoops stacks?
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Clears path to cooler and inside cooler before moving items?
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Safe keg handling
Truck appearance
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Cab and trailer clean
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Pallets stacked on their sides?
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Equipment safely stowed?
Driver comments
Supervisor signature
Supervisor notes
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Add signature
Driver signature
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Add signature