GCR Tires & Service Field Evaluation

• Teammate Name

• Unit Number

• Conducted on

  Date

• Conducted By

• Customer Name

• Location
  Address

• Type of Equipment Worked on

Description of Inspection

• Are Proper Torquing Procedures being followed

  Yes

  No

  N/A

• Is inspection of studs, lug nuts and wheels being done

  Yes

  No

  N/A

• Safety Cage IN USE or approved restraining device (OTR)

  Yes

  No

  N/A

• Jack stands in use

  Yes

  No

  N/A

• Wheel chocks in use on Service Truck and Vehicle being serviced

  Yes

  No

  N/A

• Proper Air Equipment Being Used

  Yes

  No

  N/A

• Minimum of 6' Whip Hose

  Yes

  No

  N/A

• Proper Air Chuck

  Yes

  No

  N/A

• In-Line Air Gauge

  Yes

  No

  N/A

Personal Protective Equipment

• Safety Glasses or Goggles or Face Shield

  Yes

  No

  N/A

• Hard Hat Being Used

  Yes

  No

  N/A

• Hearing Protection Being Used

  Yes

  No

  N/A

• Safety Vest In Use

  Yes

  No

  N/A

Vehicle Safety and Procedures

• Beacon Lights & Flashers On

  Yes

  No

  N/A

• Triangles In Place

  Yes

  No

  N/A

• Vehicles Being Serviced Tagged Out

  Yes

  No

  N/A

• Was Emergency Brake Set on Service Truck

  Yes

  No

  N/A

• Service Truck Safe Distance from Road

  Safe

  At Risk

  N/A

• Was a Mounted Fire Extinguisher in Place

  Yes

  No

  N/A

• Was Tech Between Vehicles

  Safe

  At Risk

  N/A

Appearance

• Tech in Proper Uniform

  Yes

  No

  N/A

• Overall Work Area Messy

  Clean

  Messy

  N/A

• Service Truck Appearance Professional

  Yes

  No

  N/A

• Pictures of Job Site

  Media

• Corrective Action Plan

• Witness

  Sign

• Team Member

  Sign

• Location Manager

  Sign

• All inspection/performance checklists must be kept in each team member's driver file.