Gregorys Route Observation Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date:

  Date

• Address

• Name of Driver

• Name of Offsider if applicable

• Fleet Registration number

• Fleet Unit number

PPE

• PPE & Safety shoes/boots

  Yes

  No

  N/A

• Well groomed

  Yes

  No

  N/A

• Navy blue trousers or shorts

  Yes

  No

  N/A

Vehicle

• Vehicle exterior clean

  Yes

  No

  N/A

• Tray free of rubbish<br>

  Yes

  No

  N/A

• Pre-start vehicle inspection completed<br>

  Yes

  No

  N/A

• No visible vehicle defects which were not listed on pre-start inspection checklist

  Yes

  No

  N/A

• Was vehicle cab and load secure

  Yes

  No

  N/A

• Yes

  No

  N/A

Tools and Equipment

• Vehicle has spill kit

  Yes

  No

  N/A

• Vehicle has first aid kit

  Yes

  No

  N/A

• Payments locked in safe<br><br>

  Yes

  No

  N/A

Safe Behavior's observed

• Three points of contact

  Yes

  No

  N/A

• Steps used to pick stock

  Yes

  No

  N/A

• Correct manual handling

  Yes

  No

  N/A

• Correct use of trolley

  Yes

  No

  N/A

Vehicle on site

• Vehicle parked safely

  Yes

  No

  N/A

• Unload from kerb side

  Yes

  No

  N/A

• Use of safety cones when required

  Yes

  No

  N/A

Safe driving procedure

• Drive safely within speed limits

  Yes

  No

  N/A

• Obey road rules and traffic lights

  Yes

  No

  N/A

• Drive according to the road/traffic conditions

  Yes

  No

  N/A

Driver

• Was driver friendly

  Yes

  No

  N/A

Additional comments made by driver

Additional comments made by the auditor

• Auditor name/signature

  Sign