Harbor-Driver-Independent Inspection rev 2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Workgroup

• Function

• Business Unit

• Number of Employees

General

• 1. Do they perform their circle for safety

  Yes

  No

  N/A

• 2. Broken (non-working) lights-inspect and repair any lights not working

  Yes

  No

  N/A

• 3, Worn/Flat tires-inspect and replace tires as needed

  Yes

  No

  N/A

• 4. Bad Wipers-Replace worn blades

  Yes

  No

  N/A

• 5. Cracked Windshield-Inspect and replace as needed

  Yes

  No

  N/A

• 6. Unsecured load-inspect and adjust-tie all material down

  Yes

  No

  N/A

• 7. Obstructions-look around for hazards. Clean windows and mirrors

  Yes

  No

  N/A

• 8. Slipping or falling-Use 3 points of contact for entering and leaving vehicle

  Yes

  No

  N/A

• 9. Did the vehicle pass inspection today (no broken items or defects)?

  Yes

  No

  N/A

• 10. Complete DOT pre-trip checklist and associated forms for all DOT vehicles and trailers

  Yes

  No

  N/A

Smith Driving

• 11. Did the employee use the information from Smith Driving (5 keys)?

  Yes

  No

  N/A

• 12. Aim high in steering

  Yes

  No

  N/A

• 13. Get the big picture

  Yes

  No

  N/A

• 14. Keep your eyes moving

  Yes

  No

  N/A

• 15. Leave yourself an out

  Yes

  No

  N/A

• 16. Make sure they see you

  Yes

  No

  N/A

General Continued

• 17. Yielded appropriately in traffic as well as with pedestrians

  Yes

  No

  N/A

• 18. Are they scanning their mirrors

  Yes

  No

  N/A

• 19. Are the mirrors properly aligned

  Yes

  No

  N/A

• 20. How is their following distance

  Yes

  No

  N/A

• 21. When stopping at a red light are they leaving space in front of them (length of their vehicle)

  Yes

  No

  N/A

• 22. Are they properly parking the vehicle (with traffic, using cones, etc.)

  Yes

  No

  N/A

• 23. Seatbelts always in use

  Yes

  No

  N/A

• 24. Utilized a hands free device

  Yes

  No

  N/A

• 25. Kept vehicle in center of lane

  Yes

  No

  N/A

• 26. Minimized lane changes

  Yes

  No

  N/A

• 27. Turned from/into proper lane

  Yes

  No

  N/A

• 28. Remained focused on driving (not eating, moving paperwork, mobile data unit closed, etc.)

  Yes

  No

  N/A

• 29. Proper use of turn signals

  Yes

  No

  N/A

• 30. Turned on headlights

  Yes

  No

  N/A

• 31. Used flashers when appropriate

  Yes

  No

  N/A

• 32. Traveled at or below posted speed limits (dictated by weather/road conditions)

  Yes

  No

  N/A

• 33. Traffic/Construction-Avoid areas of known construction if possible, use alternate route if needed

  Yes

  No

  N/A

• 34. Avoided backing whenever possible

  Yes

  No

  N/A

• 35. Used a spotter when backing was necessary

  Yes

  No

  N/A

• 36. Removed key when parked

  Yes

  No

  N/A

• 37. Complete DOT post-trip checklist and any associated forms for all DOT vehicles and trailers

  Yes

  No

  N/A

• Comments

• Additional Comments

• Signature

  Sign