Information
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Audit Title
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Format: Last name, first name
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Location
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Conducted on
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Prepared by
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Personnel
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Business Unit
- AR Jurisdiction
- Business Development Services
- Customer Operations Support
- LA Jurisdiction
- MS Jurisdiction
- NO Jurisdiction
- Regulatory Services
- TX Jurisdiction
- Transmission
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Function/Entity
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Workgroup
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Job Title
Accountability
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1a. When was the last time you were coached from a member of management on safety?
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1b. Can you describe the situation and did you consider it to be an effective coaching moment?
Safety Commitment
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2a. On a scale of 1-10, with 10 being the best, how committed are you to safety?
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2b. On a scale of 1-10, with 10 being the best, how committed is your leadership to safety?
Human Performance
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3a. On a scale of 1-10, with 10 being the best, how effective do you consider Human Performance to be?
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3b. On a scale of 1-10, with 10 being very often, 5 being sometimes, and 1 being never, how often do you use Human Performance?
Conservative Decision Making
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4a. Prior to making a decision, do you think Likelihood or Consequences?
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4b. What factors do you consider when making a decision?
Vehicle Inspection
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1. Did they perform their Circle of Safety?<br> <br>
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2. Are all lights functioning?
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3. Are tires in good condition and all valve stem covers in place?
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4. Are the wipers in good working condition?
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5. Is the windshield free of cracks or chips that would potentially obstruct the driver's field of vision?
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6. Are all loads in the truck bed secure?
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7. Does the driver have an unobstructed view out of the windows and mirrors?
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8. Is the employee using 3 points of contact when entering or exiting the vehicle?
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9. Did the vehicle pass inspection today?
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10. Has the DOT pre-trip checklist and all associated forms for DOT vehicles and trailers been completed?
Smith Driving Keys
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11. Did the employee use the five Smith Driving Keys?
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12. Aim High In Steering
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13. Get the Big Picture
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14. Keep Your Eyes Moving
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15. Leave Yourself An Out
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16. Make Sure They See You
General Driving Questions
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17. Did they yield appropriately in traffic as well as yield to pedestrians?
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18. Did they scan their mirrors?
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19. Are the mirrors properly aligned?
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20. Did they follow vehicles at a safe and appropriate distance?
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21. Did they leave enough space (length of a vehicle) in front of them when stopping at a red light?
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22. Did they properly park the vehicle (with the flow of traffic, cones as needed, etc)?
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23. Were seat belts in place before leaving and constantly used?
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24. Did they utilize a hands-free device for communication?
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25. Did they maintain their vehicle in the center of the lane?
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26. Were their lane changes minimized?
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27. While turning, did they maintain their proper lane?
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28. Did they remain focused while driving (not eating, doing paperwork, etc)?
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29. Did they use proper turn signals?
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30. Were headlights always on?
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31. Did they use flashers when appropriate?
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32. Did they travel at or below posted speed limits (per weather, driving conditions)?
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33. Did they avoid known areas of construction to avoid traffic congestion/use alternate route?
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34. Did they avoid backing up whenever possible?
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35. If the driver's view was obstructed, was a spotter used to back up the vehicle?
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36. Did they remove the key when parked?
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37. Did they complete the DOT post-trip checklist and any forms associated with DOT vehicles and trailers?
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Comments