Harbor - ADSI Driving Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ADSI Utility Safety Inspection 2016

• Type of Inspection

  Select Driving Field

  • Driving
  • Field

• Workgroup

  Distribution

  Transmission

  Substation

  Clean up

  Street Light

• Department number

• Number of Employees

Observer Inspection

• 1. Has the employee taken a defensive driving course?

  Yes

  No

  N/A

• 2. Did the Employee perform a pre-trip inspection and 360 walk-around?

  Yes

  No

  N/A

• 3. Are all loads properly secured and weight limits checked and observed?

  Yes

  No

  N/A

• 4. Did the employee plan the route to travel, if possible?

  Yes

  No

  N/A

• 5. Did the employee check seat and mirror adjustment?

  Yes

  No

  N/A

• 6. Did the employee fasten their seat belt before shifting into gear?

  Yes

  No

  N/A

• 7. Did the employee check the flow of traffic, give a signal, and wait for a suitable gap to merge into traffic?

  Yes

  No

  N/A

• 8. Does the employee use 2 hands while driving and maintain control of the steering wheel?

  Yes

  No

  N/A

• 9. Does the employee avoid distractions? No phone usage, eating, or drinking while driving?

  Yes

  No

  N/A

• 10. Does the employee drive at or below the posted speed limit?

  Yes

  No

  N/A

• 11. Does the employee maintain a gap of at least four seconds when following another vechicle?

  Yes

  No

  N/A

• 12. Does the employee tap breaks, slow down and move over, if possible, when being followed to closely or tailgated?

  Yes

  No

  N/A

• 13. Does the employee decrease speed well in advance of intersection?

  Yes

  No

  N/A

• 14. Does the employee reduce speed, increase following distance, and use wipers and headlights during inclement weather?

  Yes

  No

  N/A

• 15. Does the employee frequently check mirrors and frequently observe vehicles in adjacent lanes? (Every 5-8 seconds)

  Yes

  No

  N/A

• 16. Does the employee look 1/2 mile or 1.5 city blocks ahead?

  Yes

  No

  N/A

• 17. When passing does the employee signal when pulling out and back in and do they allow sufficient distance to clear the passed vechicle? (2 second gap)

  Yes

  No

  N/A

• 18. Does the employee check adjacent lanes for traffic before changing lanes?

  Yes

  No

  N/A

• 19. Does the employee stop at crosswalk lines and intersection stop lines?

  Yes

  No

  N/A

• 20. Does the employee reduce speed when pedestrians approach the roadway and yield right-of-way to pedestrians?

  Yes

  No

  N/A

• 21. Does the employee travel below posted speed limit and keep eyes moving when in residential areas or near parks or schools?

  Yes

  No

  N/A

• 22. Does the employee check the mirrors before applying the breaks?

  Yes

  No

  N/A

• 23. Does the employee reduce speed when approaching vision-obstructed intersections?

  Yes

  No

  N/A

• 24. Does the employee look left, right, left, and yield to cross traffic at intersections?

  Yes

  No

  N/A

• 25. Does the employee observe all traffic signals and signs? ( Comes to a complete stop at stop signs and red lights before turning right.)

  Yes

  No

  N/A

• 26. Does the employee slow down gradually when stopping?

  Yes

  No

  N/A

• 27. When stopped at stop sign or red light, does the employee leave at least one vehicle length between the vehicles?

  Yes

  No

  N/A

• 28. Does the employee turn from and maintain the proper lane while turning?

  Yes

  No

  N/A

• 29. When turning does the employee signal well in advance (100 feet)?

  Yes

  No

  N/A

• 30. When parking, does the employee avoid backing when possible?

  Yes

  No

  N/A

• 31. Did the employee turn the front wheels to the curb and set the parking brake ?

  Yes

  No

  N/A

• 32. Did the employee back slowly and use a spotter or single point backing when a spotter is not available?

  Yes

  No

  N/A

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