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  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • G-Number

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  • Was the driver free from distractions such as cell phone, smoking or eating?

  • Did the driver come to a complete stop?

  • Did the driver count 1, 2, 3 before starting up?

  • Did the driver look Left, Right, Left before passing through the intersection?

  • If stopped behind another vehicle, was there 1 vehicle length of space?

  • Did the driver use the appropriate turn signal?

  • Was everyone wearing their seatbelt?

  • Was the dash free from "dash trash"?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.