Title Page
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Conducted on
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Prepared by
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Location
Information/Inspection
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Company Name
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Date
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Time
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Driver Name
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Vehicle Number
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Duration of Evaluation
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Weather Conditions
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Road Conditions
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Traffic Conditions
Equipment Conditions
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Pre-trip inspection conducted.
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Post-trip inspection conducted.
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Drove with lights on.
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Used restraint system.
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Preventive maintenance current.
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Comments:
Driving Habits
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Adhered to posted speed limits.
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Drove at proper speed for weather and road conditions.
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Followed at safe distances.
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Proper passing procedures.
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Yielded right-of-way.
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Obeyed traffic signals and signs.
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Used proper turning and backing procedures.
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Checked and adjusted mirrors prior to departure.
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Used proper parking and dock procedure.
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Was aware of other vehicles.
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Courteous driving behaviors exhibited.
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Used proper preparation for changing road conditions or situations.
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Comments
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Completed by:
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Date: