Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Employee Observed
PET South O & C
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Was the Employee observed entering the premises wearing their seatbelt?
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Was the Employee oberved using 3 points of contact entering/exiting the vehicle?
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Does the Employee have in his possession a valid copy of their CDL and DOT Med Card?
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Does Employee meet Uniform standards including Safety Shoes?
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Is Employees work area/truck clean and organized?
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Is the Employee using applicable Moove S.M.A.R.T. technique STRETCH?
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Is the Employee using applicable Moove S.M.A.R.T. technique MOOVE?
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Is the Employee using applicable Moove S.M.A.R.T. technique ADJUST?
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Is the Employee using applicable Moove S.M.A.R.T. technique RESIST?
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Is the Employee using applicable Moove S.M.A.R.T. technique TRAIN?
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Does the Employee have any immediate Safety issues/suggestions to be addressed?
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Does the Employee require any follow-up or additional training?
