Driver Information

  • Driver Name

  • Job Title

  • Description

  • Years of Service

  • Primary Job or Cross-Trained Position?

Services Performed

Types of services performed during Ride-Along (check all that apply)

  • Solvent Parts Washers

  • Aqueous Parts Washers

  • Paint Gun Cleaner

  • Dry Cleaning Service

  • Containerized Waste Service

  • Oil Services

  • Vacuum Services

  • Allied Product Sales

  • Sales Calls/Sampling

  • Oil Product Delivery

  • AC, RC, DC Delivery/Pickup

  • Bulk Oil Filters

  • Rail Transfer

Working Performance

Select Satisfactory, Unsatisfactory, or Not Applicable for each question.

  • Wears Eye Protection

  • Issue Statement

  • Corrective Actions

  • Wears Hand Protection

  • Issue Statement

  • Corrective Actions

  • Wears Respiratory Protection

  • Issue Statement

  • Corrective Actions

  • Wears Hearing Protection

  • Issue Statement

  • Corrective Actions

  • Wears Hard Hat

  • Issue Statement

  • Corrective Actions

  • Are proper tools being used for tasks (drum cart, liftgate, drum torque ratchet, etc)

  • Issue Statement

  • Corrective Actions

  • Safe Acts / Behaviors (following BOGs, SOPs, JSAs, etc)

  • Issue Statement

  • Corrective Actions

  • Correct Body Use & Position (Lifting/Pushing/Pulling/Bending)

  • Issue Statement

  • Corrective Actions

  • Vehicle properly stocked with Emergency equipment and appropriate supplies

  • Issue Statement

  • Corrective Actions

  • Following applicable BOGs for service (No short cuts, lack of attention, etc)

  • Issue Statement

  • Corrective Action

Driving Performance

Select Satisfactory, Unsatisfactory, or Not Applicable for each question.

  • Wears seat belt

  • Issue Statement

  • Corrective Actions

  • Maintains safe following distance

  • Issue Statement

  • Corrective Actions

  • Follows proper backing procedures (cone, spotter, etc)

  • Issue Statement

  • Corrective Actions

  • Travels at safe speeds for conditions

  • Issue Statement

  • Corrective Actions

  • Checks mirrors frequently

  • Issue Statement

  • Corrective Actions

  • Use of cell phone or other equipment while driving

  • Issue Statement

  • Corrective Actions

  • Performs pre and post trip vehicle inspections

  • Issue Statement

  • Corrective Actions

  • Has driver's license and medical card on person

  • Issue Statement

  • Corrective Actions

Observation Items

Did the employee meet the following requirements. Select Yes, No, or Not Applicable for each question.

  • Was PPE adequate for tasks being performed?

  • Comment

  • Corrective Action

  • Is the Rep using mechanical advantage when available?

  • Comment

  • Corrective Action

  • Is the Rep using proper lifting and body positioning techniques?

  • Comment

  • Corrective Action

  • Did the Rep back the truck in rather than pull in when possible?

  • Comment

  • Corrective Action

  • Did the Rep use a spotter if backing was necessary?

  • Comment

  • Corrective Action

  • Did the Rep have a properly working 30gal and 55gal drum dolly?

  • Comment

  • Corrective Action

  • Did the Rep have adequate tools on the Route Truck to perform all basic services (impact wrench, spanner wrench, bung wrench, non-sparking tools)?

  • Comment

  • Corrective Action

  • Did the Rep unplug the machine and close the lid when completing the PW service?

  • Comment

  • Corrective Action

  • Did the Rep place a cone at the back of the truck?

  • Comment

  • Corrective Action

  • Was the COMS pump in good working condition with the switch NOT tied in th "ON" position? Is the grounding cable atttached and in good condition

  • Comment

  • Corrective Action

  • Is Rep maintaining a clean and orderly work area? Free of slips, trips, and fall hazards?

  • Comment

  • Corrective Action

  • Are the straps on the truck in good condition?

  • Comment

  • Corrective Action

  • Did the rep properly secure each load before proceeding?

  • Comment

  • Corrective Action

  • Does Rep have proper knowledge and training of all SK equipment, products, and tasks being performed?

  • Comment

  • Corrective Action

  • Are bungee cords being used on truck?

  • Comment

  • Corrective Action

  • Did Rep take time to identify any potential hazards before performing service? START Card?

  • Comment

  • Corrective Action

  • Did the Rep properly inspect and close each drum to ensure shippable condition and to prevent spills or leaks during transport?

  • Comment

  • Corrective Action

  • Did Rep provide the customer with a SDS for the solvent/solution and Operator’s Booklet for the parts washer at the time of placement?

  • Comment

  • Corrective Action

  • Did Rep use 3 points of contact when entering and exiting the vehicle?

  • Comment

  • Corrective Action

  • Did the Rep bring along a Spare Uniform in truck as per PPE Policy?

  • Comment

  • Corrective Action

  • Was a first aid kit available on the truck?

  • Comment

  • Corrective Action

  • Was there an eyewash bottle available? Was it unexpired?

  • Comment

  • Corrective Action

  • Was the spill kit adequately stocked and placed where it could be easily reached?

  • Comment

  • Corrective Action

  • Was the respirator strored properly (clean, rigid container) and accessible?

  • Comment

  • Corrective Action

  • Was the fire extinguisher properly secured? Has it been inspected monthly/annually?

  • Comment

  • Corrective Action

Observation Review

  • Manager Comments

  • Employee Comments:

  • Employee Signature:

  • Select date

  • Areas of Improvement:

  • Positive Comments (What the employee did right):

  • Conclusions (Why questionable actions occurred):

  • Corrective Actions/Follow-up Measures:

  • Observer Signature

  • Select date

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