Title Page
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Safety Blitz- Transportation
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Conducted on
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Prepared by
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Evaluated by:
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Date/Time
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Driver name:
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Stop location:
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Driver uses 3 point stance when entering/exiting the tractor
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Driver is wearing safety-toed boots with a non-slip sole
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Driver performed a G.O.A.L before backing & utilizes cones during the delivery
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Driver scans the delivery path & looks for any slip/fall hazards
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Proper lifting technique (BLAST) utilized
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B- keeps lower back bowed in
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L- uses legs to lift
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A- abdominal muscles are kept tight during the lift
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S- Lifts product smoothly
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T- Never twists when lifting
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Take a photo of the driver in a related activity
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Evaluator Comments: