Title Page

  • Date

  • Driver Name

  • Driver Title

  • Terminal Location

  • Vehicle Assigned

Pre-Assessment

  • Is all required training and onboarding complete for this driver?

  • What is the Driver's risk rating?

  • What was the date of the most recent risk change? (Within 12-month period)

  • Did the Driver receive documented coaching at the risk change?

Pre-Assessement

Pre-Trip Inspection

  • Pictures of vehicle (All four sides, VIN, odometer, Fire Extinguisher tag)

  • Does the driver have their DL and Med Card with them?

  • Is the current ERG on the drivers side door?

  • Are the following documents in the glove box?

  • Is the driver in uniform? (safety boots, hi-vis shirt/vest, pants/shorts)

  • Are there any critical items that were not reported on the eDVIR?

  • Are there any non-critical items not reported on the eDVIR?

  • Are any vehicle supplies missing, need replacing, low on stock?

Assessment

Personal Safety

  • Is the driver using three points of contact when entering and exiting the vehicle?

  • Is the driver using proper PPE when onsite?

  • Is the driver using correct lifting techniques?

  • Is the driver using manual material handling equipment to reduce injury?

MobileLink Proficiency

  • Is the driver using the handheld device correctly to status stops? (Enroute, Arrive, Load/Unload, Complete)

  • Is the driver using the map function for every stop?

  • Is the driver reviewing time windows so deliveries are not late?

  • Is the driver taking a mininum of three pictures for unattended deliveries?

  • If there were "Missed Stops" during ride along, did the driver call the originating store?

Federal Motor Carrier Safety Administration Compliance

  • Are BOL's accessible and on top the driver’s clipboard?

  • Is the driver properly securing cargo?

  • Do BOL's with Hazmats have an orange label attached on right side?

  • Is the driver signing their BOL’s

Driving Behaviors

  • Is the driver using the GOAL principle when needed?

  • Adjusts driving to meet changing conditions?

  • Slows down in advance for curves, intersections, etc?

  • Yields right of way for safety?

  • Signals for lane changes and turns?

  • Consistently alert and attentive?

  • Maintains good lane control?

Vehicle Security/Idling

  • When the vehicle is unattended, is the Driver turning off the engine and removing keys and mobile device?

Post-Trip Inspection

  • Are there any critical items that were not reported on the eDVIR?

  • Are there any non-critical items not reported on the eDVIR?

End of Day

  • Did the Driver file their signed BOL's in the store?

  • Did the driver plug in their device in the store?

Driver Trainer Results

  • I have reviewed the above infomation with the driver and have coached him/her in any areas of deficientcy

  • Instructor comments

Driver Field

  • I have reviewed the above information and understand any areas where improvement is needed.

  • Driver comments

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.