Title Page
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Date
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Driver Name
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Driver Title
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Terminal Location
- 5123-Annapolis
- 5127-Bel Air
- 5107-Catonsville
- 3348-Central Ave
- 5086-Dundalk
- 4376-Elkridge
- 5247-Falls Rd
- 5170-Timonium
- 5060-Westminster
- 3357-White Marsh
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Vehicle Assigned
Pre-Assessment
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Is all required training and onboarding complete for this driver?
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What is the Driver's risk rating?
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What was the date of the most recent risk change? (Within 12-month period)
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Did the Driver receive documented coaching at the risk change?
- Yes
- No
- N/A
- Needs Improvement
Pre-Assessement
Pre-Trip Inspection
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Pictures of vehicle (All four sides, VIN, odometer, Fire Extinguisher tag)
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Does the driver have their DL and Med Card with them?
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Is the current ERG on the drivers side door?
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Are the following documents in the glove box?
- Emissions Certificate
- Registration
- Annual DOT Inspection
- Insurance Card
- Hazmat Certificate
- Driver MEC
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Is the driver in uniform? (safety boots, hi-vis shirt/vest, pants/shorts)
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Are there any critical items that were not reported on the eDVIR?
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Are there any non-critical items not reported on the eDVIR?
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Are any vehicle supplies missing, need replacing, low on stock?
- Gloves
- Absorbent
- Trash Bags
- Rags
- Absorbent Boom
- Safety Glasses
- Emergency Triangles
- First Aid Kit
- Ratchet Straps (8' Red, 12' Yellow, 16' Grey, 20' Blue)
- Safery Knife
- Hard Hat
- Scoop
- Hand Trucks
- Hi-Visibility Vest
- Fire Extinguisher
- 2020 ERG
- Spray Cleaner (Spray Nine/Simple Green)
- Completely Stocked
Assessment
Personal Safety
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Is the driver using three points of contact when entering and exiting the vehicle?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver using proper PPE when onsite?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver using correct lifting techniques?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver using manual material handling equipment to reduce injury?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
MobileLink Proficiency
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Is the driver using the handheld device correctly to status stops? (Enroute, Arrive, Load/Unload, Complete)
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver using the map function for every stop?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver reviewing time windows so deliveries are not late?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver taking a mininum of three pictures for unattended deliveries?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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If there were "Missed Stops" during ride along, did the driver call the originating store?
Federal Motor Carrier Safety Administration Compliance
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Are BOL's accessible and on top the driver’s clipboard?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Is the driver properly securing cargo?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Do BOL's with Hazmats have an orange label attached on right side?
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Is the driver signing their BOL’s
Driving Behaviors
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Is the driver using the GOAL principle when needed?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Adjusts driving to meet changing conditions?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Slows down in advance for curves, intersections, etc?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Yields right of way for safety?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Signals for lane changes and turns?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Consistently alert and attentive?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
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Maintains good lane control?
- Yes
- No
- Qualified
- Needs Improvement
- Unqualified
- N/A
Post-Trip Inspection
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Are there any critical items that were not reported on the eDVIR?
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Are there any non-critical items not reported on the eDVIR?
End of Day
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Did the Driver file their signed BOL's in the store?
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Did the driver plug in their device in the store?
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Driver Trainer Results
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I have reviewed the above infomation with the driver and have coached him/her in any areas of deficientcy
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Instructor comments
Driver Field
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I have reviewed the above information and understand any areas where improvement is needed.
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Driver comments