Title Page
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Site conducted
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Conducted on
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Prepared by
Untitled Page
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DATE & TIME
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LOCATION
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TRUCK #
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DRIVER
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HOPPER
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HOPPER
GENERAL
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Vehicle Cleanliness, Maintenance, Issues Etc
SAFETY
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Safety Devices, PPE, Uniform, Vest, Seatbelt use Etc
COLLECTION & DISPOSAL
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Keeps a safe distance, loose waste cleanup, mount & dismount techniques, lifting, can placement, customer interaction, helpers assist w/ backing & driving, handling passing cars Etc
DRIVING
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Use correct speeds, situational awareness, use of mirrors, maintains spacing around vehicle, stops at signs, use 4-sec following rule, use of turn signals, lights, horns, flashers to communicate
RESULTS
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ALL NON-COMPLIANT SCORES SHALL RESULT IN EMPLOYEE COACHING FOLLOWING THE OBSERVATION
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INSPECTOR COMMENTS (INCLUDING NOTES FROM ANY COACHING)
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INSPECTOR SIGNATURE
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EMPLOYEE SIGNATURE IF COACHED
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EMPLOYEE SIGNATURE IF COACHED