Information
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Document No.
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Conducted on
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Prepared by
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Location
Driver Information
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Driver Name
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Route Number
DOT Inspection Book/Log Book
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Driver logged into Samsara ?
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Logged into DSDI?
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Logged into GreenMile
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EDVIR pre trip completed?
Driver Appearance/PPE
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Driver in proper uniform?
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Uniform (no rips/not able to snag).
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Wearing slip resistant shoes with a safety toe?
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Wearing safety gloves?
Driving Habits
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Driver refrains from using a hands free electron device while operating a company vehicle?
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Driver refrains from using personal electronic devices?
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Follows driving a laws and regulations?
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Driver refrains from using phone/texting while driving?
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Maintains appropriate speed?
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Maintains proper lane discipline?
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Maintains appropriate following distance?
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Driver refrains from eating, drinking, smoking. Not distracted
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Courteous to other drivers?
Backing
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Safe backing performed?
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G.O.A.L- Get Out And Look used if necessary?
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Drive announced intentions before backing? Honked Horn?
Product Delivery
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Delivery made within customers delivery window?
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Operates pallet jack safely ( horn, walks to the side)?
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Driver bends at the knees to open the trailer door?
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Driver uses door control and closed the trailer door after taking a pallet off?
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Positions pallet jack to minimize obstruction?
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Shrink wrap or pallet band stowed out of the way to avoid a tripping hazard?
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Milk pallets placed neatly in cooler?
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Credits/ Buybacks issued?
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All empty cases picked up?
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All empty pallets picked up
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Invoices stamped & Signed?
Trailer Appearance
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Product and empties properly staggered in trailer for even weight distribution?
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Load properly secured?
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Pallets stacked safely?
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Pallet jack safely stowed?
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Dock plate picked up and safely stowed
Tractor Appearance
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Tractor cab clean?
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Safety binder in tractor?
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Spill Kit in tractor?
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Fire Extinguisher present and secured?
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Tractor doors are locked while delivery is being made?
Supervisor Signature
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Add signature