Information

  • Site conducted

  • Observation Title

  • Observation Number

  • Conducted on

  • Employee Observed

  • Observer

  • Ride Along?

  • Description of Observation

  • Client / Site

  • Location
  • Where was Observation Conducted

  • Length of Observation

  • Vehicle Type

  • Hazards

Pre/Post Trip Behaviors

  • Performs thorough pre/post trip inspection?

  • Conducts 360 degree walk-around inspection?

  • Checks and properly adjusts mirrors?

  • Wears seatbelt when vehicle is in motion?

Driving Behaviors

  • Uses turn signals and performs lane changes properly?

  • Drives at appropriate speed according to conditions?

  • Maintains proper distance from other vehicles?

  • Avoids unnecessary distractions?

  • Maintains proper position in lane?

  • Scans mirrors frequently?

  • Uses headlights, tail lights, wipers, and vehicle flashers when appropriate?

  • Asks for passenger assistance when necessary?

Intersection Safety

  • Approaches intersection and proceeds with caution?

  • Leaves a minimum of one car length between vehicles when stopped at intersections?

  • Performs a complete stop at all stop lights and stop signs?

  • Yields right of way as appropriate?

Parking and Project Site Safety

  • Observes and avoids obstacles while driving on project site?

  • Uses backing guide/spotter when available?

  • Parks vehicle properly to avoid hazards?

  • Follows first move forward principles by backing in or pulling through to park when possible?

  • Secures vehicle properly after parking?

  • Employee Signature

  • Observer Signature

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.