TRC Driver Observation

• Site conducted

  Select

• Observation Title

• Observation Number

• Conducted on

  Date

• Employee Observed

• Observer

• Ride Along?

  Yes

  No

• Description of Observation

• Client / Site

• Location
  Address

• Where was Observation Conducted

  Select Freeway Residential Rural Yard/Operations Center Project Site Other

  • Freeway
  • Residential
  • Rural
  • Yard/Operations Center
  • Project Site
  • Other

• Length of Observation

  >15 minutes

  15-30 minutes

  31-60 minutes

  <1 hour

• Vehicle Type

  Passenger Vehicle

  Light Truck

  Heavy Truck

  ATV/UTV

• Hazards

  Select Weather Construction Heavy Traffic School Zones Pedestrians Other

  • Weather
  • Construction
  • Heavy Traffic
  • School Zones
  • Pedestrians
  • Other

Pre/Post Trip Behaviors

• Performs thorough pre/post trip inspection?

  Safe

  At Risk

  N/A

• Conducts 360 degree walk-around inspection?

  Safe

  At Risk

  N/A

• Checks and properly adjusts mirrors?

  Safe

  At Risk

  N/A

• Wears seatbelt when vehicle is in motion?

  Safe

  At Risk

  N/A

Driving Behaviors

• Uses turn signals and performs lane changes properly?

  Safe

  At Risk

  N/A

• Drives at appropriate speed according to conditions?

  Safe

  At Risk

  N/A

• Maintains proper distance from other vehicles?

  Safe

  At Risk

  N/A

• Avoids unnecessary distractions?

  Safe

  At Risk

  N/A

• Maintains proper position in lane?

  Safe

  At Risk

  N/A

• Scans mirrors frequently?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Asks for passenger assistance when necessary?

  Safe

  At Risk

  N/A

Intersection Safety

• Approaches intersection and proceeds with caution?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Yields right of way as appropriate?

  Safe

  At Risk

  N/A

Parking and Project Site Safety

• Observes and avoids obstacles while driving on project site?

  Safe

  At Risk

  N/A

• Uses backing guide/spotter when available?

  Safe

  At Risk

  N/A

• Parks vehicle properly to avoid hazards?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Secures vehicle properly after parking?

  Safe

  At Risk

  N/A

• Employee Signature

  Sign

• Observer Signature

  Sign