TSR Road Report Form

• Route number:

• Stops audited

• Conducted on

  Date

• Prepared by

Route information

• Driver Name:

• Route #

Vehicle information

• Truck #

• Trailer #

• Is the registration book current with all necessary paperwork?

  Yes

  No

  N/A

• If No provide what is missing or out of date

• Current IFTA sticker?

• Add any photos for notes

  Media

• Tractor clean?

  Yes

  No

  N/A

• Date of last inspection on the tractor

• Trailer clean?

  Yes

  No

  N/A

• Date of last inspection on the trailer?

• Is the load secure upon arrival and again at departure?

  Yes

  No

  N/A

• Lift gate functioning properly

  Yes

  No

  N/A

• Did the driver certify the previous driver post trip inspection?

  Yes

  No

  N/A

• Add media

  Media

Drivers logs and Hours of Service

• Is the driver logged into Peoplenet?

  Yes

  No

  N/A

• Is the driver able to show you hours available remaining for the day?

  Yes

  No

  N/A

• Can the driver explain the following accurately?<br>Mandatory lunch break is when?<br>How many hours per day on duty<br>How many driving per day?<br>How much time off in between duty periods?

  Yes

  No

  N/A

• EDVIR's filled out and current to driver?

  Yes

  No

  N/A

Driver

• How are the drivers driving habits?

  Safe

  At Risk

  N/A

• Driver takes good care of delivery equipment

  Yes

  No

  N/A

• Is the driver in issued uniform?

  Yes

  No

  N/A

• Is the driver's delivery paperwork current and up to date?

  Yes

  No

  N/A

• Add any photos for notes

  Media

Delivery

• Is the driver parked in an acceptable location

  Yes

  No

  N/A

• Add any photos for notes

  Media

• Drivers' work habits? <br>Utilizes safety equipment <br>

  Safe

  At Risk

  N/A

• Vehicle flashers being used during delivery?

• Safety Cones being used?

• Safety flap on liftgate being used?

• Accuracy with delivery <br>Is the driver checking in product at the pallet prior to entering store?<br><br>

  Yes

  No

  N/A

• Is the driver using driver pick tickets for all areas of picking

  Yes

  No

  N/A

• Does the driver display adequate product knowledge?

  Yes

  No

  N/A

• Is the temp controlled product placed in proper locations at delivery?

  Yes

  No

  N/A

• Does the driver follow the correct route sequence?

  Yes

  No

  N/A

• Did the driver go over the delivery with the customer?

  Yes

  No

  N/A

• Customer Available

• Customer Not Available

• Key Drop

• Are pallets being left at stops?

  Yes

  No

  N/A

• Are milk crates being picked up by driver?

  Yes

  No

  N/A

• Was the driver using proper customer service?

  Yes

  No

  N/A

• Add any photos for notes

  Media

Load

• Is there proper equipment with the load to secure load?

  Yes

  No

  N/A

• Did the driver ensure proper load securing at pre-trip?

  Yes

  No

  N/A

• Does the driver continue load securing through the deliveries

  Yes

  No

  N/A

• Is the load neat and organized and follow the route map provided?

  Yes

  No

  N/A

• Add any photos for notes

  Media

• Driver signature

  Sign

• Supervisor conducting report

  Sign

• Supervisor Notes