Title Page

  • Name

  • Date and Time

  • Document Number

  • Take pictures (carrier name & net connection)

  • Is the driver wearing all required PPE?

  • Is the driver using the safety system?<br>

  • If the driver was not using the trailer safety nets (when they install them) after being told they must use them

  • Description (note driver name, load #, and briefly describe the encounter)

Confirmation

  • Add 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.