The following checklist is intended to assist employees who drive for a living in determining the safety of the vehicle within his/her operation. Any"no"answer should be cause for concern and corrective action. Prior to each out-of-town trip and at least once a week. Drivers should complete the following checklist.Are all department vehicles subject to State licensing requirements equipped with the following items in good operating condition:
Q1:Adequate rearview mirrors?
YES
NO
Q3:Windshield wiper blades and fluid?
YES
NO
Q5:Correctly adjusted headlights?
YES
NO
Q6:Brakes with adequate stopping power?
YES
NO
Q8:Turn/directional signals?
YES
NO
Q9:Good tires with adequate tread and correct pressure?
YES
NO
Q10:Oil and coolant levels?
YES
NO
Q14:Tight muffler system?
YES
NO
Q15:Properly serviced fire extinguisher?
YES
NO
Q16:Intact windshield, with on cracks?
YES
NO
Q17:Is all seating in the vehicle secured to the frame?
YES
NO
Q18:Is there an Automobile Liability ID Card located in the glove compartment or elsewhere in the vehicle?
YES
NO
Q19:Are appropriate notices posted in each vehicle as a reminder that all employees and their passengers are required to wear seat belts?
YES
NO
Q20:Have all employees been instructed on safe backing practices?
YES
NO
Q21:Have employees been informed of what actions to take in the event they are involved in a vehicle accident?
YES
NO
Q22:Have employees been informed of appropriate safety guidelines when hauling loads?
YES
NO
Q26:Supervisor's Signature:
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