Vehicle Safety Checklist
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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?
Q2:Safety belts?
Q3:Windshield wiper blades and fluid?
Q4:Horn?
Q5:Correctly adjusted headlights?
Q6:Brakes with adequate stopping power?
Q7:Emergency brake?
Q8:Turn/directional signals?
Q9:Good tires with adequate tread and correct pressure?
Q10:Oil and coolant levels?
Q11:Brake lights?
Q12:Taillights?
Q13:License plate light?
Q14:Tight muffler system?
Q15:Properly serviced fire extinguisher?
Q16:Intact windshield, with on cracks?
Q17:Is all seating in the vehicle secured to the frame?
Q18:Is there an Automobile Liability ID Card located in the glove compartment or elsewhere in the vehicle?
Q19:Are appropriate notices posted in each vehicle as a reminder that all employees and their passengers are required to wear seat belts?
Q20:Have all employees been instructed on safe backing practices?
Q21:Have employees been informed of what actions to take in the event they are involved in a vehicle accident?
Q22:Have employees been informed of appropriate safety guidelines when hauling loads?
Q23:Vehicle Number:
Q24:Date:
Q25:Employee Signature:
Q26:Supervisor's Signature:
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