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[ t r [ C IC [ [ r r [ r t r [ [ [ r ADMIN-602 ADMIN-603 DAILY VEHICLE CHECKLIST Page 1 of 131 oc�� JOURNEY HAZARD Page 1 of 131 - ASSESSMENT CARD Sta11tec 7�ev.1 April 2006 S� teC Rev. 1 April 2006 Employee Name: Region/Business Unit: STOPI THINKI GOI Date: Time: Vehicle Color: Vehicle Make/Model: Vehicle License Plate Number: Name Date Job: Job#: #of Mlles Driven STOP Job: Job#: #of Miles Driven Job: Job#: #of Miles Driven Do I need to make this journey? ❑ Yes ❑ No Vehicle Mileage Stop ❑Stantec Vehicle Vehicle Mileage Stop ❑ Rental Vehicle STOP Total Miles Driven El Personal Vehicle Where am I traveling? Perimeter Walk Around: OK NOT OK How long will I be driving? Check for signs of vandalism, negligence, damage or ❑ ❑ And do I have an ETA with a contact person? unusual conditions Have i communicated area hazards and safest mode of transport? Check all tires for excessive and unusual wear and proper ❑ L1 inflation—include the spare tire if it is easily accessible THINK Check under vehicle for signs of leaking fluids ❑ ❑ Check wiper blades(Do they work?) (Do they need replacement?) L1 ElHow can I ensure that I have a safe journey? Check all light systems — brake, head, back-up, running, El ❑ THINK turn signals,emergency flashers Check to make sure doors, truck/toolbox lids, tailgates all Am I well rested an alert for the journey?open and dose properly (Make sure you have keys to any ! Y ❑ Yes ❑ No toolboxes that you may need to access) ❑ ❑ THINK Check Gauges on Dashboard: OK NOT OK Fuel Level L] ❑ Have I done a vehicle walk around and ensured that the vehicle Oil light ❑ ❑ is safe and ready for travel? ❑ Yes ❑ No Engine Coolant Temperature Gauge ❑ ❑ Service Indicator Lights ❑ ❑ ELEMENTS OF THE DRIVING STANDARD Battery Charge Indicator ❑ ❑ • Has vehicle been inspected? ❑ Yes ❑ No Inside Vehicle: OK NOT OK • Will passengers be transported? ❑ Yes ❑ No Make sure seatbelts are present for all who will be riding in • Has cargo been secured? El Yes ❑ No the vehicle El E] Driver's License is current? ❑ Yes ❑ No Secure all cargo in the vehicle so that items will not becomeEl ❑ . Appropriately rested and alert? 13Yes ❑ No projectiles in the event of sudden stops or collisions . Journey risks have been identified? ❑ Yes ❑ No Adjust the seat position, rearview and side mirrors ❑ ElSeatbelts are in working order? LJYes L3No Adjust temperature controls,vents, radio,etc. ❑ ❑ Medically fit for driving? ❑ Yes ❑ No Notify the vehicle manager or rental company if you feel that any deficiencies are unsafe and DO NOT drive the vehicle! Signature: HAVE A SAFE TRIPI DRIVING IS RISKY BUSINESSI STANTEC Consulting Corporation Attachment 6