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_. ADMIN-602 �'�°"' ADMIN-603 d RD JOURNEY HAZARD Page 2 of 131 �.°�' Page 2 of 131 DAILY VEHICLE CHECKLIST ASSESSMENT CARD Rev. 1 April 2006 ----'� 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 Mites Driven STOP 'Job: Job#: #of Miles Driven Job: Job#: #of Miles Driven Do I need to make this journey? O Yes ❑ No Vehicle Mileage Stop ❑ Stantec Vehicle Vehicle Mileage Stop ❑Rental Vehicle - STOP Total Miles Driven ❑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"orEl 1:1 - And do I have an ETA with a contact person? .g unusual conditions Have I communicated area hazards and safest mode of transport? Check all tires for excessive and unusual wear and proper ❑ ❑" ." inflation=include the spare tire if it is easilyaccessible THINK Check under vehicle for signs of leaking fluids ❑ ❑ " Check wiper blades(Do they work?) ❑ ❑ How can I ensure that I have a safe journey? Do they need replacement?) Check all light systems — brake, head, back-up, running, ElTHINK turn signals,emergency flashers El - Check to make sure'doors, truck/toolbox lids, tailgates"all Am I well rested an alert for the journey? ❑ Yes ❑ No open and close properly(Make sure you have keys to any R toolboxes that you may need to access) ❑ ❑ THINK Check Gauges on Dashboard: OK NOT OK Fuel Level --- El El Have I done a vehicle walk around and ensured that the vehicle Oil light �, ❑ ❑ is safe and ready for travel? ❑ Yes . 0 No Engine.Coolant Tem erature Gau e ❑ ❑ Service Indicator Lights ❑ ❑ ELEMENTS OF THE DRIVING STANDARD Battery Charge Indicator ❑ ❑ a Has vehicle been inspected? ❑ Yes ❑ No Inside Vehicle: OK NOT OK a Will passengers be transported? ❑ Yes ❑ No Make sure seatbelts are present for all who will be riding in tr El E) a Has cargo been secured? ❑ Yes ❑ No the vehicle a Driver's License is current? ❑ Yes ❑ No Secure all cargo in the vehicle so that items will not become ❑ a Appropriately rested and alert? ❑ Yes ❑ No projectiles in the event of sudden stops or collisions a Journey risks have been identified? ❑ Yes ❑ No Adjust the seat position,rearview and side mirrors ❑ ❑ a Seatbelts are in working order? ❑ Yes ❑ No Adjust temperature coritrois,vents,radio,etc. ❑ I ❑ 1 a 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! HAVE A SAFE 7RIPI Signature: DRIVING IS RISKY BUSINESS! f STANTEC Consulting Corporation Attachment 6