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r r r r r r r r r r r r r r r r r r r <br /> ADMIN-602 <br /> ?'. ADMIN-603 <br /> 40 <br /> DAILY VEHICLE CHECKLIST Page 3 of 131 m JOURNEY HAZARD Page 3 of 131 <br /> Rev. i April 2006 ASSESSMENT CARD <br /> 511t�E S Rev, 1 April 2p06 <br /> Employee Name: RegionlBuslness Unit: STOPI THINKI GOI <br /> Date: Time: Vehicle Color: <br /> Vehicle Make/Model: Vehicle License Plate Number: Name Date <br /> Job: Job M #of Miles Driven STOP <br /> Job: Job M #of Miles Driven <br /> Job: Job M #of Miles Driven Do 1 need to make this journey? <br /> Vehicle Mileage Stop E] Stantec Vehicle L3 Yes L3 No <br /> Vehicle Mileage Stop ❑ Rental Vehicle <br /> Total Miles Driven ❑ Personal Vehicle STOP <br /> Where am I traveling? <br /> Perimeter Walk Around: OK NOT OK How long will 1 be driving? <br /> Check for signs of vandalism, negligence, damage or <br /> unusual conditions ❑ ❑ And do 1 have an ETA with a contact person?Check all tires for excessive and unusual wear and proper Have I communicated area hazards and safest mode of transport? <br /> inflation—include the spare tire if it is easilyEl Elaccessible THINK <br /> Check under vehicle for signs of leakingfluids ❑ ❑ <br /> Check wiper blades(Do they work?) <br /> (Do they need replacement?) ❑ ❑ How can I ensure that I have a safe journey? <br /> Check all light systems — brake, head, back-up, running, <br /> turn signals,emergency flashers ❑ ❑ THINK <br /> Check to make sure doors, truck/toolbox lids, tailgates all <br /> open and close properly (Make sure you have keys to any Am I well rested an alert for the journey? ❑ Yes ❑ No <br /> toolboxes that you may need to access) ❑ 1 ❑ <br /> Check Gauges an Dashboard: OK NOT OK THINK <br /> Fuel Level ❑ El Have f done a vehicle walk around and ensured that the vehicle <br /> Oil light ❑ ❑ is safe and ready for travel? ❑ Yes ❑ No <br /> Engine Coolant Temperature Gauge ❑ ❑ <br /> Service Indicator Lights ❑ ❑ ELEMENTS OF THE DRIVING STANDARD <br /> Battery Charge Indicator C❑ ❑ <br /> • Has vehicle been inspected? ❑ Yes ❑ No <br /> Inside Vehicle: OK NOT OK 0 Will passengers be transported? ❑ Yes ❑ No <br /> Make sure seatbelts are present for all who will be riding in ❑ ❑ Has cargo been secured? E3 Yes Ll No <br /> the vehicle • Driver's License is current? ❑ Yes EJ No <br /> Secure all cargo in the vehicle so that items will not become ❑ El Appropriately rested and alert? L3 Yes ❑ No <br /> projectiles in the event of sudden sto s or collisions <br /> Adjust the seat position,rearview and side mirrors ❑ ❑ 0Journey risks have been identified? ❑ Yes ❑ No <br /> Adjust temperature controls,vents, radio,etc. I ❑ I ❑ • Seatbelts are in working order? ❑ Yes ❑ No <br /> Notify the vehicle manager or rental company if you feel that any deficiencies are unsafe Medically fit for driving? ❑ Yes ❑ No <br /> and DO NOT drive the vehicle! <br /> Signature: HAVE A SAFE TRIPI <br /> DRIVING IS RISKY BUSINESSI <br /> STANTEC Consulting Corporation <br /> Attachment 6 <br />