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t__ ADMIN-602 ADMIN-603 DAILY VEHICLE CHECKLIST Page 4 of 131 ASSESSMENT CARD JOURNEY HAZARDPage 4 of 931 Rev. April 2006 Rev. 1 April 2006 �ts�l'lltLK St&ntLK Employee Name: RegionlBuslness Unit: STOPI THINKI GOI Date: Time: Vehicle Color: Date Vehicle Make/Model: Vehicle License Plate Number: Name Job: Job#: #of Miles 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 ❑ 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 ❑ ❑ 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?) ❑ ❑ How can I ensure that I have a safe journey? (Do they need replacement? Check all light systems — brake, head, back-up, running, ❑ ❑ THINK turn signals,emergency flashers 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 toolboxes that you may need to access) ❑ I ❑ THINK Check Gauges on Dashboard: OK NOT OK Have I done a vehicle walk around and ensured that the vehicle Fuel Level ❑ Is safe and ready for travel? ❑ Yes ❑ No Oil light ❑ ❑ Engine Coolant Temperature Gauge ❑ ❑ ELEMENTS OF THE DRIVING STANDARD Service Indicator Lights ❑ ❑ Battery Char a Indicator ❑ ❑ Has vehicle been inspected? ❑ Yes ❑ No Inside Vehicle: OK NOT OK 0 Will passengers be transported? ❑ Yes ❑ No Make sure seatbelts are present for all who will be riding in El El L3• Has cargo been secured? Ll Yes ❑ No the vehicle Driver's License is current? ❑ Yes No Secure all cargo in the vehicle so that items will not become E) El Appropriately rested and alert? L3 Yes L3 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 ❑ ❑ a Seatbelts are in working order? ❑ Yes ❑ No Adjust temperature controls,vents,radio,etc. ❑ ❑ 0 Medically fit for driving? ❑ Yes ❑ No Notify the vehicle manager or rental company if you feet that any deficiencies are unsafe and DO NOT drive the vehicle! HAVE A SAFE TRIPI Signature: DRIVING IS RISKY ANTEC BUSINESS Corporation Attachment 6 i 1