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ADMIN-602ADMIN-603 DAILY VEHICLE CHECKLIST Page 6 of 131 JOURNEY HAZARD Page 6 of 131 -ASSESSMENT CARD Rev. 1 April 2008 � Rev. 1�April ante ....Stant Employee Name: Region/Business 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? L3Yes 13No Vehicle Mileage Stop ❑ Stantec Vehicle Vehicle Mileage Stop ❑ Rental Vehicle F 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 El ❑ 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 easil accessible El ❑ THINK Check under vehicle for signs of leaking fluids ❑ ❑ Check wiper blades(Do they work?) ❑ ❑ How can I ensure that 1 have a safe journey? Do they need replacement?) Check all light systems brake, head, back-up, sunning, ❑ ElTHINK 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) ❑ ❑ THINK Check Gauges on Dashboard: OK NOT,OK Fuel Level _ ❑ El is I'done a vehicle walk around and ensured that the vehicle Oil lighte. ❑ ❑ is safe and ready for travel? ❑ Yes E3No 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? - ❑ Yes ❑ No the vehicle L] E] • Driver's License is current? ❑ Yes ❑ No Secure all cargo in the vehicle so that items will not become ❑ ❑ Appropriately rested and alert? ❑ Yes ❑ 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 ❑ ❑ • Seatbelts are in working order? ❑ Yes ❑ No Adjust temperature controls,vents,radio,etc. I ❑ I EJ.--J 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 TRIPI Signature: DRIVING IS RISKY,BUSINESSI STANTEC Consulting Corporation Attachment 6