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f r r r r t [ r f r r r r i f r ADMIN-602 ADMIN-603 DAILY VEHICLE CHECKLIST Page 7 of 131 JOURNEY HAZARD Page 7 of 131 40 14 ASSESSMENT CARD Rale Rev. 1 April 2006 Stam 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 Miles Driven STOP Job: Job M #of Miles Driven Job: Job#: #of Miles Driven Do I need to make this journey? p Yes ❑ No Vehicle Mileage Stop ❑Stantec Vehicle Vehicle Mileage Stop ❑Rental Vehicle Total Miles Driven ❑Personal Vehicle STOP Where am I traveling? Perimeter Walk Around: OK NOT OK How long will I be driving? Check for signs of vandalism, negligence, damage or1:1And 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 El Elinflation—include the spare lire if it is easilyaccessible THINK Check under vehicle for signs of leaking fluids ❑ ❑ Check wiper blades(Do they work?) Do they need replacement? Elave a safe journey? How can I ensure that I h ? Y Check all light systems — brake, head, back-up, running, L1 El THINK turn signals,emergency flashers Check to make sure doors, truck/toolbox lids, tailgates all open and close properly (Make sure you have keys to any Am I well rested an alert for the journey? ❑ Yes ❑ No toolboxes that you may need to access) ❑ ❑ THINK Check Gauges on Dashboard: OK NOT OK Fuel Level ❑ ❑ 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 Battey Charge 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 inEl ❑ Has cargo been secured? Ll Yes L3 No the vehicle Driver's License is current? Secure all cargo in the vehicle so that items will not become ❑ Yes Ll No projectiles in the event of sudden stops or collisions El ElAppropriately rested and alert? ❑ Yes ❑ No Adjust the seat position,rearview and side mirrors ❑ ❑ • Journey risks have been identified? ❑ Yes ❑ No • Seatbelts are in working order? ❑ Yes L1 No Adjust temperature controls,vents,radio,etc. L1 ❑ Notify the vehicle manager or rental company if you feel that any deficiencies are unsafe • Medically fit for driving? ❑ Yes ❑ No and DO NOT drive the vehicle! Signature: HAVE A SAFE TRIP! DRIVING IS RISKY BUSINESSI STANTEC Consulting Corporation Attachment 6