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C = "" ADMIN-602 ADMIN-603 I ="- ,P 4�DAILY VEHICLE CHECKLIST Page 8 of 131 JOURNEY HAZARD Page 8 of 131 ASSESSMENT CARD Stx�ntu Rev. i April 2006 � Rev.1 April 2006 If Employee Name: ReglonlBuslness Unit: STOP! THINKI GOI Date: Time: Vehicle Color: Date Vehicle MakelModel: 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 tong will I be driving? Check for signs of vandalism, negligence, damage or And do I have an ETA with a contact person? unusual conditions EllHave 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?) El 1:1 How can I ensure that I have a safe journey? Do the need replacement?) Check all light systems — brake, head, back-up, running, ❑ THINK turn si nals,emergencyflashers 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 toolboxes that you may need to access) ❑ THINK Check Gauges on Dashboard: OK NOT OK Fuel Level ❑ I ❑ Have I done a vehicle walk around and ensured that the vehicle Oil fight ❑ ❑ is safe and ready for travel? ❑ Yes ❑ No Engine Coolant Temperature Gauge ❑ I ❑ Service Indicator Lights ❑ I ❑ ELEMENTS OF THE DRIVING STANDARD Battery Charge Indicator ❑ I ❑ 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 a Has cargo been secured? ❑ Yes ❑ No the vehicle ❑ ❑ Driver's License is current? ❑ Yes ❑ No Secure all cargo in the vehicle so that items will not become ❑ ❑ 0 Appropriately rested and alert? ❑ Yes ❑ No ro'ectiles in the event of sudden stops or collisions . Journey risks have been identified? ❑ Yes ❑ No Adjust the seat position,rearview and side mirrors ❑ 0 Seatbelts are in working order? ❑ Yes ❑ No Adjust temperature controls,vents, radio,etc. ❑ I ❑ . 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 TRIP! Signature: DRIVING IS RISKY BUSINESSNTEC ting Corporation Attachment 6