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r r r r r r r r r r r r r r r r r r r ADMIN-602 -,;.' ADMIN-S03 DAILY VEHICLE CHECKLIST Page 9 of 131 JOURNEY HAZARD Page 9 of 131 40 ASSESSMENT CARD Rev. April 2pd8 tantf �ht c Rev. 1 April 2006 Employee Name: RegionJBusiness Unit; STOP! THINK! GO! Date: Time: Vehicle Color: Vehicle Make/Model: Vehicle License Plate Number: Name Date Job: Job M #of Miles Driven STOP Job: Job#: #of Miles Driven Job: Job#: #of Miles Driven Do I need to make this journey? Ll Yes L3 No Vehicle Mileage Stop ElStantec Vehicle Vehicle Mileage Stop ❑ Rental Vehicle STOP Total Miles Driven EJ Personal Vehicle Where am I traveling? Perimeter Walk Around: OK NOT OK How long will 1 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 El E]inflation—include the spare tire if it is easilyaccessible THINK Check under vehicle for signs of leakingfluids El El Check wiper blades(Do they work?) Do they need replacement?) El ElHow can I ensure that I have a safe journey? Check all light systems — brake, head, back-up, running, E] El THINK turn signals,emergency flashers Check to make sure doors, truck/toolbox lids, tailgates all Am I well rested an alert for tate open and close properly (Make sure you have keys to any 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 —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? the vehicle El El . U Yes 0 No Driver's License is current? ❑ Yes ❑ No Secure all cargo in the vehicle so that items will not become projectiles in the event of sudden stops or collisions El El • Appropriately rested and alert? ❑ Yes ❑ No Adjust the seat position,rearview and side mirrors I] ❑ • Joumey risks have been Identified? ❑ Yes ❑ No • Adjust temperature controls,vents, radio,etc. LiLlSeatbelts are in working order? ❑ Yes ❑ No . Medically fit for driving? ❑ Yes Notify the vehicle manager or rental company if you feel that any deficiencies are unsafe ❑ No and DO NOT drive the vehicle! Signature: HAVE A SAFE TRIP] DRIVING IS RISKY BUSINESS! STANTEC Consulting Corporation Attachment 6