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SUPERVISOR'S REPORT OF VEHICLE CONDITION <br /> DIVISION: DATE OF INSPECTION: <br /> INSPECTED BY: REVIEWED BY: <br /> Signature/Title Signature GM/OM <br /> UNIT NUMBER: TYPE <br /> NA NA <br /> CAB/CHASSIS GOOD Needs Attention VEHICLE BODY GOOD Needs Attention <br /> Mirrors Good Condition <br /> Head Lights Rear Handholds <br /> Marker Lights Mud Flaps <br /> Back-Up Lights Cables/Chains <br /> Brake Lights(Redundent) Cable Safety Hook <br /> Tail Lights Packing Blade <br /> Turn Signals(Redundent) Hydraulic Hoses <br /> Work Lights Turn Buckles <br /> Mid Body Turn Signals _ Packing Controls Label <br /> Flashers Clean Between Cab and Body <br /> Windows Clean Battery Disconnect <br /> Cab Seat/Seat Belt Back-Up Alarm <br /> Cab Clean Fire Extinguisher <br /> Clutch/Brake Pedal Pads Emergency Triangles <br /> Steps/Front&Rear FEL Hopper/Door Interlock <br /> Cab Handholds FEL Back Safe Device <br /> Cab Latches Roll Off Trucks Cable Guard <br /> Neutral Transmission Interlocks Steering Stabilizer <br /> (Automatic Only) Safety Decals(ANSI) <br /> Reflective Tape on Body Sides Tires <br /> COMMENTS: <br /> REG 118 <br /> THOMAS PRINTERS•(714)642-2394 <br /> SAFETY PATROL OBSERVATION REPORT <br /> DATE: TIME: AM/PM UNIT#: <br /> DIVISION: LICENSE# _ <br /> LOCATION: <br /> DIRECTION OF TRAVEL: N S E W MILES OBSERVED: <br /> TYPE OF VEHICLE: R/L F/L R/0 S/L T/T POL OTHER <br /> CONDITIONS <br /> VISIBILITY: GOOD FAIR POOR VEHICLE LIGHTS ON: YES NO <br /> ROAD CONDITION: DRY WET ICE/SNOW TRAFFIC: HEAVY MEDIUM LIGHT <br /> POSTED SPEED LIMIT: OBSERVED SPEED <br /> COMMENTS: <br /> DRIVER PERFORMANCE <br /> YES NO YES NO YES NO <br /> Adequate Travel Distance Proper Lane Change Makes Complete Stop <br /> Proper Passing Correct Speed for Conditions Yields Right-A-Way <br /> Proper Use of Turn Signals Proper Turns Proper Backing <br /> Proper Parking Obey Traffic Signal/Signs Obstructing Traffic <br /> Unsafe Work Practices Observed YES NO, If Yes, Explain: <br /> COMMENTS: <br /> VEHICLE <br /> VEHICLE APPEARANCE: GOOD FAIR POOR ADEQUATE MIRRORS: YES NO <br /> LIGHT DEFECTS: YES NO VEHICLE PROPERLY TARPED: YES NO <br /> COMMENTS: <br /> DRIVER: SUPERVISOR: <br /> OBSERVER: <br /> REG115 GENERAL MGR—WHITE DRIVER—YELLOW SUPERVISOR—PINK <br />