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Competency Verification/Job Task Observation
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Date & Time Observation Conducted
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Location (Physical Location of the Observation)
*
*
Name of Individual Observed
*
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Observed Individual Employee ID
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Observed Individual TMW ID
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Business Segment
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Region
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Terminal
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Tractor #
*
Trailer Lead #
*
Trailer Pup #
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Shipping Name of Product Hauled
*
Customer
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Other Customer
*
TDG or Hazardous Materials Identification Number
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Post-Incident
Post-Incident
No
Post-Incident
Yes
Observation Type
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Attended
At a Distance
Competency Verification
Virtual
Safe Work Methods
Three Points of Contact
Driver uses 2 hands and one foot,faces towards the grip points while ascending or descending with nothing in their hands.
Follows Standard
Intervention Needed
Three Points of Contact - Deviation from Standard and Action Taken
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Safety Footwear
Safety Shoes have a hard sole, reinforced toe, are over the ankle and are fully laced and in good condition.
Follows Standard
Intervention Needed
Safety Footwear - Deviation from Standard and Action Taken
*
Safety Eyewear
Driver wears safety glasses in the company yard or wears proper eye wear while loading or unloading.
Follows Standard
Intervention Needed
Driver wears goggles and faceshield if handling liquid under pressure.
Follows Standard
Intervention Needed
Safety Eyewear - Deviation from Standard and Action Taken
*
Field Level Audit
Chock blocks in use – driver uses chock blocks as required by customer or TDG Regulations
Follows Standard
Intervention Needed
Gas Monitor worn & bump tested – driver uses monitor which is attached properly, activated, bump tested and calibrated
Follows Standard
Intervention Needed
Locking camlocks on fluid hoses - driver is using self-locking camlocks or uses securement to prevent camlocks from accidental opening
Follows Standard
Intervention Needed
Customer site Orientation / Permit Current – driver is up to date with customer site requirements
Follows Standard
Intervention Needed
Auto Air Shut down functional – Auto Air shut down installed on power unit, operational with test button accessible
Follows Standard
Intervention Needed
Fall Protection Policy Followed – driver is following company policy regarding working on heights and usage fall protection
Follows Standard
Intervention Needed
Field Level Audit - Deviation from Standard and Action Taken
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Other General PPE
Driver is wearing safety shoes, reflective vest, and safety eye wear while on company yard.
Follows Standard
Intervention Needed
Other General PPE - Deviation from Standard and Action Taken
*
Pre-trip Inspection
Driver checks all wheels for cracks, rust streaks, hub oil/grease leaks, lugnut tightness and Safe-T-Lock Movement if applicable.
Follows Standard
Intervention Needed
Driver fills out the DVIR book completely and has signed off on the prior days’ inspection.
Follows Standard
Intervention Needed
Pre-trip inspection - Deviation from Standard and Action Taken
*
Strain and Sprain Prevention
Observed employee indicates they have stretched before working.
Follows Standard
Intervention Needed
Driver Lifts with their legs and not their back.
Follows Standard
Intervention Needed
Driver keeps objects and equipment close to the body.
Follows Standard
Intervention Needed
Driver seeks help with heavy objects or equipment to avoid injury.
Follows Standard
Intervention Needed
Strain and Sprain Prevention- Deviation from Standard and Action Taken
*
Trailer Disconnect Prevention
Driver visually inspects the connection with a flashlight after a tug test
Follows Standard
Intervention Needed
Driver ensures there is no space between the fifth wheel plate and the bottom of the trailer.
Follows Standard
Intervention Needed
Driver ensures the locking handle is properly seeded in place.
Follows Standard
Intervention Needed
Driver verifies the visual bolt indicator is in the right position if the fifth wheel is equipped.
Follows Standard
Intervention Needed
Trailer Disconnect Prevention - Deviation from Standard and Action Taken
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Professional Driving Methods
Seatbelt Usage
Driver wears seatbelt at all times while vehicle is in motion.
Follows Standard
Intervention Needed
Seatbelt Usage - Deviation from Standard and Action Taken
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Following Distance
Driver maintains a safe following distance of 6 seconds in normal conditions.
Follows Standard
Intervention Needed
Following Distance - Deviation from Standard and Action Taken
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Turn Signals
Driver uses their turn signal when changing lanes.
Follows Standard
Intervention Needed
Turn Signals - Deviation from Standard and Action Taken
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Lane Positioning
Driver maintains their lane position inside the lines.
Follows Standard
Intervention Needed
Driver changes lane when legal, and uses their turn signal.
Follows Standard
Intervention Needed
Lane Positioning - Deviation from Standard and Action Taken
*
Keeping Eyes Moving
Driver routinely reviews mirrors and whats around the vehicle.
Follows Standard
Intervention Needed
Keeping Eyes Moving - Deviation from Standard and Action Taken
*
Speed
Driver adheres to the posted speed limit
Follows Standard
Intervention Needed
Speed - Deviation from Standard and Action Taken
*
Distracted Driving
Driver does not use their cell phone, GPS, or other electronic device while the unit is in motion.
Follows Standard
Intervention Needed
Distracted Driving - Deviation from Standard and Action Taken
*
Road Conditions and Speed Adjustment
Driver routinely slows down well ahead of time for poor road conditions such as weather issues, traffic, construction, etc.
Follows Standard
Intervention Needed
Road Conditions and Speed Adjustment - Deviation from Standard and Action Taken
*
Electronic Log
Driver has logged into the Electronic Log correctly (no unassigned driving time)
Follows Standard
Intervention Needed
Omnitracs Usage - Deviation from Standard and Action Taken
*
Product Stewardship Methods
Leak Prevention
Driver ensures valves, caps and other approved devices are closed to prevent leaks.
Follows Standard
Intervention Needed
Leak Prevention - Deviation from Standard and Action Taken
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Correct Trailer Verification
Driver checks the customer bill of lading against the trailer number on the trailer (this cannot be the only thing the driver checks).
Follows Standard
Intervention Needed
Driver checks the customer bill of lading against the product tags (if applicable).
Follows Standard
Intervention Needed
Driver checks the customer bill of lading against the seal(s) if applicable.
Follows Standard
Intervention Needed
Correct Trailer Verification - Deviation from Standard and Action Taken
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Loading/Unloading Process Safety
Driver follows all processes identified in the applicable product stewardship manual.
Follows Standard
Intervention Needed
Driver is engaged and attentive during the loading/unloading process.
Follows Standard
Intervention Needed
Loading/Unloading Process Safety - Deviation from Standard and Action Taken
*
MPG Efficiency
Is driver exceeding the standard idle time of 5 minutes?
Follows Standard
Intervention Needed
MPG Efficiency - Deviation from Standard and Action Taken
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Virtual Observation
Electronic Log
Driver has logged into the Electronic Log correctly (no unassigned driving time)
Follows Standard
Intervention Needed
Omnitracs Usage - Deviation from Standard and Action Taken
*
Canada Federal Regulations - Business Day Rules
CFRB-10hr - Off Duty / Sleeper-Berth
Follows Standard
Intervention Needed
CFRB-13hr - Total Driving
Follows Standard
Intervention Needed
CFRB-14hr - Total On Duty
Follows Standard
Intervention Needed
Canada Regulations - Business Day Rules - Deviation from Standard and Action Taken
*
Canada Federal Regulations - Work Shift Rules
CFRW-Cycle 1 - (70hr / 7 days)
Follows Standard
Intervention Needed
CFRW-10hr - Off Duty / Sleeper-Berth
Follows Standard
Intervention Needed
CFRW-13hr - Total Driving
Follows Standard
Intervention Needed
CFRW-14hr - Total On Duty
Follows Standard
Intervention Needed
CFRW-16hr - Exemption
Follows Standard
Intervention Needed
CFRW-No Manifest/Shipper number found
Follows Standard
Intervention Needed
CFRW-Personal conveyance driving time (bobtail Only – 75 km maximum per day)
Follows Standard
Intervention Needed
Canada Regulations-Work Shift Rules - Deviation from Standard and Action Taken
*
Canada Federal Regulations - Deferral of Off-Duty Time
CFRD-Day 1
Follows Standard
Intervention Needed
CFRD-Day 2
Follows Standard
Intervention Needed
Canada Regulations - Deferral of Off-Duty Time - Deviation from Standard and Action Taken
*
Canada - North Of Sixty
CNS-80 hours/7Day – Cycle 1
Follows Standard
Intervention Needed
CNS-120 hours/14 – Cycle 2
Follows Standard
Intervention Needed
CNS-8 hours no work – day
Follows Standard
Intervention Needed
CNS-15 hours working – work shift
Follows Standard
Intervention Needed
CNS-18 hours working – work shift
Follows Standard
Intervention Needed
CNS-20 hours – work shift
Follows Standard
Intervention Needed
Canada - North Of Sixty - Deviation from Standard and Action Taken
*
Canada - Alberta Regulations
CAR-30 minutes of rest break (Alberta)
Follows Standard
Intervention Needed
CAR-8 hours Off-Duty - shift
Follows Standard
Intervention Needed
CAR-13 hours of driving - shift
Follows Standard
Intervention Needed
CAR-15 hours working – work shift
Follows Standard
Intervention Needed
Canada - Alberta - Deviation from Standard and Action Taken
*
USA Regulations - FMCSR
USA-8 Day Rule - (70 hr / 8 days)
Follows Standard
Intervention Needed
USA-30min - Rest Break
Follows Standard
Intervention Needed
USA-10hr - Off Duty / Sleeper-Berth
Follows Standard
Intervention Needed
USA-11hr - Total Driving
Follows Standard
Intervention Needed
USA-14hr - Total On Duty
Follows Standard
Intervention Needed
USA-16hr - Exemption
Follows Standard
Intervention Needed
USA-No Manifest/Shipper number found
Follows Standard
Intervention Needed
USA-Personal conveyance driving time (bobtail and/or empty trailer - short distance)
Follows Standard
Intervention Needed
USA Regulations - FMCSR - Deviation from Standard and Action Taken
*
Speed Monitoring
Speed limit variance
Follows Standard
Intervention Needed
Adjusts speed according to limits
Follows Standard
Intervention Needed
Speed Monitoring - Deviation from Standard and Action Taken
*
Critical Event Reporting
Stability events
Follows Standard
Intervention Needed
Hard brake events
Follows Standard
Intervention Needed
Critical Event Reporting - Deviation from Standard and Action Taken
*
Workflow
Pre Plan / Trip Plan Understanding
Follows Standard
Intervention Needed
All tasks completed according to procedure
Follows Standard
Intervention Needed
Communicates with dispatch effectively
Follows Standard
Intervention Needed
Workflow - Deviation from Standard and Action Taken
*
Pretrip Inspection
Driver can recite their pre-trip inspection in detail, and it fully conforms to the Pre-trip inspection card.
Follows Standard
Intervention Needed
Pretrip Inspection - Deviation from Standard and Action Taken
*
PPE Requirements
Driver knows the PPE requirements identified in section 8 of the Safety Data Sheet (SDS).
Follows Standard
Intervention Needed
Driver knows the PPE requirements of the customer
Follows Standard
Intervention Needed
Driver has the appropriate PPE for the load/unload
Follows Standard
Intervention Needed
PPE Requirements - Deviation from Standard and Action Taken
*
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Satisfaction Rating
Level 1 - Satisfactory Observation
Level 2 - Monitoring Required
Level 3 - Immediate Action Required
Observed Individuals Response to Observation
*
Open To Coaching
Not Receptive to Comments
Observed Individual Unavailable
Comments/Training Instructions Given
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Observed Employee/IC Commitments
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A copy of this Job Task Observation will be automatically forwarded to the region safety manager.
Name of Observer
*
Observer Email Address
*
*
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Branch Manager Email Address
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*
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Email address of Individual being observed
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*
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