Southland Industries

I have read and reviewed this month's defensive driving topic.

Date : *

Vehicle No : *

Division : *

Topic : *

Month of : *

Jobsite :

Foreman Email:

First Name : *

Last Name : *

DOB : *

Clear Signature

Comments/Suggestions : *

Vehicle Safety Checklist

Fax or email your completed sign sheet and vehicle safety checklist to your division safety manager.

Division/Department : *

Date : *

Vehicle Year/
Make/Model : *

Odometer Reading : *

Driver's Name : *

Vehicle Number : *

Date of Last
Maintenance Service : *

Odometer Reading
@ Time of service : *

2. Outside of Vehicle Inspection:

OK Needs Repair

a. Lights:

Check high and low beam, emergency
flashers, side markers, parking lights,
license plate lights, tail lights,
brake lights, back-up lights, turn
signals (front and back).

b. Tires:

Check tire pressure and tread wear;
Check both sides of tires for bulges
or large cracks on sidewall.

c. General Condition:

Dents, scrapes and any other damage
should be reported to your supervisor.

Comments

Defensive Driving

Vehicle Safety Checklist