Driver Safe Behavior
Driver Safe Behavior
Observation Card
Observation Card
Driver: __________________________ Date: _______________
Driver: __________________________ Date: _______________
Observer: _________________________________
Observer: _________________________________
Instructions: Check boxes and provide positive feedback when
driver demonstrates the behaviors consistently. Provide coaching
on unsafe behaviors observed.
Instructions: Check boxes and provide positive feedback when
driver demonstrates the behaviors consistently. Provide coaching
on unsafe behaviors observed.

3 points of contact used when entering and exiting
vehicle.

3 points of contact used when entering and exiting
vehicle.

Proper footwear with slip-resistant sole is worn.

Proper footwear with slip-resistant sole is worn.

Ramp secured properly, easy access at top and flat/dry
landing.

Ramp secured properly, easy access at top and flat/dry
landing.

Product is loaded/unloaded in 40 lb. maximum
increments. Individual cases over 40 lbs. handled one
at a time.

Product is loaded/unloaded in 40 lb. maximum
increments. Individual cases over 40 lbs. handled one
at a time.

Dolly/cart not loaded above chest level.

Dolly/cart not loaded above chest level.

Dolly/cart is pushed versus pulled whenever possible.

Dolly/cart is pushed versus pulled whenever possible.

If load must be pulled (up steps, etc.), weight and height
of load is reduced to approximately waist level.

If load must be pulled (up steps, etc.), weight and height
of load is reduced to approximately waist level.

Descends/ascends ramp while “in control”, not too fast,
etc.

Descends/ascends ramp while “in control”, not too fast,
etc.

Stretches periodically throughout day and hydrates/
drinks water often.

Stretches periodically throughout day and hydrates/
drinks water often.

Seat belt worn at all times.

Seat belt worn at all times.

Cell phone never used when vehicle in motion.

Cell phone never used when vehicle in motion.
Driver Safe Behavior
Driver Safe Behavior
Observation Card
Observation Card
Driver: __________________________ Date: _______________
Driver: __________________________ Date: _______________
Observer: _________________________________
Observer: _________________________________
Instructions: Check boxes and provide positive feedback when
driver demonstrates the behaviors consistently. Provide coaching
on unsafe behaviors observed.
Instructions: Check boxes and provide positive feedback when
driver demonstrates the behaviors consistently. Provide coaching
on unsafe behaviors observed.

3 points of contact used when entering and exiting
vehicle.

3 points of contact used when entering and exiting
vehicle.

Proper footwear with slip-resistant sole is worn.

Proper footwear with slip-resistant sole is worn.

Ramp secured properly, easy access at top and flat/dry
landing.

Ramp secured properly, easy access at top and flat/dry
landing.

Product is loaded/unloaded in 40 lb. maximum
increments. Individual cases over 40 lbs. handled one
at a time.

Product is loaded/unloaded in 40 lb. maximum
increments. Individual cases over 40 lbs. handled one
at a time.

Dolly/cart not loaded above chest level.

Dolly/cart not loaded above chest level.

Dolly/cart is pushed versus pulled whenever possible.

Dolly/cart is pushed versus pulled whenever possible.

If load must be pulled (up steps, etc.), weight and height
of load is reduced to approximately waist level.

If load must be pulled (up steps, etc.), weight and height
of load is reduced to approximately waist level.

Descends/ascends ramp while “in control”, not too fast,
etc.

Descends/ascends ramp while “in control”, not too fast,
etc.

Stretches periodically throughout day and hydrates/
drinks water often.

Stretches periodically throughout day and hydrates/
drinks water often.

Seat belt worn at all times.

Seat belt worn at all times.

Cell phone never used when vehicle in motion.

Cell phone never used when vehicle in motion.