Certified Rider Training Student Manual

Certified Rider Training Student Manual
Certified Rider Training Student
This Student Manual is copyrighted by Consultus LLC. Some materials within this manual are copyrighted by others and used with
permission. No part of this book may be reproduced by any means without prior written consent from Consultus LLC. Other uses
such as dissemination or presentation to others, etc., are prohibited.
® is a registered trademark of Spanish Fork Sales and Service LLC.
® is a registered trademark of Segway Inc.
Copyright Information
The materials and methodology contained in this certified Segway training class are
copyrighted. The copyright owner is Consultus LLC. All rights under this copyright
are reserved.
This is a Certified Rider Training Class
This document states what you may do with the materials and provides some
examples of what you may not do with them.
What you may do with them:
1. You may use the documents and training for your personal benefit to assist
you in using the Segway PT to perform the duties of your job.
What you may not do with them (this list is for illustrative purposes and is not meant
to be exhaustive or all inclusive):
1. This training course may not be duplicated and given to anyone else.
2. You may not copy the instruction and ‘train’ anyone else.
For interested persons and departments, StreetSmart Training has an Instructor
Certification Course available wherein a Certified Rider may become certified as an
Instructor to use this program to train other individuals in his/her employment
If you have any objections to the information obtained in this document, please
share them with your Instructor before the training class begins.
Mary Sivertsen
Executive Program Director
StreetSmart® Training
Training Index and Schedule
 Welcome and Introductions (15 minutes)
Hand out materials
 Segway Code of Conduct (30 minutes)
The ability to maintain professional and responsible actions are necessary for
 Employee Request Form (15 minutes)
Segway PT Riding and Training are voluntary
 Pre-Ride Training Checklist ( 2 hours)
Initial Segway PT orientation also covering safety and warning information as
well as InfoKey features and battery management
 Lunch Break (45 minutes)
 Ride Streets / Venues (3 hours)
A continuation of orientation and safety information with a practical real life
approach to local areas and situations where the Segway PT unit will be
 End of Ride Assessment (15 minutes)
Each rider assesses his/her ability to perform the necessary maneuvers
 Written Test (1 hour)
50 questions 80% to pass
 Question and Answer Period (as needed)
Time allowed for any and all questions or concerns to be addressed plus any
individualized extra training needed
 Rider Evaluation Form
Trainer’s evaluation of each rider’s ability
© 2011 Consultus LLC
Code of Conduct for the Segway PT®
Always remember that you are representing others. Your ability to
maintain a professional and responsible code of conduct while riding a
Segway PT will benefit not only you, but the other members of your
group and the whole of the Segway community.
 Always be prepared to stop.
 Always be aware of the space the Segway PT requires.
 Do not carry any passengers or tow or push a trailer, vehicle, or
other object.
 Always ride under control at a speed that is safe for you and
those around you.
 Do not allow others to drive or ride the Segway PT.
 Always wear a helmet when riding the Segway PT.
 Respect pedestrians by always yielding the right of way.
 Comply with all laws. This includes your agency’s Standard
Operating Procedures.
 Ride safely. Avoid obstacles, slippery surfaces, loose materials
and steep slopes.
 Avoid startling pedestrians. When approaching from behind,
announce yourself and slow down to walking speed when
Page 1 of 2
© 2011 Consultus LLC
Code of Conduct for the Segway PT
 In heavy traffic, slow down and proceed at the pace of the
 Pass only if there is ample space to do so safely. Do not weave
in and out of pedestrian traffic.
 When riding with others maintain a safe distance and identify
hazards and obstacles. Do not ride side by side unless there is
plenty of room left for pedestrians.
 Do not park your Segway PT in a way that blocks pedestrian
 Do not use your Segway PT as a toy with which to perform tricks
or stunts.
 ___________________________________________________
 ___________________________________________________
I have read and agree to abide by the Code of Conduct for Segway PT
Rider Name: _____________________________________________
Signature: ________________________________Date___________
Page 2 of 2
© 2011 Consultus LLC
Employee Request
For StreetSmart® Training
I understand that Segway PT units are utilized by our department. I
would like the opportunity to be considered as part of the Segway
I am willing to:
Take the Certified Segway Training class
Abide by the Code of Conduct
Adhere to specific Department Policy regarding Segway PT use
I am aware that I will be trained and given the opportunity to ask
questions in order to understand what is expected of me and to feel
comfortable doing my job while riding a Segway PT.
Also, I know and acknowledge that riding a Segway PT will expose me
and others to risk of serious injury from falls, collisions, or other
potentially serious injuries and to risk of property damage. I hereby
accept and assume the risk of using a Segway PT.
Printed Name: ________________________________________
Signed: _____________________________________________
Date: _________________________
© 2011 Consultus LLC
Rider acknowledges by his/her initials that each item has been explained,
demonstrated, and personally experienced.
Rider Name: __________________________________________________
Rider’s Initials
Getting Started
___ Sign Training Request (Doc# STER)
___ Min/Max Payload (rider plus cargo) of 100/260 lbs. (#1)
___ Helmet with straps fastened (#2)
___ Define Learning Space (#3)
Basic Operation
(Beginner Mode)
___ Adjust handlebar height (#4)
___ Always leave a gap between body and the Handlebar (#5)
___ Power on Segway (#6)
___ Rider Detect Sensors (#7)
___ Enter Balance Mode (#8)
___ Step onto Segway (#9)
___ Forward, backward, stationary (#10)
___ Turn in place (#11)
___ Stop (#12)
___ Step off Segway (#13)
___ Powering off Segway (#14)
Basic Operation
(Standard Mode)
___ Enter Balance Mode (#8)
___ Step onto Segway (#9)
___ Forward, backward, stationary (#10)
___ Turn in place (#11)
___ Stop (#12)
___ Step off Segway (#13)
Skills & Drills
___ Controlled stopping (#15)
___ Leaning while turning (#16)
Safety Features
___ Rider Detection (Rider-less machine ) (#17)
___ Explanation of Speed Limiter (Doc #STSASL)
___ Explanation of Stick Shake Warning (Doc #STSASSW)
___ Explanation/Experience Safety Shutdown (Doc #STSASS)
___ Experience Moving Safety Shutdown
Page 1 of 2
© 2011 Consultus LLC
Rider acknowledges by his/her initials that each item has been explained and
Rider’s Initials
Segway Accessories
___ Front Bag (#18) Max weight is 10 pounds
___ Hard Cases (#19) Max weight each hard case is 11 pounds
InfoKey Features
___ Understand Info Key (Quick Reference Card)
___ Experience Turtle / Normal Mode (#20)
___ Explain Security Feature on Info Key (#21)
___ Explain other Features on Info Key (Quick Reference Card)
___ Error codes on InfoKey (#22)
___ Understand when buttons are functional (#23)
Slips, Trips and Tips
___ Tips – leaning into hills or when one wheel higher (#24)
___ Trips – wheel gets caught on wall, curb (#25)
___ Slips – sand, rocks, water, ice (#26)
___ Beware of overconfidence (#27)
Battery Management
___ Typical range (#28)
___ Variables that require more power (#29)
___ Proper charging of Segway (#30)
Policies and Procedures
___ Segway Code of Conduct (Doc# STCC)
___ Specific Department Policy
I have completed the StreetSmart Training Pre-Ride Checklist and have
been given an opportunity to ask questions regarding the operation and use
of the Segway PT. I am satisfied with the training I have received and I
understand how to operate and use the Segway PT. I have examined the
Segway PT and am satisfied that it is in good working condition. I agree to
strictly comply with all the training instructions and requirements.
Rider Name:
Date: _________
Rider Signature:
Instructor Signature: ________________________ Date:
Page 2 of 2
© 2011 Consultus LLC
Explanation of Pre-Ride Checklist
RM refers to the Reference Manual for Segway Personal Transporter
GSM refers to the Getting Started Manual for Segway Personal Transporter
1. Segway Inc sets weight limits for two reasons:
a) Rider Safety
b) To reduce the risk of damage to the Segway PT
Optimum weight limits = 100-260 lbs (rider plus all cargo)
***The heavier the load the slower the Segway PT response time. ***
Exceeding the weight limits, especially when combined with other variables that
require more power, will increase your risk of falling or damaging the Segway PT.
If the rider is below the minimum rider weight limit, he may not be able to ride
safely because he cannot shift his weight back far enough to safely slow down
and stop. This is especially true when riding downhill. (R.M. pgs.5, 8 and 9)
2. StreetSmart Training recommends that you always wear a helmet when riding.
Use an approved helmet that fits properly with the chin strap in place, and
provides protection for the back of your head.(GSM pg. 3)
3. This area may be indoors or outdoors and should be of adequate size to perform
requested maneuvers. It must have a level, smooth riding surface with good
traction and should be free of obstructions and away from vehicles, bicycles,
pets, small children, and other distractions.
4. Adjust the height of the upper LeanSteer Frame by pulling up on the Handlebar
until the Handlebar is just above your elbow or higher while you are standing on
the floor and the Powerbase is level. Tighten the Height Adjustment Knob to
prevent loss of control due to unexpected height change while riding. (GSM pg. 26)
5. The Speed Limiter is an alert that you are moving too fast. When the Segway PT
pushes the Handlebar back, stop leaning forward and slow down. While the
Segway PT is designed to keep you upright under a variety of conditions, you
can overpower the balancing capability of your Segway PT by
aggressively leaning into and ignoring the Speed Limiter. (GSM pgs. 36-37)
6. Using the InfoKey Controller, power on your Segway PT by pressing the
Power/Standby button which is located on the bottom left-hand side of the Info
Key. (GSM pg. 63)
7. The Segway PT has four sensors located beneath the Mats (two on each side,
under the toes and heals). Rider Detect Sensors detect the presence or absence
of a rider while the Segway PT is powered on. (GSM pg. 48)
Page 1 of 4
© 2012 Consultus LLC
8. When the Segway PT is ready to enter Balance Mode, the center Balance
Indicator light will light up green. Tap the Mats with your foot to enter Balance
Mode. Do not step on the unit yet. (GSM pg 68) Never step on the Segway PT until
all Balance Indicator lights are green.
9. Remember, the Segway PT will move forward, backward or turn if you move the
Handlebar. Avoid pushing, pulling, or leaning the Handlebar as you step on. Step
on with one foot, then the next. (GSM pgs. 70-73)
10. The Segway PT moves forward and backward in response to changes in your
position. (Lean forward and shift your weight more toward your toes to move
forward. Lean backward and shift weight towards your heels to move backward.
Centering your weight will allow you to stay still.) Avoid rocking back and forth or
shifting your weight abruptly, as this could result in a loss of traction and cause a
fall. (GSM pgs. 77-80)
11. Slowly pivot the Handlebar to the side in the direction that you want to turn. The
Segway PT will rotate so that you turn in place. (GSM pg 84)
12. Stop the Segway PT by shifting your weight away from the direction you are
moving. Stopping abruptly, especially on slippery surfaces, can cause the Segway
PT tires to lose traction, and you could fall. (GSM pgs 80-81)
13. Without leaning backward or to the side, step off the Segway PT, one foot at a
time. Be careful not to pull back or turn the Handle bar while you are stepping off
the Segway PT. (GSM pg 88-89)
14. Power off the Segway PT by pressing and holding the Power/Standby button on
the InfoKey Controller for two seconds. (GSM pg 96)
15. Always perform a controlled stop. Avoid abrupt stops. Come to a controlled stop
by gently shifting your weight away from the direction of movement. (GSM pg 83)
16. Keep your knees slightly bent and lean in the direction of the turn in coordination
with the angle of the LeanSteer Frame. Keep your body aligned with the
LeanSteer Frame while turning. (GSM pg 86)
17. When your feet are properly positioned on the Mats, all four Rider Detect sensors
depress, allowing the Segway PT to operate normally in Balance Mode. If fewer
than three sensors are depressed while riding, the Segway PT reduces the top
speed limit. Never Place anything on the Mats except your feet. Doing so could
interfere with the rider Detect Sensors and allow the Segway PT to travel on its
own. (RM pgs 41, 42) The Rider Detect Sensors will also detect when a rider is not
on the Mats and will travel about 6-8 feet on its own before exiting Balance Mode
causing the Segway PT to fall.
18. To carry cargo, use a cargo accessory that is recommended by Segway Inc. The
total weight of any Handlebar payload plus any other attachments hanging from
the Handlebar should not exceed 10 pounds. (GSM pg 117)
Page 2 of 4
© 2012 Consultus LLC
19. The hard case weight limit is 11 lbs each.
(Segway PT Cargo assembly instructions)
20. When the Beginner setting is on (Turtle Mode), the top forward speed and
steering rate are slower. When Normal Mode is on, the maximum top speed is
12.5 miles per hour and the steering responds faster. (GSM pg 9)
21. To enable the Security Function, tap the Security button. The Security icon (lock)
will show in the Display. To disable the Security Function, tap the Security
button. The Segway PT will only accept these commands when no rider on the
Mats. (RM pg 30)
22. Error Codes are found on the top portion of the InfoKey (where the time and date
are displayed). Error Codes will begin with a letter (usually an E) followed by
three numbers. When you receive an error code, you should always document
what happened, note the error code, and contact your Logistics Officer who then
notifies your local dealer. Error Codes are subject to change without notice.
23. Some functions on the InfoKey will not work when the Rider Detect Sensors are
depressed (rider on the Mats). You cannot change in or out of Beginner Mode,
turn on or off the unit, or engage the Security Feature. When there is a rider on
the Mats, you can scroll through available information on the Information Display
Button. Depressing the Beginner Button while on the Mats will turn on the
backlight for the InfoKey.
24. The Segway PT balances front to back but not side-to-side. You are responsible
for maintaining side-to-side balancing by leaning into turns. If you fail to actively
maintain this side-to-side balance, the Segway PT can tip sideways and fall. (GSM
pg 57)
25. Trips occur when the Segway PT Wheel or Powerbase encounters an obstacle or
terrain change that prevents the Segway PT from moving, bringing it to an
abrupt stop and potentially causing a fall. Always use caution when riding over
terrain changes. (GSM pg 56)
26. The Segway PT Tires must be able to grip the ground for the machine to stay
upright. Slips occur when the Segway PT loses traction, potentially causing loss of
control and a fall. Abrupt maneuvers, and riding over slippery surfaces, loose
objects and materials, or steep slopes can cause the Segway PT to lose traction.
(GSM pg 54)
27. The Segway PT’s unique balancing ability and ease of use can lead you to become
overconfident. If you exceed the ability of the Segway PT to balance, such as
riding over obstacles, uneven terrain, slippery surfaces, loose materials, or steep
slopes, you can very quickly lose control, leading to collisions, falls, and injury.
(GSM pg 108)
Page 3 of 4
© 2012 Consultus LLC
28. The typical range of the Segway PT i2 is 16-24 miles on a full charge. The typical
range of the Segway PT x2 is 9-12 miles on a full charge. (RM pg 5)
29. The range of your Segway PT is affected by many variables, including: Terrain,
Speed and Riding Style, Tire Inflation Pressure, Rider Weight and Cargo,
Temperature, Battery Condition, and Wind. (RM pg 11)
30. Fully charge the Segway PT Batteries for at least 12 hours, once a month, or
after every 12 hours of operation-whichever comes first. Charge your Batteries
only when they are within the specified charging temperature range of 50°F to
122°F. Make certain the charge port is clean and dry before plugging in to
(RM pgs 63-64)
Page 4 of 4
© 2012 Consultus LLC
Segway PT InfoKey Quick Reference Card
Info Key Information
Beginner Button- allows switching from
beginner mode (6 mph) to normal mode
(12.5 mph), also allows illuminating the
Power/Standby Button- Allows you to
power the Segway PT on and off. Also
by tapping button, allows you to switch
from Balance Mode to Standby Mode.
Information Display Button- Allows you
to scroll through information including
time, date, speed, average speed, trip
distance, and odometer.
Security Button- Allows you to activate
the security function (alarm).
© Segway Inc.
Riding Considerations
Your posture and stance affect your ability to ride safely:
Be alert. Scan both far ahead and in front of the wheels. Your eyes are your best
tool for safely avoiding obstacles and slippery surfaces.
Look ahead, not down. Use your peripheral vision. Looking down changes your
center of gravity and as a result, your sense of balance.
Relax. Keep a firm grip on the handlebar, your legs loose and your knees and
elbows bent. This helps you maintain balance over rough terrain.
The Segway PT is highly maneuverable and allows you to easily navigate around
Avoid hazards. Some responses of the Segway PT are instantaneous and there is
no time for a Safety Alert to warn you. In these cases, you will most likely lose your
balance and fall. The best choice is to avoid slips, trips, and tips.
Maintain tire contact with the ground. The tires must be able to grip the ground
for the machine to stay upright. If airborne, upon landing you would probably lose
control and fall.
Know the limits of the machine. The Segway PT will generally go up a 26% grade
but not for all riders or in all conditions. Avoid riding across steep slopes. When
riding across gentle slopes, keep the LeanSteer Frame vertical and aligned with your
body. You must always use caution when riding over any terrain change.
Stairs: Never ride the unit down stairs. Stand above and in front of the Segway PT
while in Riderless Balance mode.
you hear a “clicking” sound when riding: stop, step off the unit, power it off,
and perform routine LeanSteer Frame adjustment
you are unable to power on your Segway PT or power off when it is on, the
most likely cause is a dead InfoKey battery, or stuck Rider Detection Sensor.
© 2011 Consultus LLC
Segway PT
(how it works)
• Must be within 15 ft. in order to communicate with your Segway PT.
• Do NOT drop. Treat the InfoKey as you would a nice water-resistant watch
• To switch from Balance Mode to Standby Mode, tap the power button.
• Press and hold the Turtle Button to turn on the Backlight.
• The Security Button, Power Button and Beginner Button will work only when
no rider is on the unit.
• When you replace or reseat the InfoKey Battery, all information will revert to
the default setting. Trip and average speed will reset to zero, but the
odometer will NOT reset. The InfoKey battery lasts about one year.
Handlebar / LeanSteer Frame
• Handlebar / LeanSteer Frame maximum weight limit is 10 lbs.
• Adjust Handlebar to correct rider height and tighten.
• LeanSteer Frame only moves you left and right.
• Keep your body aligned with the LeanSteer Frame.
• Always leave a gap between your body and the LeanSteer Frame.
Tire / Wheel Assembly
• Keep tires inflated to 15 psi for i2 ~ 4 psi for x2
Charge and Balance Indicator Lights
• Never step on a unit when you have a red light.
• The forward charge light represents the front battery while the back charge
light represents the rear battery.
• Never let go of the unit while in Balance Mode unless leaning against
• You are in Balance mode/Riderless Balance mode when all lights are
rotating/pulsing green and the InfoKey displays a Happy Face.
• There are 4 sensors located beneath the Mats (under heels and toes). At least
3 sensors must be depressed while riding to maintain Balance Mode.
• Never place anything other than your feet on the Mats. (You could have a
runaway Segway PT.)
© 2011 Consultus LLC
Battery Management
(why one rider will use up more battery than another)
The Segway PT i2 will travel a range of up to 16-24 miles, the Segway PT x2 will
travel a range of up to 12 miles, on a full charge, with a weight range of 100-260
lbs and ridden within the specified temperature range of 32°F - 122°F on fairly level
surfaces. To conserve battery, the unit will shut itself off after 15 minutes of being
in Stand-by mode.
Variables that require more power include:
Higher payloads (weight of rider and all cargo).
Steeper slopes.
Bumpier surface conditions.
Higher speeds.
Abrupt maneuvers.
Things to consider when planning riding times:
Terrain: Riding on smooth, flat terrain improves range, and riding on hilly
terrain and unpaved surfaces reduces range. Because of the regenerative
braking system, the Segway PT will charge the batteries when going downhill.
Speed and Riding Style: Riding at a consistent, moderate speed will
increase range while frequent starting, stopping, acceleration, and
deceleration reduce range.
Tire Inflation Pressure: Riding with tire pressures below the specified limit
(15 psi for i2 / 4 psi for x2) reduces range.
Rider Weight and Cargo: Lighter riders with less cargo experience better
range than heavier riders with more cargo.
Temperature: Storing, charging, and riding in temperatures close to the
median of the recommended temperature range improves range. Riding in
colder temperatures reduces range significantly.
Battery Condition: Properly charged and maintained batteries provide
greater range. Old, cold, heavily used, or poorly maintained batteries provide
less range. Remember to ALWAYS keep batteries in pairs.
Wind: Riding with a tailwind increases range. Riding against a headwind
reduces range.
Because of the ‘duty to respond’, when the InfoKey shows 2 bars on the
battery level, you must charge or swap out your batteries.
© 2012 Consultus LLC
Understanding the Safety Alerts
(know how to respond BEFORE you ride the Segway PT)
Speed Limiter
When you approach the maximum
allowed speed, the Segway PT Speed
Limiter will push the Handlebar back to
slow you down. Always leave a gap
between yourself and the Handlebar.
Conditions that may cause the Speed Limiter to activate even though
you might not be traveling at the maximum speed:
Riding up a hill
Riding on a bumpy terrain
Riding with fewer than 3 Rider Detect Sensors depressed
The first few seconds after you power on and step on the Powerbase
Low battery charge
Batteries that are too hot or too cold
Riding down a hill with fully charged batteries (due to regenerative
Unequal or incorrect tire pressure
The Segway PT is operating at reduced performance levels due to a
temporary condition. The speed limit has been lowered until the condition
© 2011 Consultus LLC
Understanding the Safety Alerts
(know how to respond BEFORE you ride the Segway PT)
Stick Shake Warning
One of the ways that the Segway PT notifies you when you are at risk
of falling is by shaking the Handlebar and making growling noises. The
Stick Shake Warning can occur in conjunction with, or independent of
the Speed Limiter and Safety Shutdown alert, depending on your
riding situation. If you are given a Stick Shake Warning you must stop
doing what you are doing and evaluate the cause of the warning. Step
off immediately and clear all obstacles if necessary.
Possible causes of the Stick Shake Warning with a rider on the Mats.
Riding aggressively, accelerating or stopping abruptly
Riding against the Handlebar causing you to demand too much power
Riding on rough terrain or steep slopes causing you to demand too much
Riding against an obstruction such as a door frame or curb that stops the
wheel while you continue to demand too much power
Riding backwards too quickly
Safety Shutdown has begun
Possible causes of Stick Shake Warning with no rider on the Mats.
Moving a Segway PT too quickly with no rider on the Powerbase while in
Riderless Balance Mode
Stepping on the Segway PT when it is powered on, but not ready for you to
step on
If the wheels spin as you pull the Segway PT over a curb or up stairs
The Stick Shake Warning is more likely to occur when your batteries are
low, cold, heavily used, or poorly maintained because there is less energy
available to keep you balanced.
© 2011 Consultus LLC
Understanding the Safety Alerts
(know how to respond BEFORE you ride the Segway PT)
Safety Shutdown
If the Segway PT detects a fault in any of its
redundant systems, it performs a Safety
Shutdown. Those systems include: Controller
Boards, Motors, Batteries, the Balance Sensor
Assembly, and LeanSteer Sensors.
You have approximately 10 seconds from the start of a Safety Shutdown to
come to a controlled stop and step off.
Never restart and ride your Segway PT after it has indicated an empty battery
condition or performed Safety Shutdown due to low battery. The Segway PT
may not have enough power to keep you balanced, especially if you demand
a lot of power at once.
You risk damaging your batteries, resulting in reduced battery life and
Theft detection systems can interfere with the ability of the Segway PT to
keep you balanced and/or causes a Safety Shutdown. Do NOT ride within 5
feet of any theft detection system.
When a Safety Shutdown occurs, the Segway PT automatically reduces its speed,
gives the Stick Shake Warning, flashes the Balance Indicator lights, emits a warning
tone, and the InfoKey Controller displays an unhappy face.
© 2011 Consultus LLC
End of Ride Assessment
Rider Name: ________________________ Date: __________
Power on / off
Take out of Balance Mode
Turtle on / off
Lock on / off
Change date / time
Trip / Odometer
Error code information
Know when buttons are (or are not) functional
Plug in unit
Understand proper adjustment of LeanSteer Frame
Battery changing procedure
Know where to inflate tires
Get on / off Segway PT quickly
Parking the unit
Controlled stopping
Stop quickly
Aggressive stopping
Standard balance
Forward motion and braking
Understanding increased height (tree branches, awnings, etc.)
Initials ___________
Page 1 of 2
© 2011 Consultus LLC
End of Ride Assessment
Width of the unit
Stand still while holding conversations (public relations)
Maneuver around people
Ride up / down hill (incline/decline)
Ride rough terrain
Riding among street debris
Entering a building and opening doors
Elevator riding
Get up/ down stairs / ramp
Change in terrain
Securing the unit
Battery management
Weather conditions
Rider Name: ________________________________________
Rider Signature: _____________________________________
Instructor Signature: _________________________________
Date: ___________________
Page 2 of 2
© 2011 Consultus LLC
Deployment Check-in / Check-out Form
Employee Name:
Date/Time Out
Unit #
Date/Time In
Out Checklist
Battery Level
Info Key
Info Key Battery Level
Step On/Off Unit
Test Drive
In Checklist
Wheel Wobble
Unit On/Off
Reset Trip
Reset Average Speed
Total Miles Driven:
Average Speed:
New Damage
Unit Functions OK
Note any issues or questions:
Note any issues:
Incident Report Area
Short Description
of Incident
Did incident result in
damage to the unit?
Did incident result in
Injury to a person?
Details of Incident:
If yes, describe damage:
If yes, describe injury:
Date and time incident
happened or was discovered
Narrative with all information available on witnesses, injuries, police and other vehicles.
Employee Signature:
Date of Report:
Supervising Officer Review; Follow Up Plan:
 Inspect
 Repair
 Test
Supervising Officer Name:
 Quarantine
 Send to Corporate
Supervising Officer Signature:
 Please check if more information follows on reverse or attachment.
© 2011 Consultus LLC
Was this manual useful for you? yes no
Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Download PDF