Gemini Logistics DAILY RUN SHEET Date ..... I ..... I .... .

Deliver Anything, Anytime, Any where

DRIVER NAME I I DRIVER NO

COMPANY NAME VEHICLE REG
SHIFT START TIME: FINISH TIME : ODOMETER START: ODOMETER FINISH :
Arrival Depart No of Arrival Depart Receiver's
Job No Client & Pick up Suburb Client & Delivery Suburb Receiver's Name
Time Time Items Time Time Signature

NO SIGNATURE NO PAY
By signing this run sheet, I acknowledge and confirm that I have completed daily safety checks on my vehicle, and I am not
under the influence of drugs or alcohol. I also confirmed, I have had adequate rest breaks and I am ready to act as principle
contractor.

Contractor's Signature
Gemini Logistics Pty Ltd ADDRESS: 9 Katz Way Somerton VIC 3062 TEL 0404999100 EMAIL: runsheets@geminilogistics.com.au
 Gemini Logistics Daily Check List
Deliver Anything, Anytime, Any where

Vehicle PPE ( Personal Protection Equipment) FATIGUE MANAGEMENT

Fuel REQUIRED DAILY SELF ASSESSMENT SAFE DRIVING PLAN

Registration Safety Shoes TIME WORK REST

A driver must not work for And must have the rest of that period off work with at
Windscreen/ Windows / Mirrors High Visibility Clothing In any period of
more than a MAXIMUM of.. least a MINIMUM rest break of..
Wipers/ Washers Gloves 5 1/2 hours 5 1/4 Hour work time 15 continuous minutes time

Brakes/ Air Lines 30 minutes rest time in blocks of 15 continuous

8 hours 7 1/2 hours work time
minutes
Bodywork/ Structure AVAILABLE AS REQUIRED 60 minutes rest time in blocks of 15 continuous
11 hours 10 hours work time
minutes
Equipment Clean/ Cab Clean Hearing Protection (Plugs or Muffs) 24 hours 12 hours work time 7 continuous hours stationary rest time

Gates Eye Protection (Goggles) The table above sets out the minimum rest requirements for drivers of all heavy vehicles. For safety
reasons, Aaditya Transport recommends drivers of all vehicles adhere to this safe driving plan
Horn / Lights / Reflectors Hard Hat with chin strap DRIVERS MUST NOT BE FATIGUED

Oil / Coolant Long sleeve shirts and long trousers Carrier Acknowledgement
I hereby confirm that I have not worked or sought to undertake work for Aaditya Transport or any other
Rear Warning Signs / Markers combination of companies for more than 12 hours in the previous 24 hours. In accepting work for
Aaditya Transport, I will not exceed a maximum of 13 contact hours in any 24 hours period.
Reversing Alarm LOAD RESTRAINT

Service Sticker / Accreditation Label (s) Equipment in good order and Condition Carrier Signature ….............................................

Tyres/ Wheels/ Suspensions Bearers Flashing Lights Please enter your rest time in the table bellow

Jack / Wheelbrace / Safety Triangles Load Binders Oversize Signs Start Start Start

Load Security Dogs and Chains Flags

REST TIME
Insrumentation / Weight Gauges Ropes Trolley Finish Finish Finish

Tug. Tested / Trailer Connection/s Angles Blankets

Air Tanks Drained Tarp Ties

1. I hold a current and valid licence with all appropriate endorsements to operate this vehicle and / or equipment
If the requirement is not met you cannot legally operate the vehicle and / or equipment
2. I certify that I have completed all checks requested above and to the best of my knowledge am satisfied that the vehicle / equipment is safe to used
This includes a daily pre inspection on any ancillary equipment ( where applicable) and recorded the same on the appropriate documentation with the above
Signature : …......................................
3. I have carried out a personal fitness for work assessment and declare that I am fit for work
Fit for work includes: not impaired by fatigue and free of any drugs and alcohol
4. My Vehicle is Roadworthy and I Have completed my prestart check
5. I am aware of the current road rules and will adhere to my chain of responsibility obligation
Gemini Logistics Pty Ltd ADDRESS: 9 Katz Way Somerton VIC 3062 TEL : 0404999100 / 0452010010 / 0452020020 / 0452030030 EMAIL : runsheets@geminilogistics.com.au