Idle Free Schools

Sample Observation Form

Observer Name:	

School:	 Zone:	

Day of Week:	 Date:	 Time:	

Weather (circle one):

Sunny	Partly Cloudy/Sunny	Cloudy	Precipitating	Windy

Outside Temperature (circle one):

Hot	Mild	Cool	Cold	Estimated Temp:

Vehicle (passenger
cars) or Truck (pick-
up truck, SUVs, or
minivans)

Brief
Vehicle
Descrip-
tion

Arrival
Time

Is Vehicle
Idling?
(Y/N)

Depart
Time

If idling:
how
many
minutes?

Notes

V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







V

T





Y

N







Turn Your Key, Be Idle Free!

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Idle Free Schools

Sample Observation Form

Turn Your Key, Be Idle Free!

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