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Name Date of BirthConstitutional
Seat belt use
Yes
Regular exercise
Yes
Recent: weight gain or weight loss
No
Chronic fatigue
No
Eyes
Eye injury
No
Glaucoma
No
Blurred vision
No
Double vision
No
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How to fill out seat belt use

How to fill out seat belt use
01
Make sure the seat belt is easily accessible and not tangled.
02
Sit upright with your back against the seat and your feet flat on the floor.
03
Put the shoulder belt across your chest and shoulder, making sure it is not twisted.
04
Insert the seat belt latch into the buckle until you hear a click.
05
Adjust the seat belt so it fits snugly but comfortably across your body.
06
Check that the seat belt is properly secured by giving it a slight tug.
07
Avoid placing the seat belt behind your back or under your arm.
08
Repeat the steps for all passengers in the vehicle.
Who needs seat belt use?
01
Everyone who is inside a vehicle should use seat belts.
02
It is important for drivers, passengers, and even children to use seat belt for safety.
03
Seat belts help prevent serious injuries or fatalities during sudden stops, collisions, or accidents.
04
By using seat belts, the risk of being thrown around or ejected from the vehicle is greatly reduced.
05
In many countries, seat belt use is mandatory by law to ensure the safety of individuals in vehicles.
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What is seat belt use?
Seat belt use refers to the act of wearing a seat belt while driving or riding in a vehicle.
Who is required to file seat belt use?
All drivers and passengers in a vehicle are required to wear a seat belt.
How to fill out seat belt use?
To fill out seat belt use, simply ensure that all occupants in the vehicle are wearing their seat belts.
What is the purpose of seat belt use?
The purpose of seat belt use is to protect drivers and passengers in the event of a collision or sudden stop.
What information must be reported on seat belt use?
The information reported on seat belt use includes the number of occupants in the vehicle and whether or not they were wearing seat belts.
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