Auto and Fleet Evaluation

• Conducted on

  Date

• Prepared by

• Location
  Address

• Prepared for

• Company Contact

• Company Contact Phone Number

• Company Contact Email Address

Number of Vehicles

• NON-DOT

• 10,001 – 26,000 lbs

• >26,000 lbs

• TOTAL VEHICLES

Number of Drivers

• NON-CDL

• CDL

• TOTAL DRIVERS

• Non-DOT Auto and Fleet Safety Program Questions

  Yes

  No

  N/A

Non-DOT Auto and Fleet Safety Program Questions

• Does Company have a written Non-DOT Auto/Fleet Safety Program?

  Yes

  No

  N/A

• Does Company have a written Cell Phone Policy?

  Yes

  No

  N/A

• Does Company have a written Personal Use Policy?

  Yes

  No

  N/A

• Does Company have documented employee training to the Non-DOT Auto/Fleet Safety Program?

  Yes

  No

  N/A

• Does Company have documented employee sign off on Cell Phone Policy and Personal Use Policy?

  Yes

  No

  N/A

• Does Company have employees driving personal vehicles doing company business?

  Yes

  No

  N/A

• Does Company require proof of insurance coverage for personal vehicles use for company business?

  Yes

  No

  N/A

• Checked on an annual basis?

  Yes

  No

  N/A

• Does Company document Pre-Trip Inspections on vehicles?

  Yes

  No

  N/A

• Does Company document corrective actions of identified problems found during inspections?

  Yes

  No

  N/A

• Does Company keep maintenance files on each vehicle onsite?

  Yes

  No

  N/A

• Does Company pull MVRs for all drivers?

  Yes

  No

  N/A

• Is there a written program with a sign off from the employee?

  Yes

  No

  N/A

• Does Company document ride-along/follow-along evaluations of their drivers on a regular basis?

  Yes

  No

  N/A

• Does Company have GPS/telematics or camera-based systems to track vehicles and drivers?

  Yes

  No

  N/A

• Does Company have a written program to explain how GPS/telematics/cameras will be utilized?

  Yes

  No

  N/A

• Does Company have a policy to disciple or revoke driving privileges based on MVR, driving evaluations, or GPS/telematics information?

  Yes

  No

  N/A

• Does Company have a Drug Testing Policy for all drivers?

  Yes

  No

  N/A

• What kind of testing do they perform?

  Select Pre-Employment Post-Accident Random

  • Pre-Employment
  • Post-Accident
  • Random

• Does Company have a written Accident Reporting Procedure?

  Yes

  No

  N/A

• Does Company have a written Root Cause/Corrective Action Procedure to evaluate vehicle accidents and prevent reoccurrences?

  Yes

  No

  N/A

DOT Fleet Safety Program Questions

• DOT Number

• Does Company have a written DOT Fleet Safety Program?

  Yes

  No

  N/A

• Does Company have documented employee training to the DOT Fleet Safety Program?

  Yes

  No

  N/A

• Does Company maintain Driver Qualification Files?

  Yes

  No

  N/A

• Select ALL items that are included in the Driver Qualification Files.

  Select Annual MVR Annual MVR Review Annual Driver's Certification of Violations Current Medical Exam Report Current Medical Exam Certification Current Note From Employer Verifying the Medical Examiner is on the National Registry of Certified Medical Examiners At Hire - Driver's Application of Employment At Hire - Driver's Road Test Certificate or Equivalent At Hire - Inquiry to Previous Employers - Safety Performance Records At Hire - Inquiry To State Agencies for 3-Year Driving Record At Hire - Pre-Employment Drug and Alcohol Documents

  • Annual MVR
  • Annual MVR Review
  • Annual Driver's Certification of Violations
  • Current Medical Exam Report
  • Current Medical Exam Certification
  • Current Note From Employer Verifying the Medical Examiner is on the National Registry of Certified Medical Examiners
  • At Hire - Driver's Application of Employment
  • At Hire - Driver's Road Test Certificate or Equivalent
  • At Hire - Inquiry to Previous Employers - Safety Performance Records
  • At Hire - Inquiry To State Agencies for 3-Year Driving Record
  • At Hire - Pre-Employment Drug and Alcohol Documents

• Does Company have a written progressive disciplinary action policy?

  Yes

  No

  N/A

• Does Company document Pre-Trip and Post Trip Inspections on vehicles using the Daily Vehicle Inspection Report?

  Yes

  No

  N/A

• Does Company document corrective actions of identified problems found during inspections?

  Yes

  No

  N/A

• Does Company keep maintenance files on each DOT vehicle?

  Yes

  No

  N/A

• Does Company pull and evaluate MVRs for all CDL drivers?

  Yes

  No

  N/A

• Does Company keep a copy of and track DOT Medical Examiner Certificates?

  Yes

  No

  N/A

• Does Company have a DOT Drug Testing Policy for all CDL drivers?

  Yes

  No

  N/A

• Does Company have a FMCSA Login?

  Yes

  No

  N/A

• Does Company update the FMCSA Website every 2 years as required?

  Yes

  No

  N/A

• Does Company use the Clearinghouse when hiring new drivers?

  Yes

  No

  N/A

• Does Company document ride-along/follow-along evaluations of their drivers on a regular basis?

  Yes

  No

  N/A

• Does Company have a written DOT Reporting Procedure in the case of a “tow-away” crash?

  Yes

  No

  N/A

• Yes

  No

  N/A