Commercial Motor Vehicle Road - Evaluation and Coaching

Commercial Motor Vehicle Performance Evaluation

Commercial Motor Vehicle Road - Evaluation and Coaching
Title 49 – Federal Motor Carrier Safety Regulations (FMCSR)
Evaluation/Performance Checklist
Reporting Location of DOT Driver:
- Div 1 - Elmwood, LA
- Div 1 - Jackson, MS
- Div 6 - Cedartown, GA
- Div 6 - Raleigh, NC
- Div 6 - West Columbia, SC
- Div 7 - New Albany, MS
- Div 8 - Birmingham, AL
- Div 9 - Bossier City, LA
- Div 9 - Oklahoma City, OK
- Div 9 - Duncanville, TX
- Div 9 - Alexandria, LA
Conducted on
Evaluator's Full Name and Title:
Full Name of DOT Driver being evaluated:
DOT Driver's DL Number & State:
REASON FOR EVALUATION:
- Initial evaluation
- Day Series Evaluation (1 of ?; add in comments)
- Annual Evaluation
- Return to Work Evaluation
- Post Accident Evaluation
- Use of New Equipment
- Final Evaluation
- Other (see comments below)
ADD COMMENTS (IF NEEDED FOR PREVIOUS):
Tractor Number:
Trailer Number:

Evaluation/Inspection:

PRE-TRIP INSPECTION AND EMERGENCY EQUIPMENT:

Checks the general condition of the vehicle, examining the tires, lights, signals, trailer hookups, body and doors:
Looks under the hood, checking oil levels, fluid levels, belts and other components:
Completes a full air system check:
Understands how to use jacks, tools, emergency warning devices, fire extinguishers, spare fuses and flares:
Ensures the windshield clean and free of cracks and/or obstructions, checks instruments and sets mirrors:

MOTOR - Gives the vehicle the proper time to warm up:
MOTOR - Has knowledge of what the gauges on the instrument panel do:
MOTOR - Maintains the proper engine speed when putting the vehicle in motion:
CLUTCH/TRANMISSION - Is able to start a loaded vehicle smoothly:
CLUTCH/TRANMISSION - Understands how to properly use a clutch and can shift smoothly (if applicable):
CLUTCH/TRANMISSION - Uses the proper gear sequence when shifting (if applicable)
BRAKES - Tests the brakes before beginning the drive:
BRAKES - Understands the basic operating principles of air brakes and warnings (e.g., low air warning):
BRAKES - Understands how to properly use a tractor protection valve:
STEERING - Maintains a good driving posture:
STEERING - Maintains control of the vehicle and doesn’t allow the truck to wander:
LIGHTS - Understands regulations related to vehicle lights:
LIGHTS - Uses the proper beams and auxiliary lights when operating the vehicle:
LIGHTS - Dims the lights when following or meeting traffic:

BACKING - Reviews clearances before backing out
BACKING - Avoids backing from blind side:
BACKING - Uses horn when backing out:
BACKING - Controls the vehicle’s speed and direction when backing:
PARKING - Parks close enough to the curb and does not hit it on the approach:
PARKING - Parks smoothly and does not hit nearby vehicles or stationary objects:
PARKING - Secures the vehicle properly when parking, setting the brake, using wheel blocks and shutting off the motor:
PARKING - Checks for traffic when pulling out of a parked position:
PARKING - Parks in a legal and safe location:

TURNING - Activates signals well before maneuvering the vehicle:
TURNING - Turns only when it is safe to do so and does not turn too wide or short:
TURNING - Completes turns in correct lanes:
TRAFFIC SIGNS/SIGNALS - Approaches traffic signs and signals with caution and is prepared to stop as needed:
TRAFFIC SIGNS/SIGNALS - Follows all posted traffic signs and signals:
INTERSECTIONS - Checks for any cross traffic, regardless of signals or signs:
INTERSECTIONS - Yields properly:
PASSING - Gives themselves enough space when passing:
PASSING - Passes in safe locations:
PASSING - Signals properly when passing and does not tailgate other drivers:
SPEED - Adjusts speed according to road, weather and traffic conditions, and legal limits:
SPEED - Slows down when driving on rough roads or through crossings:
SPEED - Slows down in advance of curves, intersections and other hazards:
SPEED - Maintains a consistent speed when driving long distances:

Uses seat belt:
Drives alert and is attentive at all times:
Executes duties and responsibilities in a professional manner (provide detailed comment if not "PASS"):
Maintains good following distances:
Checks instruments regularly:
Understands the basic rules of the road as well any applicable industry-specific regulations:

ARRIVAL - Observes overhead obstacles:
ARRIVAL - Observes traffic patterns in customer’s parking lot:
ARRIVAL - Observes pedestrian traffic in arrival zone:
ARRIVAL - Parks in appropriate area for efficient and safe unloading:
ARRIVAL - Uses proper backing techniques:
DELIVERY - Unloads freezer/dairy items first:
DELIVERY - Avoids overloading hand truck:
DELIVERY - Maintains steady pace:
DELIVERY - Avoids unnecessary shortcuts:
DELIVERY - Lifts with legs/Back straight:
DELIVERY - Reports damages, shortages, or other variances:
TRAILER - Keeps trailer neat/floor free from debris:
TRAILER - Secures product in trailer/Closes and locks trailer when away from truck:
DEPARTURE - Observes traffic that may have entered departure zone:
DEPARTURE - Observes overhead obstacles:
DEPARTURE - Observes pedestrian traffic in departure zone:

Checks the general condition of the vehicle, examining the tires, lights, signals, trailer hookups, body and doors:
Looks under the hood, checking oil levels, fluid levels, belts and other components:
Completes post-trip properly in Samsara App:
Uses 3-point contact to exit the cab:
Completes and submits all paperwork properly:
Comments:
Driver’s Signature:
Evaluator’s Signature: