iAuditor Mobile App Preview

Part A

COMPANY OPERATION
(Mark all that apply)
OPERATION CLASSIFICATION
(Mark all that apply)

Other

HAZARDOUS MATERIALS

Do you transport hazardous materials?

List all Hazardous Materials Transported

Do you transport placardable quantities of HM?

Is an HM permit required?

Enter HM permit number here

COMMODITIES
List all commodities transported

Other

DRIVER INFORMATION

Interstate Drivers (Previous 365 Days)

Intrastate Drivers (Previous 365 Days)

Total CDL Drivers

Total Non-CDL Drivers

STRAIGHT TRUCKS

Do you operate any straight trucks?

Do you own any straight trucks?

Total

Do you term lease any straight trucks?

Total

Do you have any trip leased straight trucks?

Total

TRUCK TRACTORS

Do you operate any truck tractors?

Do you own any truck tractors?

Total

Do you term lease any truck tractors?

Total

Do you trip lease any truck tractors?

Total

TRAILERS

Do you utilize any trailers?

Do you own any trailers?

Total

Do you term lease any trailers?

Total

Do you trip lease any trailers?

Total

HAZMAT CARGO TANK TRUCKS

Do you operate any HM cargo tank trucks?

Do you own any HM cargo tank trucks?

Total

Do you term lease any HM cargo tank trucks?

Total

Do you trip lease any HM cargo tank trucks?

Total

HAZMAT CARGO TANK TRAILERS

Do you utilize any cargo tank trailers?

Do you own any HM cargo tank trailers?

Total

Do you term lease any HM cargo tank trailers?

Total

Do you trip lease any HM cargo tank trailers?

Total

MOTORCOACH

Do you operate any motorcoaches?

Do you own any motorcoaches?

Total

Do you term lease any motorcoaches?

Total

Do you trip lease any motorcoaches?

Total

SCHOOL BUS

Do you operate any school buses?

Do you own any school buses?

Total

Do you term lease any buses?

Total

Do you trip lease any buses?

Total

MINI-BUS

Do you operate any mini-buses?

Do you own any mini-buses?

Total

Do you term lease any mini-buses?

Total

Do you trip lease any mini-buses?

Total

PASSENGER VAN

Do you operate any passenger vans?

Do you own any passenger vans?

Total

Do you term lease any passenger vans?

Total

Do you trip lease any passenger vans?

Total

LIMOUSINE

Do you operate any limousines?

Do you own any limousines?

Total

Do you term lease any limousines?

Total

Do you trip lease any limousines?

Total

TOTAL MILES DRIVEN FOR PREVIOUS YEAR

Mileage

TOTAL INSPECTIONS (Roadside / Terminal)

Have you had any roadside or terminal inspections within the previous 365 days?

Total

Were any inspections out-of-service?

Total

RECORDABLE ACCIDENTS (Fatalities, Injuries Requiring Immediate Medical Treatment, Towed Vehicles)

Have you had any recordable accidents in the previous 3 years?

List all recordable accidents.

LOCATION OF REVIEW
Where was the review conducted?

Other Location

IFTA / IRP

Have you filed for IFTA / IRP registration?

Date Completed

UCR

Have you filed your UCR registration?

Date Completed

MCS-150 UPDATE / CHANGES

Have you completed your MCS-150 application / update / changes?

Date Completed

INTERSTATE FOR-HIRE AUTHORITY (if applicable)

Have you applied for your interstate for-hire authority?

Enter Interstate (MC) Authority information

INTRASTATE FOR-HIRE AUTHORITY (If applicable)

Have you applied for your intrastate for-hire authority?

Enter Intrastate Authority information (if applicable)

Part B

GENERAL

General #1 Section # 387.7(a) - Acute
Does the carrier have the required minimum level of financial responsibility in effect (property carrier)?

General # 2 Section # 387.7(d) - Critical
Does the carrier have required proof of financial responsibility (property carrier)?

General # 3 Section # 387.31(a) - Acute
Does the carrier have the required minimum level of financial responsibility in effect (passenger carrier)?

General # 4 Section # 387.31(d) - Critical
Does the carrier have the required proof of financial responsibility (passenger carrier)?

General # 5 Section 13901 (392.9a(a)(1))
Is the motor carrier authorized to conduct interstate operations in the United States?

General # 6 Section # 390.15(b)(1)
Can the carrier provide a complete accident register of recordable accidents?

General # 7 Section # 390.15(b)(2) - Critical
Does the carrier have copies of all accident reports required by States or other government entities or insurers?

General # 8 Section # 390.3(e)
Is the carrier knowledgeable of the FMCSRs/HMRs?

General # 9 Section # 390.21
Does the carrier know the commercial motor vehicles marking requirements?

DRIVER

Driver # 1 Section # 391.51(a) - Critical
Does the carrier maintain driver qualification files?

Driver # 2 Section # 391.11(b)(4) - Acute
Is the carrier using physically qualified drivers?

Driver # 3 Section # 391.45(a), 391.45(b) - Critical
Is the carrier using a driver without a medical certificate or with an expired medical certificate?

Driver # 4 Section # 391.15(a) - Acute
Is the carrier using any disqualified drivers?

Driver # 5 Section # 391.51(b)(2) - Critical
Does the carrier maintain driving inquiry data in driver qualification files?

COMMERCIAL DRIVERS LICENSE (CDL)

Are any drivers required to have a CDL?

Driver # 6 Section # 382.115(a), 382.115(b) - Acute
Has the carrier implemented an alcohol and/or controlled substances testing program?

Driver # 7 Section # 382.213(b) - Acute
Has the carrier used drivers who have used controlled substances?

Driver # 8 Section # 382.215 - Acute
Has the carrier used a driver who has tested positive for a controlled substance?

Driver # 9 Section # 382.301 - Acute
Has the carrier used a driver known to have an alcohol concentration of 0.04 or greater?

Driver # 10 Section # 382.505(a) - Acute
Has the carrier used a driver found to have an alcohol concentration of 0.02 or greater but less than 0.04 within 24 hours of being tested?

Driver # 11 Section # 382.301(a) - Critical
Has the carrier ensured that drivers have undergone testing for controlled substances prior to performing a safety sensitive function?

Driver # 12 Section # 382.303(a) - Critical
Has the carrier conducted post accident testing on driver for alcohol?

Driver # 13 Section # 382.303(b) - Critical
Has the carrier conducted post accident testing on drivers for controlled substances?

Driver # 14 Section 382.305 - Acute
Has the carrier implemented a random testing program?

Driver # 15 Section 382.305(b)(1) - Critical
Has the carrier conducted random alcohol testing at an annual rate of not less than the applicable annual rate or prorated rate of the average number of driver positions?

Driver # 16 Section # 382.305(b)(2) - Critical
Has the carrier conducted controlled substance testing at the applicable prorated rate of not less than the applicable annual rate of the average number of driver positions?

Driver # 17 Section # 40.305(a)
Has the carrier conducted the required return-to-duty tests on employees returning to safety-sensitive functions?

Driver # 18 Section # 40.309(a)
Is the carrier conducting follow-up testing as directed by the Substance Abuse Professional?

Driver # 19 Section # 382.211 - Acute
Has the carrier used a driver who has refused to submit to an alcohol or controlled substances test required under Part 382?

Driver # 20 Section # 382.503 - Critical
Has the carrier used a Substance Abuse Professional as required by 49 CFR Part 40 Subpart O?

Driver # 21 Section # 383.23(a) - Critical
Has a driver operated a commercial motor vehicle without a current operating license, or a license, which hasn't been properly classed and endorsed?

Driver # 22 Section # 383.37(a) - Acute
Has the motor carrier knowingly allowed its drivers whose CDLs have been suspended, revoked or canceled by a state, have lost the right to operate a CMV in a state, or have been disqualified from operating a CMV to operate a commercial motor vehicle?

Driver # 23 Section # 383.51(a) - Acute
Has the motor carrier knowingly allowed, required, permitted, or authorized a driver to drive who is disqualified to drive a commercial motor vehicle?

OPERATIONS

Do any drivers utilize a time sheet to record hours of service?

Operations # 1 Section # 395.1(e)(1), 395.1(e)(2)
Does the carrier have a system for recording hours of duty status on 100/150 air-mile radius drivers, and are they properly utilizing the 100/150 air-mile radius exemption?

Operations # 2 Section # 395.8(a) - Critical
Does the carrier require drivers to make a record of duty status?

Operations # 3 Section # 395.8(i) - Critical
Does the carrier require drivers to submit records of duty status within 13 days?

Operations # 4 Section # 395.8(k)(1) - Critical
Can the carrier produce records of duty status and supporting documents for selected drivers?

Operations # 5 Section # 395.3(a)(1) - Critical
Has the carrier allowed driver(s) to exceed the 11-hour rule? (Property)

Operations # 6 Section # 395.3(a)(2) - Critical
Has the carrier allowed driver(s) to exceed the 14-hour rule? (Property)

Operations # 7 Section # 395.3(b)(1) - Critical
Has the carrier allowed driver(s) to drive after having been on duty more than 60 hours in 7 consecutive days? (Property)

Operations # 8 Section # 395.3(b)(2) - Critical
Has the carrier allowed driver(s) to drive after having been on duty more than 70 hours in 8 consecutive days? (Property)

Operations # 9 Section # 395.5(a)(1) - Critical
Has the carrier allowed driver(s) to exceed the 10-hour rule? (Passenger)

Operations # 10 Section # 395.5(a)(2) - Critical
Has the carrier allowed driver(s) to exceed the 15-hour rule? (Passenger)

Operations # 11 Section # 395.5(b)(1) - Critical
Has the carrier allowed driver(s) to driver after having been on duty more than 60 hours in 7 consecutive days? (Passenger)

Operations # 12 Section # 395.5(b)(2) - Critical
Has the carrier allowed driver(s) to driver after having been on duty more than 70 hours in 8 consecutive days? (Passenger)

Operations # 13 Section # 395.8(e) - Critical
Does available evidence indicate a selected driver has prepared a false record of duty status?

Operations # 14 Section # 392.2 - Critical
Does the motor carrier ensure that drivers operate commercial motor vehicles in accordance with the laws, ordinances, and regulations of the jurisdictions in which they are operating?

Operation # 15 Section # 392.9(a)(1) - Critical
Does the carrier ensure that drivers are not permitted to drive a vehicle without the cargo properly distributed and adequately secured?

Operations # 16 Section # 392.4(b) - Acute
Have any drivers operated a commercial motor vehicle while under the influence of, or in possession of, narcotic drugs, amphetamines, or any other substances capable of rendering the drivers incapable of safely operating motor vehicles?

Operations # 17 Section # 392.5(b)(1) - Acute
Have any drivers operated a commercial motor vehicle while under the influence of, or in possession of, intoxicating beverages?

Operations # 18 Section # 392.5(b)(2) - Acute
Have any drivers operated a commercial motor vehicle within 4 hours of having consumed intoxicating beverages?

MAINTENANCE

Maintenance # 1 Section # 396.3(b) - Critical
Can the carrier produce maintenance files for requested vehicle(s)?

Maintenance # 2 Section # 396.17(a) - Critical
Can the carrier produce evidence of periodic (annual) inspections for selected vehicles?

Maintenance # 3 Section # 396.11(a) - Critical
Does the motor carrier require drivers to complete vehicle inspection reports daily?

Maintenance # 4 Section # 396.11(c) - Acute
Does the carrier ensure that out-of-service defects listed by the driver in the driver vehicle inspection reports are corrected before the vehicle is operated again?

Maintenance # 5 Section # 396.9(c)(2) - Acute
Does the carrier ensure vehicles that have been declared "out-of-service" do not operate before repairs have been made?

Maintenance # 6 Section 396.19
Is the carrier using qualified inspections (mechanic) and maintaining evidence of the inspector's qualifications?

Maintenance # 7 Section # 396.3
Can the carrier explain its systematic, periodic maintenance program?

HAZARDOUS MATERIALS

Does the carrier transport any amount of hazardous materials?

Hazardous Materials # 1 Section # 107.608(a)
Is the carrier registered with the Pipeline and Hazardous Materials Safety Administration, and to they have copies of all their registrations for the previous 3 years?

Hazardous Materials # 2 Section # 171.15 - Critical
Does the carrier promptly report hazardous materials incidents requiring immediate telephone notice to the appropriate authorities?

Hazardous Materials # 3 Section # 171.16 - Critical
Does the carrier file hazardous materials incident reports when required?

Hazardous Materials # 4 Section # 177.800(c) - Critical
Does the carrier provide HM training for its drivers?

Hazardous Materials # 5 Section # 172.704(a)
Do the HM training materials cover the minimum required elements?

Hazardous Materials # 6 Section # 177.817(a) - Critical
Are the shipping papers used by the carrier properly prepared?

Hazardous Materials # 7 Section # 177.817(e) - Critical
Does the carrier maintain proper accessibility for shipping papers?

Hazardous Materials # 8 Section # 177.841(e) - Acute
Does the carrier transport packages bearing a poison label in the same vehicle with any foodstuff or feed for humans or animals?

Hazardous Materials # 9 Section # 177.848
Is the motor carrier aware that some hazardous materials may not be transported in the same vehicle with other hazardous materials?

Hazardous Materials # 10 Section # 180.407(a) - Critical
Has the carrier transported a shipment of HM in a cargo tank that has not been inspected or tested in accordance with 180.407?

Hazardous Materials # 11 Section # 180.407(c) - Critical
Are all of the cargo tanks used for the transportation of hazardous materials periodically inspected and tested in accordance with 180.407?

Hazardous Materials # 12 Section # 180.415 - Critical
Are cargo tanks that pass inspections or tests required by 180.407 marked?

Hazardous Materials # 13 Section # 180.417(a)(1) - Critical
Has the carrier retained all of the manufacturer's data report certificates and related papers, as required?

Hazardous Materials # 14 Section # 397.5(a) - Acute
Does the carrier ensure that vehicles containing Division 1.1, 1.2, or 1.3 (explosive) material is attended at all times?

Hazardous Materials # 15 Section # 397.7(a)(1) - Critical
Has the motor carrier parked a vehicle containing Division 1.1, 1.2, or 1.3 materials within 5 feet of a traveled portion of a highway or street?

Hazardous Materials # 16 Section # 397.7(b) - Critical
Has the motor carrier parked a vehicle containing HM other than Division 1.1, 1.2, or 1.3 materials within 5 feet of a traveled portion of a highway or street?

Hazardous Materials # 17 Section # 397.13(a) - Critical
Has the carrier permitted anyone to smoke when within 25 feet of a vehicle containing Class 1 materials, Class 5 materials, or flammable materials classified in Division 2.1, Class 3, Divisions 4.1, and 4.2?

Hazardous Materials # 18 Section # 397.19(a) - Critical
Has the carrier furnished all drivers transporting Division 1.1, 1.2, or 1.3 (explosive) material a copy of the rules of Part 397 and/or emergency response instructions?

Hazardous Materials # 19 Section # 397.67(d) - Critical
Does the carrier have a system to ensure all drivers transporting Class 7 (radioactive) material, Division 1.1, 1.2, or 1.3 explosives, or a poison inhalation hazard Zone A or B materials have a written route plan?

OTHER

Does the carrier transport household good or operate any Over The Road Buses (OTBR)

Other # 1 Section # 375.211
Does the carrier participate in an Arbitration Program?

Other # 2 Section 13702.0
Does the carrier assess shipper freight charges based upon published tariffs?

Other # 3 Section # 375.401(c)
Does the carrier provide reasonably accurate estimates of moving charges?

Other #4 Section # 375.407(a), 375.703(b)
Has the carrier avoided "hostage freight" or other predatory practices?

Other # 5 Section # 387.301(a), 387.301(b)
Does the HHG carrier have sufficient levels of public liability and cargo insurance?

Other # 6 Section # 375.215
Does the carrier have a published tariff and is the motor carrier changing the applicable rate (375.215)?

Other # 7 Section # 375.213
Can the motor carrier identify five documents required to be given to a prospective individual shipper prior to executing an order for service?

Other # 8 Section # 49 CFR 37 subpart H
Does the carrier have the means to provide accessible over-the-road bus (OTRB) service on a 48-hour advance notice basis by its owned or leased OTRBs?

Other # 9 Section # 49 CFR 37 subpart H
If the carrier does not have the means then does the carrier have an arrangement with another carrier that operates accessible OTRBs?

Receipt

RECEIPT

This audit is used to determine your compliance with the Federal Motor Carrier Safety Regulations (FMCSRs). Any violations discovered may be utilized to help determine the areas of concern that need addressing.

Your signature for receipt of this report acknowledges your understanding that if any violations are discovered they will be corrected as earliest as possible. You also understand that by failing to correct any violations discovered, you will be held liable for any violations that may be discovered during a compliance review from FMCSA or your States Enforcement Agency.

You also agree not to hold Employer Advantage and/or its representative liable for any violations discovered during a safety audit or compliance review conducted by any investigator or enforcement officer.

Refusing to sign this report does not in any way release you from any liability.

Assessor Signature
Company Official

DOT SAFETY AUDIT

Created by: Employer Advantage | Industry: Transport & Logistics | Downloads: 826

New Entrant USDOT Safety Audit

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

Browse for other checklists


iauditor logo

The World's #1 Cloud-Based Inspection Software and App

chevron logo
coles logo
emirates logo
overground logo
tesla logo
toyota logo

Part A

COMPANY OPERATION
(Mark all that apply)
OPERATION CLASSIFICATION
(Mark all that apply)

Other

HAZARDOUS MATERIALS

Do you transport hazardous materials?

List all Hazardous Materials Transported

Do you transport placardable quantities of HM?

Is an HM permit required?

Enter HM permit number here

COMMODITIES
List all commodities transported

Other

DRIVER INFORMATION

Interstate Drivers (Previous 365 Days)

Intrastate Drivers (Previous 365 Days)

Total CDL Drivers

Total Non-CDL Drivers

STRAIGHT TRUCKS

Do you operate any straight trucks?

Do you own any straight trucks?

Total

Do you term lease any straight trucks?

Total

Do you have any trip leased straight trucks?

Total

TRUCK TRACTORS

Do you operate any truck tractors?

Do you own any truck tractors?

Total

Do you term lease any truck tractors?

Total

Do you trip lease any truck tractors?

Total

TRAILERS

Do you utilize any trailers?

Do you own any trailers?

Total

Do you term lease any trailers?

Total

Do you trip lease any trailers?

Total

HAZMAT CARGO TANK TRUCKS

Do you operate any HM cargo tank trucks?

Do you own any HM cargo tank trucks?

Total

Do you term lease any HM cargo tank trucks?

Total

Do you trip lease any HM cargo tank trucks?

Total

HAZMAT CARGO TANK TRAILERS

Do you utilize any cargo tank trailers?

Do you own any HM cargo tank trailers?

Total

Do you term lease any HM cargo tank trailers?

Total

Do you trip lease any HM cargo tank trailers?

Total

MOTORCOACH

Do you operate any motorcoaches?

Do you own any motorcoaches?

Total

Do you term lease any motorcoaches?

Total

Do you trip lease any motorcoaches?

Total

SCHOOL BUS

Do you operate any school buses?

Do you own any school buses?

Total

Do you term lease any buses?

Total

Do you trip lease any buses?

Total

MINI-BUS

Do you operate any mini-buses?

Do you own any mini-buses?

Total

Do you term lease any mini-buses?

Total

Do you trip lease any mini-buses?

Total

PASSENGER VAN

Do you operate any passenger vans?

Do you own any passenger vans?

Total

Do you term lease any passenger vans?

Total

Do you trip lease any passenger vans?

Total

LIMOUSINE

Do you operate any limousines?

Do you own any limousines?

Total

Do you term lease any limousines?

Total

Do you trip lease any limousines?

Total

TOTAL MILES DRIVEN FOR PREVIOUS YEAR

Mileage

TOTAL INSPECTIONS (Roadside / Terminal)

Have you had any roadside or terminal inspections within the previous 365 days?

Total

Were any inspections out-of-service?

Total

RECORDABLE ACCIDENTS (Fatalities, Injuries Requiring Immediate Medical Treatment, Towed Vehicles)

Have you had any recordable accidents in the previous 3 years?

List all recordable accidents.

LOCATION OF REVIEW
Where was the review conducted?

Other Location

IFTA / IRP

Have you filed for IFTA / IRP registration?

Date Completed

UCR

Have you filed your UCR registration?

Date Completed

MCS-150 UPDATE / CHANGES

Have you completed your MCS-150 application / update / changes?

Date Completed

INTERSTATE FOR-HIRE AUTHORITY (if applicable)

Have you applied for your interstate for-hire authority?

Enter Interstate (MC) Authority information

INTRASTATE FOR-HIRE AUTHORITY (If applicable)

Have you applied for your intrastate for-hire authority?

Enter Intrastate Authority information (if applicable)

Part B

GENERAL

General #1 Section # 387.7(a) - Acute
Does the carrier have the required minimum level of financial responsibility in effect (property carrier)?

General # 2 Section # 387.7(d) - Critical
Does the carrier have required proof of financial responsibility (property carrier)?

General # 3 Section # 387.31(a) - Acute
Does the carrier have the required minimum level of financial responsibility in effect (passenger carrier)?

General # 4 Section # 387.31(d) - Critical
Does the carrier have the required proof of financial responsibility (passenger carrier)?

General # 5 Section 13901 (392.9a(a)(1))
Is the motor carrier authorized to conduct interstate operations in the United States?

General # 6 Section # 390.15(b)(1)
Can the carrier provide a complete accident register of recordable accidents?

General # 7 Section # 390.15(b)(2) - Critical
Does the carrier have copies of all accident reports required by States or other government entities or insurers?

General # 8 Section # 390.3(e)
Is the carrier knowledgeable of the FMCSRs/HMRs?

General # 9 Section # 390.21
Does the carrier know the commercial motor vehicles marking requirements?

DRIVER

Driver # 1 Section # 391.51(a) - Critical
Does the carrier maintain driver qualification files?

Driver # 2 Section # 391.11(b)(4) - Acute
Is the carrier using physically qualified drivers?

Driver # 3 Section # 391.45(a), 391.45(b) - Critical
Is the carrier using a driver without a medical certificate or with an expired medical certificate?

Driver # 4 Section # 391.15(a) - Acute
Is the carrier using any disqualified drivers?

Driver # 5 Section # 391.51(b)(2) - Critical
Does the carrier maintain driving inquiry data in driver qualification files?

COMMERCIAL DRIVERS LICENSE (CDL)

Are any drivers required to have a CDL?

Driver # 6 Section # 382.115(a), 382.115(b) - Acute
Has the carrier implemented an alcohol and/or controlled substances testing program?

Driver # 7 Section # 382.213(b) - Acute
Has the carrier used drivers who have used controlled substances?

Driver # 8 Section # 382.215 - Acute
Has the carrier used a driver who has tested positive for a controlled substance?

Driver # 9 Section # 382.301 - Acute
Has the carrier used a driver known to have an alcohol concentration of 0.04 or greater?

Driver # 10 Section # 382.505(a) - Acute
Has the carrier used a driver found to have an alcohol concentration of 0.02 or greater but less than 0.04 within 24 hours of being tested?

Driver # 11 Section # 382.301(a) - Critical
Has the carrier ensured that drivers have undergone testing for controlled substances prior to performing a safety sensitive function?

Driver # 12 Section # 382.303(a) - Critical
Has the carrier conducted post accident testing on driver for alcohol?

Driver # 13 Section # 382.303(b) - Critical
Has the carrier conducted post accident testing on drivers for controlled substances?

Driver # 14 Section 382.305 - Acute
Has the carrier implemented a random testing program?

Driver # 15 Section 382.305(b)(1) - Critical
Has the carrier conducted random alcohol testing at an annual rate of not less than the applicable annual rate or prorated rate of the average number of driver positions?

Driver # 16 Section # 382.305(b)(2) - Critical
Has the carrier conducted controlled substance testing at the applicable prorated rate of not less than the applicable annual rate of the average number of driver positions?

Driver # 17 Section # 40.305(a)
Has the carrier conducted the required return-to-duty tests on employees returning to safety-sensitive functions?

Driver # 18 Section # 40.309(a)
Is the carrier conducting follow-up testing as directed by the Substance Abuse Professional?

Driver # 19 Section # 382.211 - Acute
Has the carrier used a driver who has refused to submit to an alcohol or controlled substances test required under Part 382?

Driver # 20 Section # 382.503 - Critical
Has the carrier used a Substance Abuse Professional as required by 49 CFR Part 40 Subpart O?

Driver # 21 Section # 383.23(a) - Critical
Has a driver operated a commercial motor vehicle without a current operating license, or a license, which hasn't been properly classed and endorsed?

Driver # 22 Section # 383.37(a) - Acute
Has the motor carrier knowingly allowed its drivers whose CDLs have been suspended, revoked or canceled by a state, have lost the right to operate a CMV in a state, or have been disqualified from operating a CMV to operate a commercial motor vehicle?

Driver # 23 Section # 383.51(a) - Acute
Has the motor carrier knowingly allowed, required, permitted, or authorized a driver to drive who is disqualified to drive a commercial motor vehicle?

OPERATIONS

Do any drivers utilize a time sheet to record hours of service?

Operations # 1 Section # 395.1(e)(1), 395.1(e)(2)
Does the carrier have a system for recording hours of duty status on 100/150 air-mile radius drivers, and are they properly utilizing the 100/150 air-mile radius exemption?

Operations # 2 Section # 395.8(a) - Critical
Does the carrier require drivers to make a record of duty status?

Operations # 3 Section # 395.8(i) - Critical
Does the carrier require drivers to submit records of duty status within 13 days?

Operations # 4 Section # 395.8(k)(1) - Critical
Can the carrier produce records of duty status and supporting documents for selected drivers?

Operations # 5 Section # 395.3(a)(1) - Critical
Has the carrier allowed driver(s) to exceed the 11-hour rule? (Property)

Operations # 6 Section # 395.3(a)(2) - Critical
Has the carrier allowed driver(s) to exceed the 14-hour rule? (Property)

Operations # 7 Section # 395.3(b)(1) - Critical
Has the carrier allowed driver(s) to drive after having been on duty more than 60 hours in 7 consecutive days? (Property)

Operations # 8 Section # 395.3(b)(2) - Critical
Has the carrier allowed driver(s) to drive after having been on duty more than 70 hours in 8 consecutive days? (Property)

Operations # 9 Section # 395.5(a)(1) - Critical
Has the carrier allowed driver(s) to exceed the 10-hour rule? (Passenger)

Operations # 10 Section # 395.5(a)(2) - Critical
Has the carrier allowed driver(s) to exceed the 15-hour rule? (Passenger)

Operations # 11 Section # 395.5(b)(1) - Critical
Has the carrier allowed driver(s) to driver after having been on duty more than 60 hours in 7 consecutive days? (Passenger)

Operations # 12 Section # 395.5(b)(2) - Critical
Has the carrier allowed driver(s) to driver after having been on duty more than 70 hours in 8 consecutive days? (Passenger)

Operations # 13 Section # 395.8(e) - Critical
Does available evidence indicate a selected driver has prepared a false record of duty status?

Operations # 14 Section # 392.2 - Critical
Does the motor carrier ensure that drivers operate commercial motor vehicles in accordance with the laws, ordinances, and regulations of the jurisdictions in which they are operating?

Operation # 15 Section # 392.9(a)(1) - Critical
Does the carrier ensure that drivers are not permitted to drive a vehicle without the cargo properly distributed and adequately secured?

Operations # 16 Section # 392.4(b) - Acute
Have any drivers operated a commercial motor vehicle while under the influence of, or in possession of, narcotic drugs, amphetamines, or any other substances capable of rendering the drivers incapable of safely operating motor vehicles?

Operations # 17 Section # 392.5(b)(1) - Acute
Have any drivers operated a commercial motor vehicle while under the influence of, or in possession of, intoxicating beverages?

Operations # 18 Section # 392.5(b)(2) - Acute
Have any drivers operated a commercial motor vehicle within 4 hours of having consumed intoxicating beverages?

MAINTENANCE

Maintenance # 1 Section # 396.3(b) - Critical
Can the carrier produce maintenance files for requested vehicle(s)?

Maintenance # 2 Section # 396.17(a) - Critical
Can the carrier produce evidence of periodic (annual) inspections for selected vehicles?

Maintenance # 3 Section # 396.11(a) - Critical
Does the motor carrier require drivers to complete vehicle inspection reports daily?

Maintenance # 4 Section # 396.11(c) - Acute
Does the carrier ensure that out-of-service defects listed by the driver in the driver vehicle inspection reports are corrected before the vehicle is operated again?

Maintenance # 5 Section # 396.9(c)(2) - Acute
Does the carrier ensure vehicles that have been declared "out-of-service" do not operate before repairs have been made?

Maintenance # 6 Section 396.19
Is the carrier using qualified inspections (mechanic) and maintaining evidence of the inspector's qualifications?

Maintenance # 7 Section # 396.3
Can the carrier explain its systematic, periodic maintenance program?

HAZARDOUS MATERIALS

Does the carrier transport any amount of hazardous materials?

Hazardous Materials # 1 Section # 107.608(a)
Is the carrier registered with the Pipeline and Hazardous Materials Safety Administration, and to they have copies of all their registrations for the previous 3 years?

Hazardous Materials # 2 Section # 171.15 - Critical
Does the carrier promptly report hazardous materials incidents requiring immediate telephone notice to the appropriate authorities?

Hazardous Materials # 3 Section # 171.16 - Critical
Does the carrier file hazardous materials incident reports when required?

Hazardous Materials # 4 Section # 177.800(c) - Critical
Does the carrier provide HM training for its drivers?

Hazardous Materials # 5 Section # 172.704(a)
Do the HM training materials cover the minimum required elements?

Hazardous Materials # 6 Section # 177.817(a) - Critical
Are the shipping papers used by the carrier properly prepared?

Hazardous Materials # 7 Section # 177.817(e) - Critical
Does the carrier maintain proper accessibility for shipping papers?

Hazardous Materials # 8 Section # 177.841(e) - Acute
Does the carrier transport packages bearing a poison label in the same vehicle with any foodstuff or feed for humans or animals?

Hazardous Materials # 9 Section # 177.848
Is the motor carrier aware that some hazardous materials may not be transported in the same vehicle with other hazardous materials?

Hazardous Materials # 10 Section # 180.407(a) - Critical
Has the carrier transported a shipment of HM in a cargo tank that has not been inspected or tested in accordance with 180.407?

Hazardous Materials # 11 Section # 180.407(c) - Critical
Are all of the cargo tanks used for the transportation of hazardous materials periodically inspected and tested in accordance with 180.407?

Hazardous Materials # 12 Section # 180.415 - Critical
Are cargo tanks that pass inspections or tests required by 180.407 marked?

Hazardous Materials # 13 Section # 180.417(a)(1) - Critical
Has the carrier retained all of the manufacturer's data report certificates and related papers, as required?

Hazardous Materials # 14 Section # 397.5(a) - Acute
Does the carrier ensure that vehicles containing Division 1.1, 1.2, or 1.3 (explosive) material is attended at all times?

Hazardous Materials # 15 Section # 397.7(a)(1) - Critical
Has the motor carrier parked a vehicle containing Division 1.1, 1.2, or 1.3 materials within 5 feet of a traveled portion of a highway or street?

Hazardous Materials # 16 Section # 397.7(b) - Critical
Has the motor carrier parked a vehicle containing HM other than Division 1.1, 1.2, or 1.3 materials within 5 feet of a traveled portion of a highway or street?

Hazardous Materials # 17 Section # 397.13(a) - Critical
Has the carrier permitted anyone to smoke when within 25 feet of a vehicle containing Class 1 materials, Class 5 materials, or flammable materials classified in Division 2.1, Class 3, Divisions 4.1, and 4.2?

Hazardous Materials # 18 Section # 397.19(a) - Critical
Has the carrier furnished all drivers transporting Division 1.1, 1.2, or 1.3 (explosive) material a copy of the rules of Part 397 and/or emergency response instructions?

Hazardous Materials # 19 Section # 397.67(d) - Critical
Does the carrier have a system to ensure all drivers transporting Class 7 (radioactive) material, Division 1.1, 1.2, or 1.3 explosives, or a poison inhalation hazard Zone A or B materials have a written route plan?

OTHER

Does the carrier transport household good or operate any Over The Road Buses (OTBR)

Other # 1 Section # 375.211
Does the carrier participate in an Arbitration Program?

Other # 2 Section 13702.0
Does the carrier assess shipper freight charges based upon published tariffs?

Other # 3 Section # 375.401(c)
Does the carrier provide reasonably accurate estimates of moving charges?

Other #4 Section # 375.407(a), 375.703(b)
Has the carrier avoided "hostage freight" or other predatory practices?

Other # 5 Section # 387.301(a), 387.301(b)
Does the HHG carrier have sufficient levels of public liability and cargo insurance?

Other # 6 Section # 375.215
Does the carrier have a published tariff and is the motor carrier changing the applicable rate (375.215)?

Other # 7 Section # 375.213
Can the motor carrier identify five documents required to be given to a prospective individual shipper prior to executing an order for service?

Other # 8 Section # 49 CFR 37 subpart H
Does the carrier have the means to provide accessible over-the-road bus (OTRB) service on a 48-hour advance notice basis by its owned or leased OTRBs?

Other # 9 Section # 49 CFR 37 subpart H
If the carrier does not have the means then does the carrier have an arrangement with another carrier that operates accessible OTRBs?

Receipt

RECEIPT

This audit is used to determine your compliance with the Federal Motor Carrier Safety Regulations (FMCSRs). Any violations discovered may be utilized to help determine the areas of concern that need addressing.

Your signature for receipt of this report acknowledges your understanding that if any violations are discovered they will be corrected as earliest as possible. You also understand that by failing to correct any violations discovered, you will be held liable for any violations that may be discovered during a compliance review from FMCSA or your States Enforcement Agency.

You also agree not to hold Employer Advantage and/or its representative liable for any violations discovered during a safety audit or compliance review conducted by any investigator or enforcement officer.

Refusing to sign this report does not in any way release you from any liability.

Assessor Signature
Company Official