Information
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Name Of Company
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Address
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Conducted on
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Prepared by
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Name of Safety Manager
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Location
Company Information Summary
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Summary
Company Policies/Written Documentation
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Does the company have a system to log delivery or service complaints?
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Does the company have written contracts with subcontractors?
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Does the company maintain certificates of insurance for subcontractors?
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Are records kept on all DOT maintenance performed?
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Does the company have written MVR criteria that all drivers must meet?
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Does the company have an alcohol and controlled substance testing program?
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Does the company have a program requiring drivers to perform and document vehicle pre-trip inspections?
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Does the company have a written seat belt policy?
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Are vehicle maintenance employees certified to perform DOT brake inspections?
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<br>Are certificates of insurance maintained for third party garages used?<br>
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Are records kept of vehicle inspection and repair maintained (Federal & State)?
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Is there a policy in place addressing the use of cell phones, eating, drinking, etc while driving?
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Who loads cargo onto the trucks?
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Are only experienced boom operators allowed to operate loading and unloading devices?
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Are max weights of the loading devices and vehicles abided by?
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Are oversized loads or objects ever transported?
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Please explain securement procedures to include 5 points of contact along with tarping procedures
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What are the means by which delivery and pickup efforts are coordinated and tracked?
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Who is responsible for key control of the vehicles?
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Do vehicles contain spill kits with speed-dri and absorbent pads (where applicable)?
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Do the drivers ever pick up someone else’s trailer and bring it back?
1 Detailed Description of the vehicles:
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Number of vehicles the company owns and operates:
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What is the age of the equipment:
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What are the types of vehicles:
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What is the condition of the vehicles:
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Sizes of the tractor-trailers:
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Are trucks with blind spots equipped with alarms that sound when the vehicle is moving in reverse?
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What types of electronic devices are located in the vehicle?
- Telematics systems
- GPS
- Dash Cameras
- Phone Blocking Technology
- Dispatching System
- Two-Way Radio
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Do the trailers have roll over prevention systems installed?
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Are the vehicles currently using electronic logging devices?
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Do the employees use the vehicles for personal use?
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Are the vehicles brought home at night by the employees?<br>
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Are the vehicles owned or leased?
2 Driver Dynamics Travel
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What is the frequency of travel for the drivers?
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What is the radius of operations?
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What are some of the road hazards faced by the drivers and how are they mitigated?
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Do the drivers travel in suburban, urban or rural areas? (Add Percentages in Notes)
- Suburban
- Urban
- Rural
- City
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What are the typical hours the drivers operate? (Add Percentages in Notes)
- Primarily during the day
- Primarily at night
- A combination of both?
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What are precautions drivers are required to take during inclement weather?
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Does the insured transport hazmat materials?<br>
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If so, are they in compliance with Federal Hazardous Materials Regulations, 49 CFR 100-185?
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What hazardous materials are they hauling?
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What training do they receive if they are hauling hazardous materials?
4.0 - Driver Dynamics
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What is the age range of drivers?
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Experience Level
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What are their Qualifications:
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Does the company employ any drivers under the age of 25 years old?<br>
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Do the drivers hold all current and appropriate class CDLs (where applicable)?
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Do the drivers hold additional endorsements for any of vehicles they may drive to his/her CDL? (Doubles, Triples, Tankers, ect...)<br>
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Have MVR's been obtained on all drivers?<br>
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Are MVRs free of type A violations and no more than three moving violations within the last three years?<br>
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Are Driver Qualification Files maintained on all drivers?
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Are there contracts in place with owner operators?
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How are drivers compensated?
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What are your procedures in training and logging to ensure drivers are operating safely?
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What are your procedures in training and logging to ensure drivers are operating safely?
4.1 - Driver Qualification File
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Employee Application
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Past Driving History
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Previous employment inquiry completed (3 years)
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Road test
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Current Medical Certificate
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Alcohol and Drug Testing Records
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Pre-employment physicals
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Annual Certificate of Violations
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Annual MVR's
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Certificate of Training with less than 1 year of experience?
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Have any of the drivers ever had his/her CDL revoked or suspended?
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Haz-Mat Training up to date?
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Are drivers required to pick up or deliver cargo to ports?
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If so, do those drivers have a current Transportation Work Identification Credential (TWIC) card?<br>
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Comments:
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Supporting Photos?
4.2 - Driver Logs: No hours of service violations
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Are all of the drivers familiar and in compliance with the HOS provisions?
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Truck/Trailer number entered on log?
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Log matches payroll time?
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Counseling completed for violations?
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Comments:
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Supporting Photos?
4.3 - DVIR Compliant
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Are pre and post trip violations completed or every trip?
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Are they signed by the driver of both trips?
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If write-up is Repair Order with DVIR?
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Are repairs confirmed or out of service confirmed for significant issues?
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Comments:
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Supporting Photos?
4.4 - Roadside Inspections Compliant
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Are all violation responses sent as required?
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Are all violations corrected with driver discipline and/or necessary work orders attached?
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Comments:
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Supporting Photos?
5 - Vehicle Accident Report Efficiency
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If drivers are involved in an accident, what are required actions the driver is supposed to take?
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Develop pictures as they are received?
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Retrieve police reports as soon as they are available?
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Send invoices to Corporate Transportation as they are available?
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All accidents listed on VAR?
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Accident have been reviewed by safety committee?
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Counseling completed?
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Correct drug test completed?
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Estimate of repairs with file?
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Comments:
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Supporting Photos?
5.1 -Vehicle Inspection
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Do the drivers complete a written inspection report about the truck’s operation that is signed by the driver?
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All correct paperwork with truck?
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Truck/ Trailers have bass locks?
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Truck/Trailer clean?
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Are the vehicles tires in good condition?
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Are brake systems tested regularly?
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Vehicle Inspection up to date?
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Freezer/Cooler temp set correctly?
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License on vehicle?
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IFTA sticker on vehicle?
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Accident kit in vehicle?
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Seals on loaded trucks/trailers?
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DOT number/name on vehicle?
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Load bars/straps in vehicle?
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Cones in vehicle?
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Dropping and hooking vehicles?
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Comments:
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Supporting Photos?
Vehicle/ Fleet Maintenance
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Is there a vehicle maintenance program in place?
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Are trucks inspected daily, both prior to operation and after the driving is completed?
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Who is responsible for maintaining and repairing the insured’s vehicles?
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Does the company contract out its vehicle maintenance to experienced mechanics?
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What are the experience and qualifications of the service technicians and mechanics?
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Are trucks equipped with a signal that provides a warning to the driver when a failure occurs in the vehicle’s service brake system?
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Are commercial truck repaired promptly as needed and inspected?
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Are brake systems tested regularly?
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Lot checks performed?
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Schedule B every 15,000 to 20,000 miles or every 90 days?
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Trailer Scheduled B once every 3 months?
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Meeting DVIR repair needs?
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Comments:
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Supporting Photos?
Driver
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Carry current medical card/license?
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Wearing glasses or contacts if required?
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In uniform?
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Wearing a vest if required?
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Wearing correct boots?
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Comments:
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Supporting Photos?
Facility
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What is the layout of the company’s premises?
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Are “Employee Only” signs or “No Trespassing” signs posted at entrances to all restricted areas?
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Are the grounds where the vehicles are stored locked?
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Are the ground properly lit at night?
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Does the company have a night/weekend security service to patrol the grounds?
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Has the company every experienced vehicle theft or vandalism?
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Explanation:
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Are parking areas well maintained and free of debris and clutter?
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Are Office areas well maintained and free of debris and clutter?
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Is emergency lighting provided?
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Are emergency exits clearly identified?
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Are exits unimpeded and unobstructed?
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Are fire extinguishers readily accessible, properly mounted and maintained?
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Are first aid supplies available?
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Are electrical and telephone cords properly tucked away or properly marked if required to be stretched across walkways?
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Comments:
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Supporting Photos?
Training
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Describe the new employee training program.
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Do drivers go to new or unfamiliar locations?
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What training is provided to help those drivers before they go to the unfamiliar locations?
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Are driver safety courses offered to and taken by drivers to include such topics on cell phone safety tips, defensive driver tips, driving in inclement weather, etc.? (please add notes)
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Are any safety meetings held throughout the year? If so, how many?
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Does the company have a safety committee that meets regularly?
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Do drivers participate in a defensive driver training course?
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Is there annual training provided for drivers?
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What training is included?
Transportation Management
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What are the company’s current CSA scores?
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Weekly schedule posted?
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Tracking routes throughout the day and night?
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Conducting audits and ride along with drivers?
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Truck/Trailer keys in lock box?
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Work area clean?
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Following CMV policy?
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Reviewing bills?
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Posting weekly driver performance review?
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Comments:
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Supporting Photos?
Signature Page / Disclosure
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The Compliance Audit of your operations is for Underwriting purposes only and should not be relied upon for establishing the safety standard by which your company should operate. E Risk Solutions assumes no responsibility for the discovery or the elimination of hazards, which could give rise to accidents or damage at any facility that is audited.
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Company Representative Printed Name
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Company Representative Signature
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Auditor Printed Name
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Auditor Signature