Information

  • Name Of Company

  • Address
  • Conducted on

  • Prepared by

  • Name of Safety Manager

  • Location

Company Information Summary

  • Summary

Company Policies/Written Documentation

  • Does the company have a system to log delivery or service complaints?

  • Does the company have written contracts with subcontractors?

  • Does the company maintain certificates of insurance for subcontractors?

  • Are records kept on all DOT maintenance performed?

  • Does the company have written MVR criteria that all drivers must meet?

  • Does the company have an alcohol and controlled substance testing program?

  • Does the company have a program requiring drivers to perform and document vehicle pre-trip inspections?

  • Does the company have a written seat belt policy?

  • Are vehicle maintenance employees certified to perform DOT brake inspections?

  • <br>Are certificates of insurance maintained for third party garages used?<br>

  • Are records kept of vehicle inspection and repair maintained (Federal & State)?

  • Is there a policy in place addressing the use of cell phones, eating, drinking, etc while driving?

  • Who loads cargo onto the trucks?

  • Are only experienced boom operators allowed to operate loading and unloading devices?

  • Are max weights of the loading devices and vehicles abided by?

  • Are oversized loads or objects ever transported?

  • Please explain securement procedures to include 5 points of contact along with tarping procedures

  • What are the means by which delivery and pickup efforts are coordinated and tracked?

  • Who is responsible for key control of the vehicles?

  • Do vehicles contain spill kits with speed-dri and absorbent pads (where applicable)?

  • Do the drivers ever pick up someone else’s trailer and bring it back?

1 Detailed Description of the vehicles:

  • Number of vehicles the company owns and operates:

  • What is the age of the equipment:

  • What are the types of vehicles:

  • What is the condition of the vehicles:

  • Sizes of the tractor-trailers:

  • Are trucks with blind spots equipped with alarms that sound when the vehicle is moving in reverse?

  • What types of electronic devices are located in the vehicle?

  • Do the trailers have roll over prevention systems installed?

  • Are the vehicles currently using electronic logging devices?

  • Do the employees use the vehicles for personal use?

  • Are the vehicles brought home at night by the employees?<br>

  • Are the vehicles owned or leased?

2 Driver Dynamics Travel

  • What is the frequency of travel for the drivers?

  • What is the radius of operations?

  • What are some of the road hazards faced by the drivers and how are they mitigated?

  • Do the drivers travel in suburban, urban or rural areas? (Add Percentages in Notes)

  • What are the typical hours the drivers operate? (Add Percentages in Notes)

  • What are precautions drivers are required to take during inclement weather?

  • Does the insured transport hazmat materials?<br>

  • If so, are they in compliance with Federal Hazardous Materials Regulations, 49 CFR 100-185?

  • What percentage of drivers hauls hazardous materials?

  • What hazardous materials are they hauling?

  • What training do they receive if they are hauling hazardous materials?

4.0 - Driver Dynamics

  • What is the age range of drivers?

  • Experience Level

  • What are their Qualifications:

  • Does the company employ any drivers under the age of 25 years old?<br>

  • Do the drivers hold all current and appropriate class CDLs (where applicable)?

  • Do the drivers hold additional endorsements for any of vehicles they may drive to his/her CDL? (Doubles, Triples, Tankers, ect...)<br>

  • Have MVR's been obtained on all drivers?<br>

  • Are MVRs free of type A violations and no more than three moving violations within the last three years?<br>

  • Are Driver Qualification Files maintained on all drivers?

  • What percentage of the drivers are owner operators?

  • Are there contracts in place with owner operators?

  • How are drivers compensated?

  • What are your procedures in training and logging to ensure drivers are operating safely?

  • What are your procedures in training and logging to ensure drivers are operating safely?

4.1 - Driver Qualification File

  • Employee Application

  • Past Driving History

  • Previous employment inquiry completed (3 years)

  • Road test

  • Current Medical Certificate

  • Alcohol and Drug Testing Records

  • Pre-employment physicals

  • Annual Certificate of Violations

  • Annual MVR's

  • Certificate of Training with less than 1 year of experience?

  • Have any of the drivers ever had his/her CDL revoked or suspended?

  • Haz-Mat Training up to date?

  • Are drivers required to pick up or deliver cargo to ports?

  • If so, do those drivers have a current Transportation Work Identification Credential (TWIC) card?<br>

  • Comments:

  • Supporting Photos?

4.2 - Driver Logs: No hours of service violations

  • Are all of the drivers familiar and in compliance with the HOS provisions?

  • Truck/Trailer number entered on log?

  • Log matches payroll time?

  • Counseling completed for violations?

  • Comments:

  • Supporting Photos?

4.3 - DVIR Compliant

  • Are pre and post trip violations completed or every trip?

  • Are they signed by the driver of both trips?

  • If write-up is Repair Order with DVIR?

  • Are repairs confirmed or out of service confirmed for significant issues?

  • Comments:

  • Supporting Photos?

4.4 - Roadside Inspections Compliant

  • Are all violation responses sent as required?

  • Are all violations corrected with driver discipline and/or necessary work orders attached?

  • Comments:

  • Supporting Photos?

5 - Vehicle Accident Report Efficiency

  • If drivers are involved in an accident, what are required actions the driver is supposed to take?

  • Develop pictures as they are received?

  • Retrieve police reports as soon as they are available?

  • Send invoices to Corporate Transportation as they are available?

  • All accidents listed on VAR?

  • Accident have been reviewed by safety committee?

  • Counseling completed?

  • Correct drug test completed?

  • Estimate of repairs with file?

  • Comments:

  • Supporting Photos?

5.1 -Vehicle Inspection

  • Do the drivers complete a written inspection report about the truck’s operation that is signed by the driver?

  • All correct paperwork with truck?

  • Truck/ Trailers have bass locks?

  • Truck/Trailer clean?

  • Are the vehicles tires in good condition?

  • Are brake systems tested regularly?

  • Vehicle Inspection up to date?

  • Freezer/Cooler temp set correctly?

  • License on vehicle?

  • IFTA sticker on vehicle?

  • Accident kit in vehicle?

  • Seals on loaded trucks/trailers?

  • DOT number/name on vehicle?

  • Load bars/straps in vehicle?

  • Cones in vehicle?

  • Dropping and hooking vehicles?

  • Comments:

  • Supporting Photos?

Vehicle/ Fleet Maintenance

  • Is there a vehicle maintenance program in place?

  • Are trucks inspected daily, both prior to operation and after the driving is completed?

  • Who is responsible for maintaining and repairing the insured’s vehicles?

  • Does the company contract out its vehicle maintenance to experienced mechanics?

  • What are the experience and qualifications of the service technicians and mechanics?

  • Are trucks equipped with a signal that provides a warning to the driver when a failure occurs in the vehicle’s service brake system?

  • Are commercial truck repaired promptly as needed and inspected?

  • Are brake systems tested regularly?

  • Lot checks performed?

  • Schedule B every 15,000 to 20,000 miles or every 90 days?

  • Trailer Scheduled B once every 3 months?

  • Meeting DVIR repair needs?

  • Comments:

  • Supporting Photos?

Driver

  • Carry current medical card/license?

  • Wearing glasses or contacts if required?

  • In uniform?

  • Wearing a vest if required?

  • Wearing correct boots?

  • Comments:

  • Supporting Photos?

Facility

  • What is the layout of the company’s premises?

  • Are “Employee Only” signs or “No Trespassing” signs posted at entrances to all restricted areas?

  • Are the grounds where the vehicles are stored locked?

  • Are the ground properly lit at night?

  • Does the company have a night/weekend security service to patrol the grounds?

  • Has the company every experienced vehicle theft or vandalism?

  • Explanation:

  • Are parking areas well maintained and free of debris and clutter?

  • Are Office areas well maintained and free of debris and clutter?

  • Is emergency lighting provided?

  • Are emergency exits clearly identified?

  • Are exits unimpeded and unobstructed?

  • Are fire extinguishers readily accessible, properly mounted and maintained?

  • Are first aid supplies available?

  • Are electrical and telephone cords properly tucked away or properly marked if required to be stretched across walkways?

  • Comments:

  • Supporting Photos?

Training

  • Describe the new employee training program.

  • Do drivers go to new or unfamiliar locations?

  • What training is provided to help those drivers before they go to the unfamiliar locations?

  • 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)

  • Are any safety meetings held throughout the year? If so, how many?

  • Does the company have a safety committee that meets regularly?

  • Do drivers participate in a defensive driver training course?

  • Is there annual training provided for drivers?

  • What training is included?

Transportation Management

  • What are the company’s current CSA scores?

  • Weekly schedule posted?

  • Tracking routes throughout the day and night?

  • Conducting audits and ride along with drivers?

  • Truck/Trailer keys in lock box?

  • Work area clean?

  • Following CMV policy?

  • Reviewing bills?

  • Posting weekly driver performance review?

  • Comments:

  • Supporting Photos?

Signature Page / Disclosure

  • 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.

  • Company Representative Printed Name

  • Company Representative Signature

  • Auditor Printed Name

  • Auditor Signature

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