Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Company/Department Supervisor

  • Signature

General Program

  • Can the Company/Department produce a current copy "of the Federal Motor Company Safety Regulations (FMCSR's)?

  • Can the Company/Department produce a current copy of the Hazardous Material Regulations?

  • Is at least one responsible person familiar with the FMCSR's within the Company/Department?

  • If Yes. Provide full name and position

  • Does one member of management have responsibility for overall compliance with the FMCSR's?

  • If Yes. Provide full name and position

  • Does the Company/Department have any incentives/reward programs?

  • Does the Company/Department review it's safety compliance periodically?

  • Have any Company/Department employees attended any Safety, DOT seminars or trainings over the past two years?

  • If Yes. Provide seminar/ training name and a roster for each event.

  • Roster

Financial Responsability

  • Can the Company/Department produce a current MSC 90 with the required limit of insurance coverage noted?

Accident Recordkeeping

  • Can the Company/Department explain the definition of a "recordable" accident?

  • Can the Company/Department define "Disabling Damage" in connection with a " recordable" accident?<br>

  • Can the Company/Department produce a current accident register? (No older than 45 days)<br>

  • Does the Company/Department is able to determine if an accident can be prevented?

Qualification of Driver's and Driver Qualification Files

  • Does the Company/Department have a progressive disciplinary action system for drivers involved in accidents?

  • Does the Company/Department have written hiring policies and procedures on place for hiring new employees in compliance with DOT FMCA 391 norm?

  • Are these policies more stringent than those in 391?

  • Is there a system that will ensure drivers' medical cards are current?

  • Does the Company verify that the Physician is competent in the completion of the required medical exam forms?

  • Do medical cards show accurate information within the guidelines of 391.41?

  • Is there a system that ensures all CDL and endorsements remain current and valid?

  • Does the Company/Department require all drivers to report DOT violations through an official report/form?

  • Does the driver's file reflects DOT violations on an annual basis?

  • Do the files reflect record of a valid road test or documentation of the equivalent of a road test?

  • Can the Company list all documents required to be in the driver qualification files?

  • Can the Company produce a complete and accurate driver qualification file at random?

  • Do the files show a complete and accurate investigation of past employment history of drivers?

  • Are Motor Vehicle Records (MVR) obtained on all new drivers and compared to the written hiring criteria?

Drug and Alcohol Regulations

  • Does the Company have a written program and policy in place for drugs and alcohol testing?

  • Can the Company produce the past calendar year summary of all tests, with disposition of the driver that tested positive?

  • Are all the Supervisors, who may be required to have a driver tested under reasonable suspicion, give none hour each of training for drug and alcohol recognition?

  • Does the Company investigate, during the hiring process all confirmed positive drug test, all0.04 alcohol, or refusal to test for the previous two years?

  • Does the Company provide the training materials and information prescribed in this section with a signed receipt from the driver in file?

Commercial Drivers License

  • Do all drivers under the DOT program hold valid CDL licenses as vehicle size and commodity transported required by each state?

  • Do the files reflect instruction to drivers regarding notification of convictions for moving violations within 30 days to both state and employer?

  • Is the Company familiar with the disqualification of drivers as noted in this section?

Logs and Hours of Service

  • Can the Company/ Department explain the hour of service limitations?

  • Can the Company/ Department produce six months of completed driver logs on all drivers?

  • Are drivers required to maintain a recap of their total hours of service?

  • Are dispatchers aware of the driver's available hours prior to assigning a trip?

  • Are driver's logs checked for accuracy by using independent documents (fuel, tolls, etc.)?

  • Does the Company/ Department use the 100 air-mile exception and are their time cards/internal records reflects this?

  • Does the Company/Department have a system in place to effectively control hours of service?

  • Does the Company/Department have a Do unvented disciplinary action policy addressing noncompliance with service hours?

Hazardous Materials

  • Does the Company have the means to monitor and document speed driven by drivers?

  • Can Company/department explain the attendance requirements for Hazardous Materials? (If applicable)

  • Can the Company/Department explain the parking rules for vehicles containing HazMat? (If applicable)

  • Has the Company/Department explained the smoking prohibitions for HazMat to all drivers?

  • Are all drivers for the Company/Department trained as directed by HM-126F and files documented? (If applicable)

  • Are HazMat shipping papers properly prepared?

  • Can the Company/Department provide documents that proof the drivers have been properly trained in the accessibility requirements for shipping papers? (If applicable)

  • Do Company/Department have trained employees that can explain what constitutes a placard load? (If applicable)

  • Can the Company/Department employees explain the proper procedure for reporting a HazMat spill or release? ( If applicable)

Vehicle Maintenance, Inspection & Repair

  • Can the Company/Department produce a valid annual inspection for all operating equipment?

  • Does the Company/Department have a written maintenance policy?

  • Can the Company/Department produce maintenance records for all equipment?

  • Are drivers trained in proper completion of pre and post-trip inspections?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.