Driver-Monitor-Vehicle Information

  • Driver Name

  • Monitor Name

  • Vehicle Registration #

  • Vehicle Year

  • Vehicle Type

  • Seating Capacity

  • Vehicle on time (program/home/site)

  • Vehicle operated in safe manor

  • Exterior clean & free of damage

  • Company name/lettering clearly visible (pass side & rear, w/min 2" letters)

  • Windows, glass, lights and wipers intact

  • Vehicle seating capacity not exceeded

  • Valid (passed) MA vehicle inspection sticker

  • Safe tires (for all seasons)

  • Valid Mass. drivers license in hand or contiguous state license

  • Valid MA vehicle registration on board

  • Vehicle no older than 5 years (7 for W/C) mfg. date (program based only)

  • Driver First Aid & CPR certifications (DPH only)

  • Working Communication Device

  • First Aid kit (complete)

  • Seatbelt extension & cutter

  • Fire extinguisher (fully charged) and other safety equipment (chock blocks, triangles, etc.)

  • All equipment properly secured

  • Interior clean & free of damage

  • AC and heater cool/heat entire vehicle (seasonal)

  • Vehicle is smoke free

  • All passengers "fact sheets" data available

  • Daily vehicle inspection documented

  • All scheduled consumers transported

  • Only authorized riders in vehicle

  • Driver & monitor assist consumers when entering and exiting the vehicle

Other

  • Consumer/Route Information (list any consumer involved)

  • Remarks (explain briefly any negative findings)

  • Photo/video report

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