Title Page

  • Conducted on

  • Prepared by

  • Location
  • Who is responsible for DOT Compliance?

Factor 1 - General

Insurance

  • Does the organization have proper liability coverage? <br>DOT 387.9

  • Is the information on the MCS-90 (or MCS-82) accurate and current? <br>DOT 382.15

Accident Register

  • DOT Recordable Accident Log

  • Does the log include: Date, Driver, Location, # of injuries, # of deaths, hazardous materials other than fuels, tow away, ambulance for anyone involved?

  • Are police reports, accident reports, repair estimates kept in the accident log as well?

  • Is the accident register kept for 3 years?

Vehicle Markings

  • Are the vehicles marked with carrier's legal name on both sides? Are they proceeded by "US DOT" <br>DOT 390.21

  • Take a picture of the driver & passenger sides of the vehicle:

Training

  • Is the client performing on going training not required but it is a best practice:

  • Are detailed records kept of any DOT training that is provided?

Discipline & Corrections

  • Are detailed records kept for any discipline & corrections for driving performance?

  • Are drivers re-trained when deficiencies are identified?

  • Are drivers with repeat offenses dealt with properly?

  • Is the organization checking their SMS profile and disciplining employees as necessary?

Factor 2 - Driver

Driver Qualification Files:

  • Driver Application:<br>DOT 391.21

  • Previous 3 year employment documentation- Good Faith Effort by the organization: <br>DOT 391.23

  • Safety Performance - History of the Driver: <br>DOT 391.23

  • Drug & Alcohol Test Results History:<br>DOT 391.23

  • Motor Vehicle Record check for the past 3 years:<br>DOT 391.23

  • DOT Physical certification cards for 3 years<br>DOT 391.43

  • Annual Reviews for 3 years:<br>DOT 391.25

  • Road Test Certification<br>DOT 391.31

  • Annual Statement of Violations for 3 years:<br>DOT 391.25

  • Waivers granted by state & federal for drivers with disabilities? (i.e. Diabetes)<br>DOT 391.49

  • Drug & Alcohol Policy Acknowledgement Form:

Licenses:

  • Valid Type for vehicles being driven? (Commercial Drivers License for greater than 26,001)

  • Are expiration dates tracked to avoid driving on expired license?

  • Driver Summaries - 26,000 lbs GVWR or CVWR<br>Does location have CMV's on site?

Drug & Alcohol Testing Policies:

  • Pre-employement drug testing?<br>DOT 382.301

  • Random Drug & Alcohol Testing (CDL Drivers)<br>DOT 382.305

  • Post-accident Drug & Alcohol Testing?<br>DOT 382.303

  • Reasonable Suspicion Training for supervisors?<br>DOT 382.307

  • CDL Drug & Alcohol Testing - Separate from other D&A testing<br>DOT 40 & 382

Testing Policy

  • Written<br>DOT 382.601

  • Distributed to drivers:

  • Signed by drivers:

Recordkeeping:

  • Federal custody & control Forms

  • Drug & Alcohol Testing Training for Supervisors?

  • Does the organization have a "canned" email notificatio of the need to drug test? Does the organization delay notifying employees until they are sure the test can be done? "Please contact me if you can't comply"

Factor 3 - Operational

  • Hours of Service Logs - six months of logs need to be kept?<br>DOT 395

  • Does the organization maintain a file for each driver?

100- Air Mile Exception

  • Do drivers stay within 100 air miles of work location?<br>DOT 395.1

  • Do drivers return to work location within 12 hours?

  • Are limited to driving a CMV for less than 11 horus in one day?

  • Are drivers allowed 10 consecutive hours off between shifts?

  • Is there a time card or other time keeping system in place?

Factor 4 - Vehicle

Vehicle Maintenance File:

  • Is there a maintenance file for repairs & maintenance?<br>DOT 396

DOT Inspections:

  • Are these inspections performed by a certified inspector?

  • Are DOT Inspection files kept for 14 months?

  • Is there a copy in the vehicle of the most recent DOT inspection?

  • Unit Number?

  • VIN or Serial Number

  • License Number

  • Model & Year?

  • Tire Size?

CMV Brake Repairs & Maintenance:

  • Are these repairs & maintenance performed by a certified inspector?

Roadside Inspections

  • Is a copy of all roadside inspections kept for 1 year?

Review Complete SMS Profile:

Post-Trip Inspection Reports:

  • Are the post-trip inspections kept for 90 days?

  • Are the inspection reports including:

  • Are the inspection reports including the following (check all that apply):

Factor 5 - Hazardous Materials

Training Records:

  • Do training records include: (Check all that apply)

  • Does training program include: General Awareness, Function Specifics, Safety, Security, Defensive Driving?

  • Do the Driver's Licenses have the proper endorsements for hazardous materials being transported?

  • Review Driver's Alert if Applicable?

  • FMSCA Pin #:

  • Review Loss Runs:

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.