Information

  • Review Title

  • Conducted on

  • Prepared by

  • Personnel

  • Scoring: Out of 10: Compliant 8-10, Partial Compliant 5-7, Non Compliant 0-4.

  • Client / Site

Driver Qualifications

  • 1-Completed Application-<br>Utilization of approved application version 9/2015:application is completed in full, signed by applicant and initialed by manager.(page 7) <br>

  • 2-Prior Employer History/Reference Check Documentation-<br>Documentation for all previous employment references,( DOT only here, showing 3 attempts).(page 9) <br>

  • 3-Pre-Employment Drug Test-<br>Verification and copy of collection results prior to B-T-W training/ offer of employment.(page 8/18) <br>

  • 4-Original CDL- <br>Copy of original license with appropriate endorsements.(page 9) (CDL only for DOT Driver)

  • 5-Motor Vehicle Check/ Original MVR-<br>Documentation meets company standards for preventable accidents and tickets. (page 7/8)<br>

  • 6-Physical exam-<br>Copy of original Med Card or physical,signed and dated. Physical examination must be completed by a DOT quailified medical professional.(page 8) <br>

  • 7-Road Test or Training Certificate-<br>Road evaluation documentation in accordance with STI Safety Policy and Procedure Manual.(page 8)(if original not available, copy of CDL accepted)

Renewal Documents

  • 8-Annual certification of violations-<br>Completed and signed by driver; reviewed and signed by terminal manager. Last 3 years.(page 9) <br>

  • 9-Motor Vehicle Check (annual)-<br>Verify annual record check. Conducted within 30 days of annual Certification of violations.Last 3 years.(page 9)<br>

  • 10-Med Card- <br>Copy of Medical Card, medical certifications, medical waivers,medical notes, physical restrictions. Last three years.(page 8)

  • 11-Current CDL/appropriate license-<br>Copy of current license with appropriate endorsements.(page 9) <br>

  • 12-State specific requirements-<br>Manager should provide any state or local regulations that require specific areas of compliance outside the scope of STI's policy & procedures and reviewer will verify driver file compliance with all regulatory agencies. <br>

  • 13- I-9 Form-<br>Form completed by all employees and kept in I-9 folder or binder.(page 10)

  • 14-Drug Test Results-<br>Binder or folder with separate sections for results from Quarterly Random Tests, Post-accident tests, reasonable suspicion, and positive results.(page 17)

Personal Information

  • 15-Completed Interview-<br>Documentation showing time, date and signed by interviewer. A copy of the interview sheet utilized should be included and all the questions posed as well as the answers received, noted on the interview sheet. (Must be signed by Manager)(page 7) <br>

  • 16-NON DOT Prior Work History Check or Personal Reference-<br>Any Non DOT checks, not requiring 3 attempts or Good Citizens reference.

  • 17-Drivers Handbook Signature page-<br>Annual driver handbook signature page, signed by driver.(page 10)

  • 18-Anti-idling Policy- <br>Training and drivers yearly signature page in accordance with STI policy.(page 14/35)

  • 19-Cell Phone Policy-<br>Cell phone policy signature page.

  • 20-Criminal History Check/ Fingerprint Check -<br>Verification/originals from local, state, federal or provincial government.(page 8/9) <br>

  • 21-Long Form Physical-<br>Documentation of a physical examination completed by a DOT qualified medical professional, signed and dated.(page 8)

Driver Training

  • 22-Classroom training -<br>20hrs minimum or 6hrs of classroom training for new drivers,including: dates, times, subject, signature of trainer and driver. Curriculum in accordance with STI's Safety Policy & Procedure.(page 11-13) <br>

  • 23-Behind The Wheel Training -<br> 15hrs minimum or 4hrs of B-T-W training for new drivers, including: dates, times, subject, signatures of trainer and driver. Curriculum in accordance with STI's Safety Policy & Procedure. (page 11-13)<br><br>

  • 24-Final Evaluation-<br>Road evaluation documentation in accordance with STI's Safety Policy and Procedures.(page 12)

  • 25-Two year Evaluations-<br>In accordance with STI Safety Policy & Procedure Manual.(page 13)

  • 26-Entry Level Training-<br>Conducted 1 time within the first year of employement.(effective Aug. 1, 2011)(page 9)

  • 27-Minimum 10 hrs of In-service training annually-<br>Documentation of at least 10 hours of training/meetings per year. (page 13/14) <br>

  • 28- Use of STU-<br>How is STU being used at this location. How many drivers are enrolled in STU and what is the usage.

  • 29- State Specific requirements-<br>Any training required by contract. <br>

Manager Involvement

  • 30- Managers involvement in Safety Meetings-<br>Documented involvement in the in-service and safety meeting process, including signing into meeting.(page 13/14)<br>

  • 31- Managers involvement with accidents-<br>Verifying a documented set of procedures are in existence to be followed in the event of an accident.Who does what, goes where, etc. Should be at dispatch.(page 27-30)

  • 32- Managers involvement in Location Safety Committee-<br>Documentation of managers role.(page 29)

  • 33- BusHive Compliance Report-<br> Drivers records are in compliance according to report.(page 9)

  • 34- Emergency Action Plan-<br>Current EAP update for current school year.

  • 35- Safety Alert-<br>Safety Alerts are posted and documentation of how Alert was communicated.(page 27)

  • 36- Employee turnover-<br>12 month history of new hires and employee exits, taking into account new business, transfers, retirements with the purpose of calculating employee turnover and recruitment.

  • 37- Knowledge of AFR-<br>Manager knows where terminal stands in terms of accidents and work place injuries.

Accidents

  • 38- Location Safety Committee-<br>Established and documented In accordance with STA Policy & Procedure Manual, documentation.(page 29/30) Documentation of latest Safety Committee Workplace Inspection.

  • 39- Accident Determination-<br>Documentation supporting the accident classification of preventable or non. Preventable.(page 31)

  • 40- Retraining BTW-<br>Documentation of post accident re-training in accordance with STI Policy & Procedure Manual.(page 29) <br>

  • 41- Final post accident evaluation-<br>Documented and signed release and evaluation to return to road.(page 29) <br>

  • 42- Accident documents completed-<br>All data and reports relevant to accident are in file.(page 27-29) Files Showing use of STA Incident Report.

  • 43- On-site Accident Register / Log-<br>All terminal accidents recorded on site in Accident Register / Log in accordance with STI Policy & Procedure Manual.(page 29)<br>

  • 44- DOT Accident Register/Log-<br>All DOT recordable accidents kept in a separate register.(page 29)

  • 45- Accident Kits in Buses-<br>Accident kits available at location.(page 28)

Vehicle Safety Standards

  • 46- Pre-trip Inspection logs-<br>Esuring proper pre trip and post trip inspection is completed and documented.(page 25/26)

  • 47- Vehicle Defects Reported-<br>Proper communication and process in place for recording and reporting defects.(page 25/26)<br><br>

  • 48- Maintenance Review and sign off-<br>Documentation of noted vehicle defects are addressed timely by qualified technician, including repair and sign off, attached defect report to work order.<br><br>

  • 49- Vehicle Maintenance conducted-<br>All scheduled maintenance proformed follows STI policy and manufacturers standards.(page25)

  • 50- Open Safety Recalls-<br>Review all recalls to see there are no open safety recalls.

  • 51- OSHA Training-<br>The mechanics are trained annually as required and training it is documented.(page 42)

  • 52- Lock Out/Tag Out in use-<br>Being used in accordance to STI policy.

  • 53- All systems functioning properly-<br>In all locations where various safety equipment has been introduced in an effort increase awareness and provide a supplemental safety tool, random tests of the equipment will be conducted by the reviewer.

Terminal Observations

  • 54- General cleanliness of the yard/building-<br>Overflow garbage, slippery conditions, potential accidents <br>

  • 55- Proper employee footwear-<br>Rubber or hard soles vs. heels or inappropriate footwear for the job <br>

  • 56- Well lit work areas-<br>Shop lighting, parking lot lighting, etc <br>

  • 57- Parking lot risk assessment-<br>Are large pot holes posing a workers comp concern needing to be addressed <br>

  • 58- Location Security-<br>is the location fenced and locked, keys kept under lock and key, access to building and yard open to guests and visitors.

  • 59- Supplemental Equipment-<br>Are there fire extinguishers,body fluid clean up kits and first aid kits in the buildings. Is there adequate training equipment such as TV and DVD or VCR. Computer for driver access to STU? <br><br><br>

  • 60- Applicable policies posted-<br>Backing, Anti-Idling, Cell Phone, OSHA, etc. <br>

  • 61- Safety posters prominently displayed- <br>Are we promoting and displaying STI Safety behavior posters.

STI Culture

Safety Culture

  • What things are being done within the terminal to promote STI culture?( driver appreciation week, bonus, etc.)

Overall observations -

  • Notes and observations from review.

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