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I certify that I have read and understand the Company Statement of Policy on Drug and Alcohol Abuse and have received a copy of that policy.
By accepting employment of qualification or contractual agreement with the Company, I also consent to submit to screening for drugs and/or alcohol and controlled substances and I agree to comply with all of the requirements of the Company, the Federal Motor Carrier Safety Regulations and my federal, state, or local laws and rules governing the use or abuse of alcohol, drugs and controlled substances.
I understand that my failure to honor the terms of this agreement will be grounds for termination of my qualification, and/or my contractual agreement with the Company.
FMCSA Notification of Driver Rights
In compliance with 49 CFR Part 391.23, you have certain rights regarding the performance history information that will be provided to prospective employers.
I) You have the right to review information provided by previous employers.
II) You have the right to have errors in the information corrected by the previous employer and for the previous employer to re-send the corrected information to prospective employers.
III) You have the right to have a rebuttal statement attached to the alleged erroneous information, if the previous employer and the driver cannot agree on the accuracy of the information.
(2) Drivers who have previous DOT regulated employment history in the preceeding three years and wish to review previous employer-provided investigative information must submit a written request to prospective employers. This may be done at any time, including when applying, or as late as 30 days after being employed or being notified of denial of employment. Prospective employers must provide this information within five business days of receiving the written request. If prospective employers have not yet received the requested information from the previous employer, then the five day deadline will begin when the requested safety performance history information is received. If you have not arranged to pick up or receive the requested records within 30 days of prospective employers making them available, prospective employers may consider you to have waived your request to review the record.
Rules And Procedures
This is to certify that I have been through orientation on the following rules, regulations, and procedures and that I have received EAP training on controlled substances:
DRUG AND ALCOHOL ABUSE POLICY AND EDUCATION
LOG AND HOURS OF SERVICE REGULATION
VEHICLE INSPECTION PROCEDURES
HAZARDOUS MATERIALS AND REGULATIONS
This is to certify that I have received and do fully understand the rules and procedures for Independent Contractors. I have also had compensation procedures explained and I understand them.
I acknowledge receipt of the Federal Motor Carrier Safety Regulations, and I agree to familiarize myself with parts 325, 382, 383, 386, 387 and 390-399 Subchapter 3, Chapter 3, Title 49 of the Code Of Federal Regulations.
According to the D.O.T. interpretations, every carrier must adopt and enforce a MEAL STOP POLICY in accordance with Line #1, OFF-Duty, and maintain a copy of this policy with the driver's signature in his/her personnel file. One (1) hour off-duty is allowed for a meal stop in ten (10) hour driving period. This may be taken in two (2) one-half (1/2) hour segments.
I DO ACKNOWLEDGE THAT I HAVE READ AND DO UNDERSTAND THE ABOVE POLICIES AND PROCEDURES. I FURTHER UNDERSTAND THAT NON-COMPLIANCE AND/OR VIOLATIONS OF ANY OF THE ABOVE RULES WILL RESULT IN IMMEDIATE CORRECTIVE ACTION.
In our ongoing attempt to keep our company's safety standards, we are asking for your support. Please be aware that the safety department audits roadside inspections and logs to improve standards and have set new goals for us to meet. When completing a driver log, please make sure that the following are all marked as on-duty statuses:
Drivers are logging fuel stops, logging "fuel" and the city
Drivers are logging DOT roadside inspections, logging "DOT inspections" and the city
Drivers are logging Random Drug Screen time
Drivers are logging in and out gate times and the city
We feel that keeping logs up to date and accurate is a major step toward reducing out-of-service violations on roadside inspections. We are monitoring for major violations and repeat offenders, and if deemed necessary, we will spend a day training said violators. Also, a trend has been noticed: Many drivers are not taking the 10 consecutive hours off duty to reset the 14-hour clock. This leads to hours of service violations. Understand that this is to reduce the likelihood of being inspected by a DOT official. Also be advised that drivers need to turn a copy of the roadside into corporate. Otherwise, we order the reports from the state for a fee. The fee will be charged back to the driver. Please have all drivers sign and return this form, acknowledging our goals and expectations.
The efficiency of any operation can be measured directly by its ability to control loss. Accidents resulting in personal injury, damage to property and equipment represents needless suffering and waste. It is the responsibility of the management of this company to assure the safest conditions and equipment for all employees. The company policy on safety is:
(1) The safety of the employees, public and the operations is paramount. Every effort will be made to eliminate hazards and reduce the possibility of accidents and injuries.
(2) Safety will be given priority over expediency and shortcuts.
(3) The company, it's managers, employees, and owner/operators will comply with all safety laws and regulations.
(4) No passenger or ride-alongs are permitted while under dispatch.
Every manager, employee and owner/operator will be expected to demonstrate attitudes and actions which will reflect this policy for their own safety and for the safety of others. I understand and agree to the Safety Policy.
In the event you are involved in any accident on private property or public roads, you must call the company at 888-665-4904 option 6 and ask for Safety. They can be reached at this number 24/7. It is imperative that they are contacted at the scene of the accident to guide you through the proper steps to insure safety of all parties and lessen the liability for you, and the company. Enclosed is a complete accident procedure, accident report, and witness cards. In case accident requires you to be drug and alcohol tested, enclosed are instructions for the collection site, a chain of custody, mailing label, and an airborne express lab pack. Please keep this in your truck at all times. If you use or lose this packet, please ask your terminal manager for another.
CALL IMMEDIATELY FROM THE SCENE--888-665-4904 option 6
DRIVER MUST ALWAYS PERFORM A POST ACCIDENT AND DRUG AND BREATH ALCOHOL TEST WITHIN TWO HOURS OF THE ACCIDENT.
No Hazmat Policy
This is to certify that I understand and acknowledge that while I am leased to QFS Transportation, I will, under no circumstances, transport any HAZARDOUS MATERIALS.
Your Tractor Must Be Properly Registered For "IRP" To Enter Each State
It is your responsibility to make sure all permits, licenses, and authorities are properly displayed, maintained, and not expired. If you are dispatched into any other state, call immediately for instructions, temporary permits may be needed. You are responsible to make sure you are legally permitted at all times.
One License Rule
ALL DRIVERS: PLEASE READ THE FOLLOWING STATEMENT. IF IT IS CORRECT AS IT APPLIES TO YOU, PLEASE CHECK
I certify, under penalty of the laws of the United States Of America, that I do not hold any driver's license other than the one from my state of domicile. Further, I certify that I know that any false, fictitious or fraudulent statement of representation may be punishable under 18 U.S.C. 1901, which provides for fines up to $10,000.00, imprisonment up to 5 years, or both.
Notification Of License Suspension, Revocation, or Cancellation:
Sections 392-42 and 383.33 of the Federal Motor Carrier Safety Regulations require that you notify your employer the NEXT BUSINESS DAY of any revocation or suspension of your driver's license. In addition, Section 383.31 requires that any time you violate a state or local traffic law (other than parking), you must report it within 30 days to: 1) your employing motor carrier, and 2) the state that issued your license (If the violation occurs in a state other than the one which issued your license). The notification to both the employer and state must be in writing.