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Fleet Safety: Risk Check Survey
Fleet Safety: Risk Check Survey
The Risk Check Survey encompasses the degree to which your firm provides comprehensive policies, programs, and training focused on protecting your organization.
Date
*
Date Format: MM slash DD slash YYYY
Organization Name
*
Person Completing Survey
*
Title
*
Phone
*
Email
*
Rate the effectiveness or success of the organization’s actions:
1. To what extent does your organization have a system for ensuring the continued qualification of drivers, including proper licensing and identifying drivers who are not complying with safety regulations?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
2. To what degree does your organization review drivers’ employment and driving histories, to determine whether they are competent and qualified to drive safely?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
3. To what degree does your organization review the records of drivers at least once every 12 months and maintains a record of these reviews?
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
4. My organization has procedures to monitor drivers’ hours of service, perform continuing review of drivers’ service logbooks and ensure compliance with hours-of-service requirements.
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
5. How would you rate your organization’s training/testing program on drug and alcohol use by drivers?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
6. To what extent does your organization have a system and procedures for inspection, repair and maintenance of its vehicles in a safe condition, and for preparing and preserving related records?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
7. How well has your organization defined a crash for purposes of setting standards and determining appropriate responses?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
8. How would you rate your organization’s procedures for demonstrating compliance with FMCSA safety requirements within 48 hours of receipt of a request from the FMCSA or other authorized federal or state officials?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
9. To what degree does your organization offer training in handling hazardous materials and have a system and procedures for complying with hazmat regulations?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
10. How effective is your organization’s system for tracking driver fitness, including medical conditions and treatments that could preclude drivers for reporting for duty?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
11. How would you quantify your organization’s program for monitoring vehicle accidents and maintaining an accident register?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
12. To what degree are accident files maintained on each driver?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
13. To what extent does your organization provide a fleet-safety incentive program including driver safety awards?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
14. How would you rank your organization at establishing a means to measure and benchmark your progress as it relates to fleet safety (e.g. accidents per 100,000 hours, per million miles, etc.)?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
15. To what degree does your organization have a process to thoroughly investigate fleet accidents and report on steps to prevent future accidents (e.g. accident review committee)?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE
16. How would you rate your organization at considering driver safety performance in performance reviews?
*
N/A
INEFFECTIVE
MARGINALLY EFFECTIVE
MODERATELY EFFECTIVE
EFFECTIVE
HIGHLY EFFECTIVE