SAMPLE PARKING POLICY - PCOC Insurance



3031 Beacon Boulevard, West Sacramento, California 95691

888.304.7262 916.372.4363 fax 916.372.5437



Fleet Safety Manaual

3-31-06

Members and insureds frequently ask for guidance in establishing auto safety policies and guidelines. This document contains the ‘standard’ auto safety policies and forms, and guidelines currently in place and recommended to our insureds.

DISCLAIMER:

The information enclosed in this document is believed to be accurate and true. You must assume the responsibility to take this information and make your own determination as to the suitability and applicability, and consult with your attorney to ensure complete compliance with the laws and regulations described herein. This document contains general information only and we assume no liability for any errors or ommissions (if any) or in the material presented in this course.

The PCOC Insurance Program prepared this reference material, for the exclusive use by their clients.

Contents:

General Auto Safety Program Guidelines Page 2

General Vehicle Safety Rules Page 3

Company Vehicle Policies Pages 4-7

Drivers Safety Training Pages 8-13

Customized and Stand Alone Policies Page 14

Vehicle Inspection Checklist Page 15

DMV Pull Notice Program Page 16

GENERAL AUTO SAFETY PROGRAM GUIDELINES

for insureds of the Peacock Group Insurance Program

UPON HIRE:

Check DMV Record Prior to Hire

New Hire Auto Safety Training Program

Supervisor ride along

DAILY:

Employee Vehicle Inspections (Peacock has forms/resources for your use)

WEEKLY

Formal Written Vehicle Inspections (Peacock has forms/resources for your use)

MONTHLY

Auto Safety Tail Gate Meeting (Peacock has forms/resources for your use)

Supervisors Vehicle Inspections (follow up on employee’s inspections) (Peacock has

forms/resources for your use)

ONGOING:

DMV Pull Notice Program (Peacock has forms/resources for your use)

Routine maintenance with recordkeeping (Peacock has forms/resources for your use)

ANNUALLY:

Annual Auto Safety Training Program (Peacock has programs/resources for your use)

Annual Safety Incentives (including Auto aspect) (Peacock has programs/resources for your use)

*ADDITIONAL DOT HAZMAT REQUIRMENTS: (Where applicable)

Written Daily Truck Inspections (Where applicable)

Shipping Papers (Where applicable)

DOT HM 181 and 126f Hazmat Driver Training (Where applicable)

DOT Mandated Drug & Alcohol Program (Where applicable)

RESOURCES:

Written auto Safety Training Program (Peacock has programs/resources for your use)

Videos for loan (Peacock has programs/resources for your use)

Dozens of Safety Meetings(Peacock has programs/resources for your use)

Policy Guidelines (Peacock has programs/resources for your use)

Incentive Programs(Peacock has programs/resources for your use)

HM 126f Hazmat Auto Safety Training Program(Peacock has programs/resources for your use)

HM 181 Hazmat Training Program (Peacock has programs/resources for your use)

Referral for DOT Drug & Alcohol Testing Administration Service

GENERAL VEHICLE SAFETY RULES

(see the auto safety program for more detailed policies, rules and training)

A: Because vehicle accidents are a leading cause of work-related injuries and

deaths, vehicle operation while in the course of you employment must display safe driving habits and not reflect exhibitions of speed or recklessness. Compliance with all local, state, and federal traffic laws is required.

You should drive defensively at all times by continually watching for hazardous conditions, understanding how to defend against them and taking action in time to avoid problems. Keep your eyes and attention on the road and others, and adjust your speed and driving to changing weather and traffic conditions.

B: SEAT BELTS- Employees are required to wear seat belts at all times when

operating or riding in an employer-owned vehicle and/or when operating or riding as a passenger in any other vehicle during the course of their employment.

C: DRIVER'S LICENSES AND DRIVING RECORDS: No employee may operate any company vehicle unless specifically authorized, and it is part of your job function. All employees who, as a part of their duties, have need to operate vehicles on public roads must hold a valid, properly classed California driver's license and possess a driving record acceptable to management. Failure to do so may result in loss of driving privileges, change of assignment, or disciplinary action up to and including discharge. Employees are responsible for any moving violations and parking tickets that they may incur during employment. Employees who as part of their duties drive company vehicles must promptly (The same or next working day) report any parking tickets received in a company vehicle and any moving violations regardless as to whether the ticket was received in a company vehicle or a personal vehicle; personal time or company time.

D: ALCOHOL AND DRUGS: The consumption of alcohol or drugs (even over-

the-counter medications and prescriptions), can slow reactions, blur vision, reduce ability to determine distance, and impair judgment. It is, therefore, a violation of our safety policy for any employee to operate a vehicle with alcohol or any illegal drugs in their system, or while impaired by prescription drugs, or over-the-counter medications.

E: VEHICLE USE & PARKING: Vehicles are to be used for company, business use

only. Non employees are not allowed to ride in company vehicles. Vehicles, which are stored at the employees home, shall be parked off street. Any time a company vehicle is left unattended, it shall be locked.

I have received and understand the above driving safety rules.

_________________________ _______________________ ________

Print Name Sign Name Date

Company Vehicle Policies

Operation of a company vehicle is both a privilege and a responsibility, not a right. Drivers are responsible for operating the company vehicle according to state and federal laws and XYZ Company policy. Violation of these laws and rules will result in the removal of driving privileges.

I Drivers of Company Owned Vehicles:

Employee driving record will be checked at least every twelve months to make sure the employee has an acceptable record to operate a company vehicle. The following is XYZ Company Driver Performance Rating:

| | |

|Number of Violations |Number of Preventable Accidents (Last Three Years) |

| | | | | |

| |0 Accidents |1 Accident |2 Accidents |3 Accidents |

| | | | | |

|0 |Clear |Acceptable |Borderline |Poor |

|1 |Acceptable |Acceptable |Borderline |Poor |

|2 |Acceptable |Borderline |Poor |Poor |

|3 |Borderline |Poor |Poor |Poor |

|4 |Poor |Poor |Poor |Poor |

Any major violation is automatically considered “poor”.

“Clear” and “Acceptable” MVRs will be monitored at least annually.

“Borderline” MVRs will be watched closely and a warning will be given to the individual in that category.

DRIVERS ARE REQUIRED TO IMMEDIATELY NOTIFY MANEGEMENT IF THEIR DRIVNG STATUS CHAGES.

II. Penalties

Any driver falling into the “poor” Category will immediately be relieved of his/her company vehicle driving privileges. In addition to the MVR criteria outlined in the above Driver Performance Rating, the following will automatically place that individual in the “poor” category:

1. Any major violation. The following are defined as major violations:

• DWI/DUI in past three years

• Failure to stop/report an accident

• Reckless driving/speed contest

• Driving while impaired

• Making a false accident report

• Homicide, manslaughter or assault arising from the use of a vehicle

• Driving while license is suspended/revoked

• Careless driving

• Attempting to elude a police officer

2. Any employee permitting fellow employees, dependents or any other person not listed on the drivers list to operate vehicles under their control or assigned to them.

3. Suspension of drivers license

4. Failure to consistently to drive in a safe manner as determined by management.

5. Failure to pass a drug test

6. Failure to take a drug test

7. Failure to notify management within one business day of any moving violation and/or accident.

III. Safety Review Committee

The internal Safety Review Committee will review a driver if the driver drops from an “acceptable” rating to a “borderline” rating due to a single incident. The Safety Review Committee will review all accidents to determine if they were preventable or non-preventable. The Safety Review Committee members will be made up by one manager, one office employee, and three fields employed.

Results of the Safety Review Committee will become part of each driver’s personnel file.

IV. Scope of Use

A. Assigned Driver – No person other than the employee assigned to the vehicle shall operate the vehicle unless that person is an employee of XYZ Company is listed on the approved driver list and has the permission from the person to whom the vehicle is assigned or from a supervisor.

B. Personal Use of Company Vehicles - Company owned vehicles are to be used for company business only. Personal use of a company vehicle is prohibited. Company vehicles may be driven home and used as transportation to and from work only if approved by management.

Employees who drive or take home a vehicle are responsible for all fines and parking expenses. The driver must make sure that the truck and toolboxes remain locked and equipment in the bed is reasonably stored or secured as to prevent theft.

C: Use of Personal Vehicle for Company Business – Any one that uses their personal vehicle for company business must be on the approved driver list. All of the polices that the effect the use of company vehicles must be followed by those that use their personal vehicle for company business. In addition to those policies, the driver must provide a certificate of insurance that shows limits of liability of at least $100,000 -$300,000 - $50,000. The vehicle must pass a written monthly inspection by the Fleet Manager.

V. Driver Qualification

• Must be at least 21 years old

• If driving a DOT regulated Commercial Vehicle persuant to DOT the driver must be at least 21 years and have a valid CDL

• Must have a valid drives license for the vehicle to be operated form the state where the vehicle is registered.

• Must be on the company approved driver list

• Must pass a company written driving test

• Must pass a company driving test

• Must pass a company drug test

I. Maintenance and upkeep

Drivers are responsible for ensuring the vehicle is well maintained. The assigned driver is responsible for taking the vehicle to approved service stations to have scheduled fluid changed, brake jobs, tire changes, and other repairs completed.

Turn in all repair receipts and maintenance records for filing in the vehicle maintenance file.

The employee is responsible for reporting any damage, faulty equipment or other needed repairs to his supervisor. The employee is also responsible for making sure the equipment is safe to operate on the road. Burned out bulbs, fuses for lights, turn signals, headlights and horn are to be replaced immediately.

The employee is responsible for keeping his vehicle as clean and orderly as job conditions permit.

II. Vehicle Inspections

The driver is responsible for performing a vehicle inspection daily, and turning in a written inspection any time he finds anything negative during his inspection. The driver must comple a written vehicle inspection checklist at the end of every week. Any faulty equipment should be noted on the inspection report. The written vehicle inspection checklist should be turned in to the Fleet Manager. Company Vehicles will be subject to spot checks by management. (Weekly or monthly)

Company vehicles must have the following standard items:

1. Current insurance verification

2. Safety belt ready for use

3. Fire extinguisher

4. First Aid Kit

5. Usable spare tier, jack, and lug wrench

6. Reflector kit

7. Binder with the following forms and information

• Vehicle mileage forms

• Vehicle inspection forms

• Emergency phone numbers

• Company phone numbers

• Copy of vehicle inventory list

• Accident Investigation form

• Operators Manual

III. Vehicle mileage Forms

Drivers must maintain a vehicle mileage form and turn in the form at the end of each month. The form is used to keep track of the miles driven each day and the jobsites visited. Record gas usage, oil change and other repairs on this form.

IV. At Fault Accidents

If you are involved in an at fault accident, as determined by the Safety Review Committee, in a company vehicle you will be responsible to pay for the cost of the damage or the first $500 of any cost of the accident (whichever is less) or your annual bonus will be reduces by that amount.

V. Drug Testing

Any employee that will drive a company vehicle or personal vehicle for company business will be drug tested at hire, randomly and for cause. The drug testing procedure will follow the established XYZ Company policy.

Management’s Responsibility

1. Each supervisor is responsible for all vehicles and drivers under his control.

2. Each supervisor will spot check vehicles on at least a weekly/monthly basis and random basis in writing and turn in the report to the Fleet Manager.

3. It is the responsibility of the Fleet Manager to follow up on all vehicles and all drivers to make sure that this policy is implemented and being followed.

4. Keeping the qualified drivers list up to date is the responsibility of the Fleet Manager.

Drivers Training

PRE TRIP SAFETY INSPECTIONS:

Prior to leaving your shop each day, or prior to leaving the place where your vehicle is parked for the evening you should complete a full Pre Trip Vehicle Safety Inspection. You should use the attached "Pre Trip Vehicle Safety Inspection Checklist" or develop a similar checklist that more appropriately meets the specific needs of your company and your vehicle.

If applicable your daily pre trip vehicle safety inspection should be kept with and filed with your daily hazardous materials shipping papers.

You should continue your vehicle safety inspections throughout the day. EVERY TIME you get into your pest control work vehicle you should walk around the vehicle to make sure that every thing on the vehicle is secure. Double check that all pesticides and service containers are secured properly and locked. Confirm that your ladder is tied down, and that all other materials in or on the vehicle is secured. Make sure that there are no unexpected obstacles that may impede your safe departure from each job site or other parking location.

USE OF VEHICLE CONTROLS:

(Each employee must have training specific to the SPECIFIC vehicle they will be driving)

Once you have completed your pre trip vehicle safety inspection you must familiarize yourself with the vehicle that you will be driving. The following is a list of items that you must be familiar with on the particular vehicle you will be driving:

- Where the spare tire and jack are. (Check to see if the tire has proper inflation)

- Where the turn signals are located, and how to operate them

- Where the emergency blinkers are located, and how to operate them

- Where the parking brake is located and how to set and release it

- How to turn the headlights on and off.

- How to turn the headlight bright and dim switch

- Where the horn is located, does it work?

- Know where the vehicle registration, insurance and accident paperwork is located

- Check the registration, is it up to date.

- Does the vehicle have an automatic or manual gear shift.is the gear shift on the column or on the floor? Familiarize yourself with the gear layout...do not attempt to drive a manual gear shift vehicle if you do not have experience and training driving such a vehicle.

Sitting in the drivers seat:

1) Before getting into the vehicle, know where it is you will be going. Look at your paperwork, maps and any other paperwork prior to performing your vehicle inspection or getting into the vehicle.

2) Sit in drivers seat so that your shoulders rest easily against the back of the seat

3) move the seat back (or forwards) until your arms have to be straight out in front of you to grasp the top of the steering wheel. (This is the proper sitting distance)

4) then bring your hands down to the 10-to-2 o'clock position, or to the quarter-to-three position.

5) In this position your arms should be somewhat relaxed and slightly bent, your shoulders and back supported.

6) Adjust your side and rear mirrors

7) Put on your seat belt

FOLLOW THESE NEXT STEPS FOR STARTING YOUR VEHICLE:

If it is an automatic follow these steps:

a) stand on the brake

b) confirm that the gear shift leaver is in "PARK"

c) turn the key to start the vehicle

d) once vehicle has started, keep your foot on the brake

e) release the parking brake

f) move the gear shift lever into the appropriate gear ("DRIVE" or "REVERSE")

g) slowly release your foot from the brake to begin moving

If your vehicle has a manual gearbox follow these steps:

a) stand on the brake using your right foot

b) push the clutch in completely, using your left foot

c) move gear shift leaver to neutral

d) turn the key to start the vehicle

e) keeping your foot on the brake, release the parking brake

f) put the gear shift in the appropriate gear

g) slowly take your foot off the brake while releasing the clutch

Refer to the use of spill control equipment and spill control training Train employee in the use of any other safety equipment such as fire extinguishers, first aid kit...

OPERATION OF VEHICLE:

(Including turning, braking, handling, and vehicle characteristics such as braking in curves, high center of gravity, and adverse weather conditions) Most all general pest and termite operations utilize light duty pickup trucks.

WHAT CAN I DO TO REDUCE MY CHANCES OF HAVING AN ACCIDENT?

There are a couple of things pest control operators can do to prevent theses types of problems that cause accidents.

A: Before getting into the vehicle the driver should first determine where they are driving to. Look at a map or otherwise determine your route.

B: Second the driver should walk in a circle around their vehicle looking for several things:

- what vehicles or other obstacles are nearby and might pose a hazard

- make sure all equipment such as ladders secure on the vehicle

C: Then the driver can get into the vehicle, put on their seat belt and start the vehicle to go.

There are hundreds of thousands if not millions of variables that can come into play when analyzing the cause of an accident. There are however a few key factors that are most commonly identified.

1. Inattention: Many drivers don't pay enough attention to the serious business of driving.

2. Distractions: Driving a pest control route is full of distractions. People are distracted by tasks such as looking at route sheets, maps and street signs. If you need to look at your map or confirm an address, pull over to the side of the road and stop. Better yet look at the map before leaving a stop and plan out the route you will take to the next stop.

3. Too narrow a focus: Some drivers pay attention to one thing for too long. You must always be aware of the big picture and not focus on any one item for too long.

4: Not enough space: Drivers often do not leave enough space in between their vehicle and the vehicle in front of them. This lowers your reaction time to the vehicle in front of you causing accidents.

5: Not allowing for the Mistakes of Others: Drivers must notice the big picture, and pay attention to the behavior of other drivers. If you notice break lights ahead, make it a habit to slow down and brake before the car in front of you

6: Failing to Adjust to Changing Conditions: Changing road and weather conditions require the driver to modify their driving behavior. Slowing down, turning on lights and windshield wipers are just a few of the many adaptations that people often fail to make when needed.

7: Attitude: Emotions can adversely affect driving ability.

8: Driver Impairment: Alcohol, drugs, (including over the counter drugs), fatigue and illness can lead to accidents.

9: Vehicle Failure: A minority of accidents are caused by mechanical failure. Proper maintenance and vehicle inspections can prevent vehicle failure from being a probable cause of accidents.

REACTION TIME AND SPEED:

It is important that we understand reaction times and stopping distances of our vehicles. When we follow other vehicles too closely we do not allow enough time to stop.

When you step on your brakes in reaction to an obstacle ahead of you, there are four stages to this reaction.

First you must see the obstacle ahead of you

Secondly you must recognize that it is indeed an obstacle

Thirdly you must make a decision to react

Fourth you send a message to your foot to step on the brakes

These steps are almost automatic, but they take time, on the average 3/4 of a second. Three Quarters of a second may seem like a very short amount of time but at 50 miles an hour you will travel 55 feet during that fraction of a second. Then under ideal conditions it will take you another 225 feet for your vehicle to stop! A total of 280 feet or almost a football field.

The following is the distance you will travel per second at various speeds:

Miles Per Hour: 10 20 30 40 50 55 60

Feet Per Second: 15 29 44 59 73 81 88

STOPPING DISTANCES

The following shows how long it will take you to stop at different speeds:

REACTION DISTANCE: How far you go while making a decision and getting your foot to brake. It varies with speed.

BRAKING DISTANCE: - How far you go once brakes are applied. It varies with speed and type of vehicle.

SPEED MPH REACTION DISTANCE BRAKING DISTANCE TOTAL DISTANCE

10 MPH 11 Feet Reaction 7 Feet Braking 18 Feet Total

20 MPH 22 Feet Reaction 30 Feet Braking 52 Feet Total

30 MPH 33 Feet Reaction 67 Feet Braking 100 Feet Total

40 MPH 44 Feet Reaction 125 Feet Braking 169 Feet Total

50 MPH 55 Feet Reaction 225 Feet Braking 280 Feet Total

55 MPH 60 Feet Reaction 288 Feet Braking 348 Feet Total

(Remember at 55 MPH you are traveling at 81 feet per second!)

60 MPH 66 Feet Reaction 360 Feet Braking 426 Feet Total

When driving in traffic we must always keep these reaction and braking distances in mind, following too close will result in accidents. Even if you were able to react and brake in much shorter distances, you would be "setting yourself up" to be rear ended. You must always remember the traffic behind you as well as in front of you.

When carrying loads your stopping distances will be drastically increased.

CURVES

Do all of your braking, downshifting before you enter a turn or curve. Sudden acceleration, braking or turning can cause your load to shift, or cause your tires to break traction, resulting in a skid and subsequent accident.

LOOK AHEAD

Drivers whose eyes lead their vehicle 15 to 30 seconds have few surprises. Drivers who lad their vehicle by 3-6 sec onds lead dangerous lives. By looking ahead by 15 to 30 seconds you are able to anticipate obstacles, and traffic movement.

SPEED MPH UNSAFE EYE LEAD TIME SAFE EYE LEAD TIME

(3 Seconds) (15 Seconds)

20 MPH 147 Feet (Unsafe) 440 Feet (Safe)

30 MPH 220 Feet (Unsafe) 660 Feet (Safe)

40 MPH 293 Feet (Unsafe) 880 Feet (Safe)

50 MPH 367 Feet (Unsafe) 1100 Feet (Safe)

55 MPH 404 Feet (Unsafe) 1210 Feet (Safe)

60 MPH 440 Feet (Unsafe) 1320 Feet (Safe)

BACKING UP:

Backing accidents are inexcusable. Whenever possible avoid backing your vehicle. When you park your vehicle think ahead about how you will move your vehicle later. Often you can park in such a way that you will not need to back up when you leave. You should always walk around your vehicle just prior to moving. When in doubt obtain guidance. Move your vehicle slowly, scanning the entire area for obstacles.

When backing, look over your shoulder, and back slowly. As you back up your field of vision changes.

Continually check and be aware of what is happening:

- directly behind you

- behind and to the left (oncoming vehicle and foot traffic)

- behind and to the right (oncoming vehicle and foot traffic)

- to the left and right of the front of the vehicle (remember the front of the vehicle swings in an arc)

BACKING CAN BE A BAD HABIT

But When It's Unavoidable

- Check Backing Area First

- Back Slowly & Carefully

- Remain Aware of Blind Areas

- Look Front & Rear as You Back

INCLEMENT WEATHER:

Rain, ice, sleet, fog, mist, dust, smoke or snow may all pose serious hazards to driving. When such hazards exist, use extreme caution; drive slower than normal, allow for greater distances for stopping, turning, and other reactions, allow more space between yourself and other vehicles.

ACCIDENTS:

If you have an accident follow the instructions that are in your Preliminary Accident Report (carried in your glove box). There are several things you should do when you have an accident:

- Make sure that every one involved in the accident is unhurt

- Look for witnesses, (later, get their names, phone numbers & addresses)

- NEVER Admit guilt in the accident (even if you believe you are at fault)

- Follow instructions in your Preliminary Accident Report (you should carry one in your glove box)

- When in doubt call the police (Sheriff, Highway Patrol) to write a report

- Secure your vehicle and confirm that you have no pesticide leaks

- Exchange and Verify information with the other driver(s) (Drivers license, Registration, Insurance)

- Contact your office as soon as possible after the accident has taken place

- Determine extent of damage to all vehicles involved

CUSTOMIZED AND STAND ALONE AUTO POLICIES

SAMPLE PARKING POLICY

Service vehicles are not to be used after hours or for personal business. For employees who take their vehicles home at night, vehicles shall be stored off public streets. Company vehicles should be stored in your garage, or at a minimum in your driveway or similar off street parking.

MOVING VIOLATION POLICY

DRIVER'S LICENSES AND DRIVING RECORDS: No employee may operate any company vehicle unless specifically authorized, and it is part of your job function. All employees who, as a part of their duties, have need to operate vehicles on public roads must hold a valid, properly classed California driver's license and possess a driving record acceptable to management. Failure to do so may result in loss of driving privileges, change of assignment, or disciplinary action up to and including discharge. Employees are responsible for any moving violations and parking tickets that they may incur during employment. Employees who as part of their duties drive company vehicles must promptly (The same or next working day) report any parking tickets received in a company vehicle and any moving violations regardless as to whether the ticket was received in a company vehicle or a personal vehicle; personal time or company time. One of the advantages to you of informing the company of your personal violations is that, we will be able to assist you in defending yourself, or attending traffic school to keep the violation off your record. Your personal driving record affects your ability to represent this company, and thus your personal actions affect everyone who works here. Be sure to inform us of all violations!!

ACCIDENT POLICY

The employee is responsible to safely operate company vehicles. It is our policy that if you are in an at-fault accident, you are responsible to pay for the deductible amount of of the claim $_____. By signing this company policy, you are agreeing to pay $_____ should you be involved in an at-fault accident while operating a company vehicle.

VEHICLE INSPECTION POLICY #1

Employees are to inspect their vehicle on a daily basis using the vehicle inspection checklist. Supervisors conduct follow up/quality control inspections on a weekly basis.

VEHICLE INSPECTION POLICY #2

Employees are to conduct daily truck inspections. On a weekly basis employees are to conduct formal vehicle inspection using the vehicle inspection checklist. Supervisors conduct follow up/quality control inspections on a monthly basis.

VEHICLE INSPECTION CHECKLIST

DATE: _____________ Y/N/NA COMMENTS

1. OIL LEVEL ________ __________________________

2. TIRE PRESSURE LEVEL ________ __________________________

3. LOCKED CHEMICAL STORAGE AREA ________ __________________________

4. NO PESTICIDES IN CAB ________ __________________________

5. LABEL BOOK ________ __________________________

6. PROPER MEASURING DEVICE ________ __________________________

7. CHEMICAL STORAGE AREA CLEAN ________ __________________________

8. LABEL BOOK ________ __________________________

9. MSDS BOOK ________ __________________________

10. SPILL CONTROL MATERIALS ________ __________________________

11. INSPECTION TAGS ________ __________________________

12. WORKSHEETS ________ __________________________

13. POWERSPRAY RIG (GAS/RUNNING ETC) ________ __________________________

14. LADDER SECURE ________ __________________________

15. OTHER TOOLS SECURE ________ __________________________

SAFETY EQUIPMENT

1. RESPIRATOR ________ __________________________

2. GLOVES ________ __________________________

3. EYE PROTECTION ________ __________________________

4. CHEMICAL RESISTANT FOOTWEAR ________ __________________________

5. PROPER CLOTHING/WASHING PROGRAM ________ __________________________

6. BUMP HAT ________ __________________________

7. SPILL KIT ________ __________________________

Y/N/NA = (YES/NO/NOT APPLICABLE)

VEHICLE ID:_________ __ PERSON PERFORMING INSPECTION_________________

DMV EMPLOYER PULL NOTICE (EPN) PROGRAM

One essential element to a successful fleet safety program is the proper hiring of employees. One key aspect of screening potential employees is an examination of their DMV record.

Employers should check DMV records before hiring any drivers. Employers should also have a policy, which requires that employees notify you any time they receive a moving violation or are in an accident, regardless as to weather the incident occurred on their own time, or on the job. Unfortunately even with policies such as these employers are often caught off guard by their employee’s developing driving records. For this reason the Peacock Group strongly recommends that all employers (especially if you have more than a half dozen drivers) participate in the DMV Pull Notice Program.

To help you manage and track your employee's DMV records, the DMV has an inexpensive notification program. The Employer Pull Notice (EPN) Program was established to provide employers and regulatory agencies with a means of promoting driver safety through the ongoing review of driver records. The DMV "Employer Pull Notice" program enables employers to be kept up to date on the License status of their employees. For a small annual fee per driver the DMV notifies an employer every time a registered employee/driver’s license status changes. (i.e. tickets, suspensions and the like)

To register in this program you must call the DMV Employer Pull Notice Program Office located in Sacramento and request a “Pull Notice Packet” or go to their website at

Employer Pull Notice (EPN)

Program - MS H265

P.O. Box 944231

Sacramento, CA 94244-3210

(916) 657-6346

While every employer should participate in the DMV Employer Pull Notice Program to assist them in managing their employees and their Fleet Safety Program, some employers & drivers are required by law to participate in this program. If you or your employees hold a commercial driver's license or have a “Hazardous Materials” endorsement you have to participate in this program. For reference to specific legal requirements for commercial drivers to participate in this program, please contact the DMV.

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