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1-)You don't have any accidents ?
 
Yes
 
No
 
NA
 
 
 
2-)You don't commit any traffic violations. You drive within the speed limit and observe other rules of the road in the city and on the highway ?
 
Yes
 
No
 
NA

 
 
 
3-)You adjust your driving speed to match road conditions. Poor visibility, traffic congestion and slippery road surfaces are your cues to slow down ?
 
Yes
 
No
 
NA
 
 
 
4-)You meet your schedules, delivering your load on time and in good condition ?
 
Yes
 
No
 
NA
 
 
 
5-)You are courteous to customers and the public, because you know you are often the only representative of the company they ever meet.
 
Yes
 
No
 
NA
 
 
 
6-)You take good care of vehicles, making sure they are in good condition before operating them, and they are maintained regularly. You use correct driving techniques to reduce the wear and tear on the vehicle ?
 
Yes
 
No
 
NA
 
 
 
7-)You have a working knowledge of basic repairs so you can get moving again if something goes wrong ?
 
Yes
 
No
 
NA
 
 
 
8-)You report to work well-rested and ready to give all of your attention to driving safely. You get enough sleep and you look after your health ?
 
Yes
 
No
 
NA
 
 
 
9-)You don't use alcohol or drugs before working, while working or during your breaks. You are aware of the deadly consequences of driving while under the influence of alcohol or drugs, and you always abstain when you have to drive ?
 
Yes
 
No
 
NA
 
Other
 
 
 
 
10-)You wear your seat belt at all times when the vehicle is in motion. Even if you are traveling at low speeds and making frequent stops, you take the time to buckle your seat belt each time you start again ?
 
Yes
 
No
 
NA
 
Other
 
 
 
 
11-)You carry no riders, according to company policy and the design of the vehicle. This is important not only for over-the-road trucks, but for in-plant vehicles, construction equipment and farm machinery, much of which is designed to carry only the driver safely. Passengers perching on equipment or riding in the cargo decks can be thrown from the vehicle and run over, or crushed in a rollover accident. Picking up a hitchhiker along a road can introduce a violent stranger into your cab ?
 
Yes
 
No
 
NA
 
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