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My Safety Manager

Unsafe Driving Violation Response
Unfortunately, it appears that you have violated one or more Federal Vehicle Unsafe Driving regulations.

Please explain the situation that led to this violation and the steps that you plan on taking to preventing this from this violation happening again.
Name*

First NameLast Name
Your Company's DOT Number:
Date of Violation*

MonthDayYear
Date

Unsafe Driving Violation Response
Violation Type (Select 1)*

Speeding ViolationFail to Obey ViolationTexting/Cell Use ViolationSeat Belt ViolationLane Use ViolationFollowing Too Closely/Rear-End Crash

Unsafe Driving Violation Response

Speeding Violation
Did you know that that speeding excessively (15+ over the posted speed limit will cause you to be disqualified from driving for 60 days? (383.51)*

YesNo
Did you know that that around 23 percent of large-truck crashes occurred when commercial motor vehicle (CMV) drivers were traveling too fast for conditions?*

YesNo
Did you know that you should reduce your speed by 1/3 on wet roads and by 1/2 or more in snowy or icy conditions? For example: If you would normally be travelling at 60 mph on dry pavement then you should reduce your speed to 40 mph on a wet road.*

YesNo
Did you know that speed limits posted on curve warning signs are intended for passenger vehicles, not large trucks? Large trucks should reduce their speed even further. The same applies to entering an exit/entrance ramp as well*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Speed Management
Video 2
Video 3
Video 4
Video 5
Video 6
Additional Resources

(Optional)
FMCSA CMV Driving Tips: Too Fast For Conditions
Read The Regulation To Learn More

Unsafe Driving Violation Response

Failure to Obey Violation
Did you know that looking at least 15 seconds in front of you (approximately1/4 of a mile on the interstate and 1 1/2 blocks in the city) will allow you to respond early and smoothly to changing conditions ahead and to avoid dangerous, abrupt braking situations (including failing to obey safety devices at intersections)?*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Video 4
Additional Resources

(Optional)
Read The Regulation To Learn More

Unsafe Driving Violation Response

Texting/Cell Use Violation
Are you aware that no driver shall engage in texting while driving? (392.80)*

YesNo
Are you aware that no driver shall use a hand-held mobile telephone while driving a CMV? (392.82(a)(1))*

YesNo
Are you aware that the penalties for texting or using a hand-held mobile phone can reach $2,750, as adjusted for inflation, for drivers and $11,000, as adjusted for inflation, for employers who allow or require drivers to text or use a hand-held mobile phone while driving?*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Video 4
Video 5
Video 6
Video 7
Video 8
Additional Resources

(Optional)
FMCSA Distracted Driving Resources
FMCSA No Texting Rule Fact Sheet
FMCSA Mobile Phone Rule Fact Sheet
Read The Texting Regulation To Learn More
Read The Cell Phone Regulation To Learn More

Unsafe Driving Violation Response

Safety Belt Violation
Are you aware that no driver shall operate a commercial motor vehicle, and a motor carrier shall not require or permit a driver to operate a commercial motor vehicle, that has a seat belt assembly installed at the driver's seat unless the driver is properly restrained by the seat belt assembly? (392.16)*

YesNo
Required Videos

Please watch each video below in its entirety.
(The actual amount of time spent watching each video is recorded and saved for compliance documentation)
Video 1
Video 2
Video 3
Video 4
Additional Resources

(Optional)
FMCSA Safety Belt Tips
Read The Regulation To Learn More

Unsafe Driving Violation Response

Lane Use Violation
What is the most effective way to prevent Improper lane violations?*

Remaining in the right lanes as much as possibleLingering in the left lane after passing another vehicleDriving in the left lanes of an interstate highway
Video 1

Following Too Closely/Rear-End Crash Response

Lane Use Violation
What is the most effective way to prevent rear-ending collisions?*

Leaving at least a 4 to 8 second space buffer between your truck and the vehicle in front of you.Leaving a 1 to 2 second space buffer between your truck and the vehicle in front of you.Leaving 1 car length of space between your truck and the vehicle in front of you.
Safe Following Distances
Aim High In Steering
Distracted Driving Prevention
Preventing Rear-End Collisions

My Safety Manager