Pristine Transport Inc. | Complaint or Feedback
Are you submitting feedback or filing a complaint?
Feedback (comments or suggestions)
Complaint (issues or concerns)
Section 1: Vehicle & Trip Information
1. Truck Unit Number (usually found on the cab or rear)
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If not available enter *None*
2. Where did you see our truck? (Highway, City, or Intersection)
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If not available enter *None*
3. Direction of Travel
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Please Select
Northbound
Southbound
Eastbound
Westbound
I don't Know
Section 2: Performance Ratings
4. Overall Safety: How safe did you feel sharing the road with this vehicle?
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1
2
3
4
5
5. Driver Professionalism: Rate the driver’s lane discipline and signaling.
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Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
6. Equipment Appearance: How clean and well-maintained did the truck look?
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1
2
3
4
5
7. Observed Speed
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Speeding
Following Traffic Flow
Below Speed Limit
Focused On Road
Both Hands-on Steering Wheel
Section 3: Specific Behaviors
8. If you had a safety concern, what did you observe? (Check all that apply)
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Tailgating
Failure to signal
Distracted driving
Debris from vehicle
Other
9. Did the driver do anything exceptionally well? (Check all that apply)
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Patient in traffic
Helped others merge
Great signaling
Clean/Bright equipment
Section 4: Final Feedback
10. Any additional comments or specific details?
11. Would you like a manager to follow up with you regarding your feedback?
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Yes
No
12. Contact Information (Email or Phone)
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
1. VEHICLE IDENTIFICATION
Truck Number/ID:
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If not available enter *None*
Trailer Number:
If not available enter *None*
License Plate (if known):
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If not available enter *None*
State
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Please Select
2. INCIDENT DATA
Date/Time of Incident:
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Do you know exact adress?
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No
Yes
Please provide address
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Please use the map below to select the precise/estimated location of the incident. Dropping a pin allows our safety team to accurately cross-reference ELD and GPS telematics for a comprehensive review.
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3. NATURE OF COMPLAINT
(Check all that apply)
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Speeding
Reckless/Aggressive Driving
Following Too Closely
Failure to Signal / Improper Lane Change
Distracted Driving (Phone Use)
Other
Any additional information or specific details?
Would you like a manager to follow up with you regarding your complaint?
*
Yes
No
4. REPORTER CONTACT
We may contact you if we need additional details. Your safety is our top priority, and having accurate information helps us address your complaint thoroughly and clarify anything that may arise during our investigation.
Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Submit
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