DENEMO ONE - Driver's Job Application Form Logo
  • Driver's Application For Employment

  • TO BE READ AND SIGNED BY THE APPLICANT

     

    I, {name}, hereby authorize DENEMO ONE INC and its designated agents or representatives to conduct a comprehensive background check as part of the employment evaluation process. This background check may include, but is not limited to, the following:

    • Motor Vehicle Report (MVR)
    • Pre-Employment Screening Program (PSP) check
    • Criminal background check
    • Employment history verification
    • Medical history inquiries (if applicable, and only after a conditional offer of employment has been extended)


    I understand that this investigation may involve obtaining information from various sources, including but not limited to, past and present employers, educational institutions, law enforcement agencies, financial institutions, and other relevant organizations. I hereby release all individuals, businesses, or agencies providing such information from any liability for responding to inquiries or releasing records in connection with this background check.

    I further acknowledge that, as required by 49 CFR 391.23(d) and (e), information I provide regarding my current and previous employers may be used to investigate my safety performance history. I understand that I have the following rights:

    • To review information provided by my current and previous employers;
    • To request the correction of any errors in that information and to have corrected information forwarded to the prospective employer; and
    • To submit a written rebuttal if I dispute the accuracy of the information, and an agreement on the correction cannot be reached.

    I understand that providing false or misleading information during the application or interview process may result in the withdrawal of any employment offer or, if already employed, immediate termination. I also acknowledge that employment with [Company Name] is contingent upon my compliance with all company policies, procedures, and applicable regulations.

    By signing below, I confirm that I have read and fully understand this Authorization and Consent for Background Screening. I voluntarily consent to this background check and acknowledge that this authorization remains valid throughout my employment, to the extent permitted by law.

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  • Personal Information

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  • Address Information

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  • Right to work in United States

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  • Employment History

    Please enter the information requested for your work experience.
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  • Employment History

    Please enter the information requested for your work experience.
  • Experience and Qualifications - Driver

    List all driver licenses or permits helt in the past three years
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  • Driving Experience

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  • Experience and Qualifications - Other

    Show any ticking, transportation or other experience that may help in your work for this company
  • Education

  • TO BE READ AND SIGNED BY THE APPLICANT

    This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.
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  • Vehicle inspection & Maintenance policy

  • DENEMO ONE INC.

    1. Purpose
    It is the policy of DENEMO ONE INC. that all drivers comply with the vehicle inspection regulations set forth under 49 C.F.R. Part 392 and Part 396 to ensure the safety, reliability, and compliance of all company-operated vehicles.

    2. Pre-Trip Inspection Requirements
    No driver shall operate a vehicle owned or operated by DENEMO ONE INC. without first conducting a thorough pre-trip inspection, including, but not limited to, the inspection of the following:

    • Service brakes, including trailer brake connections
    • Parking (hand) brake
    • Steering mechanism
    • Lighting devices and reflectors
    • Tires
    • Horn
    • Windshield wiper(s)
    • Rear vision mirror(s)
    • Coupling devices
    • Fire extinguisher
    • Warning triangles
    • If any safety defects are identified, the vehicle shall not be operated until the necessary repairs have been completed. Additionally, no vehicle shall be operated without a current federal annual inspection certificate.

    3. Post-Trip Inspection Requirements
    Drivers must conduct a post-trip inspection at the end of each duty shift. If defects are discovered or reported, the driver must complete and sign a Driver Vehicle Inspection Report (DVIR). The post-trip inspection must include, but is not limited to:

    • Service brakes, including trailer brake connections
    • Parking (hand) brake
    • Steering mechanism
    • Lighting devices and reflectors
    • Tires
    • Horn
    • Windshield wiper(s)
    • Rear vision mirror(s)
    • Coupling devices
    • Fire extinguisher
    • Warning triangles
    • No driver shall operate a vehicle with a reported safety defect on a DVIR until repairs have been made and the mechanic has certified whether repairs were completed or deemed unnecessary for safe operation.

    4. Out-of-Service Vehicles
    No driver shall operate a vehicle that has been placed out of service on a DVIR or a Roadside Inspection until the following conditions are met:

    1. All necessary repairs have been completed and documented.
    2. A receipt for repairs is obtained.
    3. Ownership has been informed and has approved the repairs.
    4. If the out-of-service designation resulted from a roadside inspection, repairs must be completed before the vehicle is moved.

    Drivers must promptly submit all roadside inspection reports, along with any repair receipts and supporting documents.

    5. Dispatcher Responsibilities
    No dispatcher shall dispatch, authorize the movement of, or return to service any vehicle that has been declared out of service until proof of repairs has been received and reviewed by management.

    6. Disciplinary Policy for Non-Compliance
    Violations of this policy and 49 C.F.R. Part 392 and 396 will result in the following disciplinary actions:

    a. Operating a vehicle in violation of an out-of-service order
    1st Violation – Immediate Discharge

    b. Failure to conduct a pre-trip inspection
    1st Violation – Immediate Discharge

    c. Failure to complete/submit a DVIR
    1st Violation – Written Warning
    2nd Violation – One-week suspension
    3rd Violation – Discharge

    d. Failure to identify readily discoverable defects in a pre-trip inspection or DVIR
    1st Violation – Written Warning
    2nd Violation – One-week suspension and retraining
    3rd Violation – Discharge

    e. Failure to document defects on a DVIR
    1st Violation – Written Warning and retraining
    2nd Violation – One-week suspension and retraining
    3rd Violation – Discharge

    f. Failure to submit a roadside inspection report
    1st Violation – One-week suspension
    2nd Violation – Discharge
    7. Disciplinary Step-Back Clause
    If a driver goes six consecutive months without committing the same violation, they will move one step back in the disciplinary process for that specific violation.

    8. Policy Amendments
    DENEMO ONE INC reserves the right to amend, modify, or rescind this policy at any time, at its sole discretion, with or without prior notice. This policy does not create any contractual rights between the company, its employees, or any other parties.

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  • Receipt for Denemo ONE

    Vehicle Inspection & Maintenance Policy
  • I, {fullName}, acknowledge that I have been issued this vehicle Inspection & Maintenance Policy. I agree to read it fully, to be responsible for the information it contains, and to abide by all policies and instructions herein.

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  • Distracted Driving Policy

  • HOURS OF SERVICE POLICY


    DENEMO ONE INC.


    1. Policy Statement
    It is the policy of DENEMO ONE INC. that all drivers shall operate in full compliance with the Hours of Service (HOS) regulations as set forth in 49 C.F.R. Part 395 to ensure safety, compliance, and operational efficiency.

    2. Hours of Service Limits
    All drivers must adhere to the following driving and on-duty time restrictions:

    Maximum Driving Time: No driver shall operate a commercial motor vehicle (CMV) for more than 11 cumulative hours following at least 10 consecutive hours off duty.
    Maximum On-Duty Period: No driver shall drive after the 14th consecutive hour following at least 10 consecutive hours off duty.
    70-Hour Rule: No driver shall drive after being on duty for 70 hours within any 8 consecutive days, unless they take an off-duty period of at least 34 consecutive hours to reset the cycle.
    Break Requirement: All drivers must take a 30-minute off-duty break within the first 8 hours of driving.


    3. Dispatcher Responsibility
    No dispatcher shall assign or dispatch a driver on a trip that would cause the driver to violate:

    The 11-hour driving limit
    The 14-hour on-duty limit
    The 70-hour weekly limit
    Any other provision of 49 C.F.R. Part 395


    4. Duty Status and Log Requirements
    All drivers must accurately complete a horizontal grid-type log for each 24-hour period, recording their duty status as follows:

    4.1 Duty Status Definitions


    Off Duty: Time when the driver is relieved of all work responsibilities.
    Sleeper Berth: Time spent resting in a sleeper berth that meets 49 C.F.R. § 396.76 requirements.
    Driving: All time spent at the driving controls of a CMV in operation.
    On Duty (Not Driving): Any time when a driver is required to be ready for work, including but not limited to:

    * Waiting to be dispatched at a terminal, facility, or public property, unless relieved from duty.
    * Inspecting, servicing, or conditioning the vehicle as required under 49 C.F.R. §§ 392.7 and 392.8.
    * Sitting inside the CMV while not driving (except while resting in the sleeper berth).
    * Loading or unloading the vehicle, supervising, assisting, attending, or waiting for shipments.
    * Conducting repairs, obtaining assistance, or remaining with a disabled vehicle.
    * Providing a breath or urine sample for drug/alcohol testing under 49 C.F.R. Part 382.
    * Performing any other work-related task for any motor carrier.
    * Performing compensated work for any entity that is not a motor carrier.


    5. Required Logbook Information
    Each driver’s daily log must include:

    * Date
    * Total miles driven
    * Truck/tractor and trailer number
    * Carrier’s name
    * 24-hour period start time (home terminal time zone)
    * Driver’s signature/certification
    * Main office address
    * Remarks section (for duty status location and additional notes)
    * Co-driver’s name (if applicable)
    * Total hours in each duty status
    * Shipping document number(s) or shipper name and commodity


    6. Log Entry Compliance
    All log entries must:

    * Be current to the last change in duty status.
    * Include the location (city/state abbreviation) of each duty status change in the remarks section.
    * Be legible and completed in the driver’s own handwriting.
    * Include all 11 required data fields as outlined in Section 5.
    * Use Central Time Zone for all entries.
    * Be prepared in duplicate.


    7. Consolidation of Logs for Multiple Days Off
    Entries for multiple consecutive off-duty days (e.g., vacation) may be consolidated onto a single log form, provided that the inclusive dates are clearly indicated.

    8. Submission of Logs and Supporting Documents


    * Drivers must submit the original log to the company, along with all supporting documents, within 5 days of completion.


    * Supporting documents include, but are not limited to:

    Bills of lading
    Carrier pros and freight bills
    Gate receipts
    Weigh/scale tickets
    Fuel receipts
    Toll receipts/billing statements
    Port of entry receipts
    Delivery and lumper receipts
    Agriculture inspection reports
    Traffic citations
    Inspection reports (Driver/Vehicle Examination Reports)
    Any additional documentation acquired during the trip


    9. Retention of Logs for Inspection
    All drivers must retain copies of their logs for the previous 7 consecutive days and have them available for inspection while on duty.

    10. Log Auditing and Compliance Monitoring
    Logs will be audited for compliance with 49 C.F.R. Part 395.
    The audit process will include comparing logs against fuel purchase records, supporting documents, and PC Miler computations to verify accuracy.


    11. Disciplinary Policy for Violations
    Violations of this policy and 49 C.F.R. Part 395 will result in the following disciplinary actions:

    11.1 Failure to Submit Logs or Supporting Documents
    1st Violation – Written Warning
    2nd Violation – Written Warning + Mandatory Retraining
    3rd Violation – One-Week Suspension
    4th Violation – Discharge


    11.2 Violations of 11-Hour, 14-Hour, or 70-Hour Rules
    1st Violation – Written Warning
    2nd Violation – Written Warning + Mandatory Retraining
    3rd Violation – One-Week Suspension
    4th Violation – Discharge


    11.3 False Log Entries (Falsification of Duty Status)
    1st Violation – Written Warning
    2nd Violation – Written Warning + Mandatory Retraining
    3rd Violation – One-Week Suspension
    4th Violation – Discharge


    11.4 Logbook Form & Manner Violations
    1st Violation – Verbal Warning
    2nd Violation – Written Warning
    3rd Violation – Written Warning + Mandatory Retraining
    4th Violation – One-Week Suspension


    11.5 Failure to Have Previous 7 Days of Logs During Roadside Inspection
    1st Violation – Written Warning
    2nd Violation – Written Warning + Mandatory Retraining
    3rd Violation – One-Week Suspension
    4th Violation – Discharge


    11.6 Disciplinary Step-Back Clause
    If a driver maintains 30 consecutive days without a repeat violation, they will move back one step in the disciplinary process. However, any driver who has undergone mandatory training twice may be subject to immediate termination upon the next violation.

    12. Policy Amendment & Discretionary Authority
    DENEMO ONE INC reserves the right to amend, modify, or rescind this policy at any time, at its sole discretion, with or without prior notice. This policy does not establish any contractual rights between the company and its employees or other parties.

  • I, {fullName}, hereby acknowledge Denemo ONE, policy regarding Distracted Driving and agree to abide by its terms.

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  • DRUG AND ALCOHOL POLICY

     

    I. POLICY
    It is the Policy of DENEMO ONE INC (hereinafter the Company) that the use, sale, purchase, transfer, possession, or presence in one’s system of any prohibited drug or other substances (except medications prescribed by one’s physician and taken pursuant to the prescription), including alcohol, by any employee while on the Company’s premises, engaged in the Company’s business, operating the Company’s equipment, or while operating under the authority of the Company, is strictly prohibited.
    All employees subject to the rules and regulations of the U.S Department of Transportation (USDOT) must be drug and alcohol-free, and be and remain in full compliance with all USDOT drug and alcohol testing regulations.
    All persons subject to USDOT drug and alcohol testing regulations are required to read this Policy and acknowledge, by their signature, that they have read and understand the Policy, and to confirm to all requirements set forth in the Policy.


    II. EMPLOYEES SUBJECT TO THE POLICY
    All Covered Employees as defined in paragraph IIIA below must be and remain in full compliance with this Policy.


    III. Definitions
    A. Covered Employee(s) – All employees who, under the operating authority of the Company, drive commercial motor vehicles requiring a CDL license and /or designed to transport 16 or more passengers.


    B. Safety Sensitive Functions – All Covered Employees are deemed to be performing safety-sensitive functions as follows:
    1. All time at the Company or customer waiting to be dispatched, unless the covered person has been relieved from duty by the Company.
    2. All time inspecting equipment as required by the Federal Carrier Safety Regulations (FMCSRs) or otherwise inspecting, servicing, or conditioning any commercial motor vehicle at any time.
    3. All time spent at the driving controls of a commercial motor vehicle.
    4. All time, other than driving time, spent on or in a commercial motor vehicle.
    5. All time loading or unloading passengers, supervising, or assisting in the loading or unloading of passengers, attending to a vehicle being loaded or unloaded, remaining in readiness to operate the vehicle, or giving and receiving receipts for transportation.
    6. All time spent performing the requirements associated with an accident.
    7. All time repairing, obtaining assistance, or remaining in attendance upon a disabled vehicle.


    C. On Duty - All Covered Employees are considered to be on duty when they are performing safety-sensitive functions as defined above.


    D. Refusing to Submit – A Covered Employee is deemed to have refused to submit to an alcohol or drug test when that person:
    1. Fails to provide an adequate sample of breath for alcohol testing without a valid medical explanation after he or she has received notice of the requirement to submit to breath testing.
    2. Fails to provide an adequate urine sample for drug testing without a valid medical explanation after he or she has received notice of the requirement to submit to urine testing.
    3. Engages in conduct that clearly obstructs the testing process.
    4. Fails to properly notify the Company of their involvement in a commercial motor vehicle accident meeting the criteria for a post-accident alcohol and drug test.


    E. Substance Abuse Professional – A licensed physician ( medical doctor or doctor of osteopathy) or a licensed or certified psychologist, social worker, employee assistance professional, or addiction counselor( certified by the National Association of Alcoholism and Drug Abuse Counselors Certification Commission) with knowledge of or clinical experience in the diagnosis and treatment of alcohol and controlled substance-related disorders.


    IV. PROHIBITED CONDUCT
    A. Alcohol Use and Testing
    1. Covered Employees are prohibited from consuming any alcoholic beverage or other product containing alcohol within 4 hours of reporting for duty or performing safety-sensitive functions. 
    2. Covered Employees are prohibited from reporting for duty or remaining on duty with an alcohol concentration of .02 BAC or greater.
    3. Covered Employees are prohibited from refusing to submit to alcohol testing when requested by the Company and/or required to by the regulations of the U.S. Department of Transportation.


    B. Drug Use and Testing
    1. Covered Employees are prohibited from illegally consuming or using any drug at any time.
    2. Covered Employees are prohibited from refusing to submit to drug testing when requested by the Company and /or required to by regulations of the U.S. Department of Transportation.

     

    V. WHEN COVERED EMPLOYEES WILL BE SUBJECT TO ALCOHOL AND /OR DRUG TESTING


    A. Pre-Employment Drug Testing
    1. All offers of employment for positions that require the possession of a valid Commercial Driver’s License (CDL) are contingent upon the following:
    a. Submitting to and passing a pre-employment drug test.
    b. Executing consent for Release of Alcohol and Drug Test Results (Appendix “A”).
    c. Completion of a background check of previous employers that reveals no history of failing USDOT required alcohol or drug test- unless the applicant is able to produce proof satisfactory to the Company that the applicant has fully complied with all of the return to duty requirements of 49CFR Part 382 and is otherwise qualified.
    2. Failure to comply with one or more of the above-listed contingencies shall result in the withdrawal of any offer of employment.


    B. Random Alcohol and Drug Testing - All Covered Employees shall submit to alcohol and drug testing when randomly selected to do so.
    1. All Covered Employees currently employed by the Company will be placed in the random selection pool. Covered Employees will be selected for testing in a manner that ensures that each Covered Employee has an equal opportunity to be selected for a random test. The Company will randomly select Covered Employees for random testing once every three months (quarterly). Because Covered Employees who have been selected return to the random testing pool for the next selection, it is possible that some Covered Employees will be selected more than once. The Company will select a sufficient number of Covered Employees each quarter to ensure that the number of random drugs conducted each year equals or exceeds fifty (50) percent of the number of driver positions and that the number of random alcohol tests conducted each year equals or exceeds ten (10) percent of the number of driver positions.
    2. A Covered Employee, upon notification that they have been randomly selected to submit to testing, shall immediately proceed to the location designated by the Company for the testing.
    3. I a Covered Employee is randomly selected to submit to an alcohol test, the Company will notify the Covered Employee either just before the Covered Employee is to perform a safety-sensitive function, while the Covered Employee is performing a safety-sensitive function, or just after the Covered Employee has performed a safety-sensitive function.

    C. Post-Accident Drug and Alcohol Testing
    1. A Covered Employee is required to submit to a post-accident alcohol and drug test if they are involved in a Commercial Motor Vehicle Accident that meets any one of the following criteria:
    a. Someone is killed.
    b. Someone is injured such that medical treatment is required away from the scene of the accident, and the Covered Employee receives a moving traffic citation or ticket arising from the accident.
    c. One of the vehicles involved in the accidents is towed from the scene because of disabling damage, and the Covered Employee receives a moving traffic citation or ticket arising from the accident.
    2. A covered Employee shall notify the Company that they have been involved in an accident meeting one of the above-listed criteria as soon as practically possible.
    3. The Company shall provide the Covered Employee with all necessary post-accident information, procedures, and instructions so that the Covered Employee can comply with all post-accident testing requirements. The Covered Employee shall remain available so that the Company is able to convey all required information and instructions to the Covered Employee.
    4. Upon receipt of post–accident testing procedures and instructions from the Company, the Covered Employee shall promptly comply with the testing procedures and instructions provided.
    5. Covered Employees subjected to post-accident alcohol and drug testing shall not consume any alcohol for 8 hours following the accident or until he or she submits to a post-accident alcohol test.
    6. In addition to that stated above in paragraph III.D, the following shall also be deemed a refusal to submit to post-accident alcohol and/or drug testing:
    a. Failing to inform the Company as soon as practically possible that the Covered Employee was involved in an accident that meets one or more of the criteria listed above in paragraphs. V.C.1 (ac).
    b. Failing to remain available so that the Company is able to convey the required procedures and instructions.
    c. Failing to comply with the Company’s instructions regarding the testing procedures.
    d. Failing to refrain from the consumption of alcohol for 8 hours following the accident or until he or she has submitted to a post-accident alcohol test.
    7. If a Covered Employee does not submit to an alcohol test within two hours of the accident, the Company shall document the reason for the delay. If a Covered Employee does not submit to the alcohol test within 8 hours of the accident, the post–accident alcohol test will not be conducted, and the Company shall document the reason(s) why the alcohol test was not performed.
    8. If a Covered Employee does not submit to a drug test within 32 hours of the accident, the post–accident drug test will not be conducted and the Company shall document the reason(s) why the drug test was not conducted.
    9. Nothing in this policy shall be deemed to justify or authorize delaying necessary medical treatment being provided to any person.


    D. Reasonable Cause Alcohol and Drug Testing
    1. A covered Employee shall submit to an alcohol test when a duly trained supervisor or other trained supervisor or other trained Company official has reasonable cause to believe that the Covered Employee is under the influence of alcohol. The reasonable cause required before a Covered Employee is required to submit to an alcohol test must be present either just before the Covered Employee is to engage in a safety-sensitive function, while the Covered Employee is engaging in a safety-sensitive function, or just after the Covered Employee has engaged in a safety-sensitive function.
    2. A Covered Employee shall submit to a drug test when a duly trained supervisor or other Company official has reasonable cause to believe that the Covered Employee is under the influence of drugs.
    3. The reasonable cause required for alcohol or drug testing shall be based on specific, contemporaneous, and articulable observations made by a trained supervisor regarding the Covered Employee’s appearance, behavior, speech, or body odors.
    4. If a trained supervisor or other trained Company official has reasonable cause to believe that a Covered Employee is under the influence of alcohol or drugs, the supervisor or Company official shall immediately relieve the Covered Employee from the performance of all safety-sensitive functions and immediately make arrangements for the Covered Employee to submit to the alcohol and/or drug test.
    5. If there is reasonable cause to believe that a covered employee is under the influence of alcohol, and the Covered employee does not submit to an alcohol test within 2 hours of the observation, the Company shall document the reason for the delay. If the Covered Employee does not submit to a reasonable cause alcohol test within 8 hours of the observation, the reasonable cause alcohol test will not be conducted, and the Company shall document the reason(s) why the alcohol test was not conducted.
    6. If a duly trained supervisor or Company official has reasonable cause to believe that a Covered Employee is under the influence of alcohol or drugs, the supervisor or Company official shall promptly prepare and sign a written record of the observations.
    7. The Company shall designate certain supervisors and/or Company officials to receive at least 60 minutes of training on alcohol misuse and 60 minutes of training on drug abuse. The training shall include how to recognize the signs and symptoms of alcohol and drug use. Such duly trained supervisors and Company officials are the only Company officials qualified to make reasonable cause determinations.


    IV. PROCEDURES FOR ALCOHOL AND DRUG TESTING – the procedures for conducting all alcohol and drug testing shall be the policies and procedures set forth in 49 C.F.R. Part 40. An amendment or revision to 49 C.F.R. Part 40. Shall be considered an amendment or revision to this section of the Policy. A current copy
    of 49 C.F.R. Part: 40 is available for your review upon contacting John Jansen, Bill Lynch, or Andrew Nugent.
    1. Failing a drug test.
    2. Refusing to submit to an alcohol test.
    3. Refusing to submit to a drug test.
    4. Engaging in the illegal sale, transfer, use, or possession of drugs while on duty, on Company property, or in possession of Company property.


    B. Immediate Removal from Safety Sensitive Functions and Possible Termination for Cause - Reporting for duty or remaining on duty with an alcohol concentration of 02BAC or greater shall result in immediate removal from the performance of safety-sensitive functions for at least 24 hours and may result in termination for cause or other disciplinary action.


    C. Substance Abuse Professional Referral – The Company shall refer any Covered Employee who fails an alcohol or drug test to a Substance Abuse Professional.


    D. Return to Duty Testing - At the sole discretion of the Company, a Covered Employee who fails an alcohol or drug test may return to performing safety-sensitive functions only after satisfactory completion of each of the following:
    1. Evaluation by a Substance Abuse Professional.
    2. Certification by the Substance Abuse Professional that the Covered has satisfactorily completed all rehabilitation, substance abuse counseling, or other treatment or interventions recommended by the Substance Abuse Professional.
    3. Submitting to and passing a Return to Work Alcohol or Drug Test.


    E. Follow–up Testing – A Covered Employee who is permitted to return to performing safety sensitive after failing an Alcohol or Drug Test shall be subject to, in addition to the other required alcohol and drug testing, unannounced follow–up testing.
    1. The follow-up testing shall be at a frequency determined by the Substance Abuse Professional, but in no case shall be less than six unannounced follow-up tests in the first twelve months after returning to duty.
    2. The follow-up testing shall not continue for a period longer than 60 months.
    3. Follow-up alcohol testing shall be conducted either just before, during, or just after the Covered Employee has performed a safety-sensitive function.


    VIII. THE AVAILABILITY AND DISCLOSURE OF ALCOHOL AND DRUG TEST RESULTS AND OTHER INFORMATION
    A. Alcohol and drug test results and other information or documentation relating to alcohol or drug testing conducted pursuant to this policy shall not be disclosed to others except under the following circumstances:
    1. The Company receives the signed written consent of the Covered Employee od former Covered Employee authorizing the Company to release the information to a specified third party.
    2. The Company is required by statute, regulation, judicial, decision, or other legal authority to release the results or information.
    3. A legal action or other claim has been brought against the Company by the Covered Employee or former Covered Employee, or someone acting on behalf of the Covered Employee or former Covered Employee, or his or her estate, and the results or information are deemed by the Company or its attorneys to be necessary for the Company to defend itself in the proceeding.
    B. All Covered Employees and Former Covered Employees are entitled to the records or information relating to their alcohol or drug test upon written request to the Company.


    IX. Reservation of Rights – The Company reserves the right to amend, change, modify, or rescind this Policy at any time and in any manner it chooses, in its sole discretion, and with or without notice to any affected employee or others. This Policy does not, in any way, create any contractual rights between the Company and its employees or others. This Policy does not, in any way, create any contractual rights between the Company and its employees or others. This Policy supersedes all previous Alcohol and/or Drug Testing policies.


    X. SUBSTANCE ABUSE INFORMATION
    A. Signs and Symptoms of a Substance Abuse Problem
    1. Family or social problems caused by substance abuse.
    2. Job or financial difficulties related to substance abuse. 
    3. Loss of a consistent ability to control substance abuse.
    4.” Blackouts” or the inability to remember what happened while drinking.
    5. Distressing physical and/or psychological reactions while trying to stop drinking or drug abuse.
    6. A need to drink increasing amounts of alcohol or increase drug use to get the desired effect.
    7. Marked changes in behavior or personality when drinking or abusing drugs.
    8. Getting “drunk” or “high” on alcohol and /or drugs frequently.
    9. Injuring yourself – or someone else while intoxicated or abusing drugs.
    11. Starting the day with a drink or taking illegal drugs.


    B. Effects Of a Substance Abuse Problem on Health, Work, and Personal Life
    1. Alcohol is a central nervous system depressant. Taken in large quantities it causes the euphoria associated with “being drunk” and adversely affects your judgment, your ability to think, and your motor functions. Drink alcohol fast enough and it can kill you.
    2. Long-term overuse of alcohol can cause liver damage, heart problems, sexual dysfunction, and other serious medical problems.
    3. In some cases, alcohol use can lead to physical and psychological dependence on alcohol. Alcoholism is a serious disease. Left untreated it gets worse.
    4. Workers who use alcohol and illegal drugs affect everyone. Studies show that compared to alcohol-free workers, substance abusers are far less productive miss workdays, are more likely to injure themselves or someone else, and file workers' compensation claims.
    5. The measurable dollar costs of workplace substance abuse from absenteeism, overtime pay, tardiness, sick leave, insurance claims, and workers’ compensation can be substantial. However, the hidden costs resulting from diverted supervisory and managerial time, friction among workers, damage to equipment, and damage to the Company’s public image mean that workplace substance abuse can further cut profits and competitiveness.
    6. Substance abusers can also destroy relationships, lead to serious problems with the law( e.g., drunk driving), and even cause harm to the people you love
    7. If substance abuse affects your work life, it could lead to job loss and all of the financial problems that would follow.


    C. Evaluating and Resolving Substance Abuse Problems
    1. Outpatient programs exist in a variety of settings:
    a. Community mental health centers;
    b. Family service agencies;
    c. Private physicians and therapists' offices;
    d. Occupational settings;
    e. Specialized Alcoholism treatment facilities.
    2. Inpatient services, designed for those with more serious substance abuse problems, can be found in:
    a. Hospitals
    b. Residential care facilities
    c. Community halfway houses
    d. Some alcoholism clinics.
    3. Your local phone directory will list helpful referral organizations such as:
    a. Local council on alcoholism and drug abuse
    b. Alcoholics Anonymous
    c. Community alcoholism or mental health clinics
    d. Social service or human resources departments
    e. Community medical society.


    D. The Importance of Intervention
    1. The Company recognizes that alcoholism, alcohol misuse, and drug abuse are problems throughout America.
    2. There are three good reasons why you should be concerned if any of your co-workers are using drugs or alcohol on the job:
    a. Your health and safety may be at risk
    b. Drug abuse and alcohol misuse costs you money
    c. Drug abuse and alcohol misuse create a negative work environment.
    3. The U.S. Department of Labor has determined that drug and alcohol use on the job costs society an estimated $102 billion a year. Since most of this cost is passed on to you in the form of health insurance
    rates or in the prices you pay for things, drug and alcohol use on the job costs you and your fellow workers.
    4. The U.S. Department of Labor has also determined that absenteeism among problem drug abusers, drinkers, or alcoholics is 3.8 to 8.3 times greater than normal. If your fellow workers don’t come to work, you may have to do their jobs in addition to your own.
    5. Workers who misuse alcohol and drugs don’t function at their full potential. Not only is absenteeism a problem. When they are at work, these employees may have reduced capabilities and productivity. Since
    our product is the safe transportation of the public, alcohol, and drug test misuse is an especially serious issue.
    6. No matter what your position is in the organization, there is something you can do to ensure that drug and alcohol use on the job never becomes a problem at the Company. Acceptance of any misuse puts you, this Company, and the public at risk.

  • I, {fullName}, acknowledge receipt of Denemo ONE. Alcohol and
    Drug Testing Policy and agree to abide by its terms and conditions.

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  • Hours of Service Policy

  • 1. It is the policy of Denemo ONE that all drivers shall operate in full compliance with the hours of service regulations set forth at 49 C.F.R. Part 395.
    2. No driver shall drive more than 11 cumulative hours following at least 10 consecutive hours off duty.
    3. No driver shall drive after the end of the 14th hour after coming on duty following at least 10 consecutive hours off-duty.
    4. No driver shall drive after having been on-duty 70 hours in any period of 8 consecutive days, with the exception that an 8-day period may end with the beginning of any off-duty period of 34 or more consecutive hours.
    5. No dispatcher shall dispatch a driver on a trip that would result in a driver being in violation of paragraphs 2.3.or 4 of this policy, or any provision of 49 C.F.R. Part 395.
    6. All drivers shall take a 30min break minute, off-duty, break within the first 8 hours of driving.
    7. All drivers shall accurately complete the horizontal grid-type log for each 24-hour period, and record their duty status in accordance with the following guidelines:
    a. Off duty. A driver may log off duty when he/she is relieved of responsibility for his/her job.
    b. Sleeper berth. A driver may log the time he/she actually spends in a sleeper berth which meets the requirements set forth in Sec.396.76 of the FMCSRs.
    c. Driving. A driver must log all time spent at the driving controls of a commercial motor vehicle in operation.
    d. On duty (not driving). A driver is on duty whenever he/she is required to be ready for work. All on-vehicle time (except sleeper berth) is considered on-duty time.


    On-duty time includes:
    I. All time at a plant, terminal, facility, or other property of a motor carrier or shipper, or on any public property of a motor carrier or shipper, or any public property, waiting to be dispatched unless the driver has been relieved from duty by the motor carrier;
    II. All time inspecting equipment as required by Sec. 392.7 and sec.392.8 or otherwise inspecting, servicing, or conditioning any motor vehicle in operation);
    III. All time other than driving time, in or upon any commercial motor vehicle except time spent resting in a sleeper berth;
    IV. All driving time(defined as all time spent at the controls of a commercial motto vehicle in operation);
    V. All time loading or unloading a commercial motor vehicle, supervising, or assisting in the loading and unloading, attending a commercial motor vehicle being loaded or unloading, remaining in readiness to operate the commercial motor vehicle, or giving or receiving receipts for shipments loaded or unloaded;
    VI. All time repairing, obtaining assistance, or remaining in attendance upon a disabled commercial;
    VII. All time spent providing a breath sample or urine specimen, including travel time to and from the collection site, in order to comply with drug and alcohol testing requirements of Part 382 when directed by the company;
    VIII. Performing any other work in the capacity, employ, or service of a motor carrier;
    IX. Performing any compensated work for a person who is not a motor carrier.


    8. Each driver’s log must contain the following information:
    - Date;
    - Total miles were driven today
    - Truck or tractor and trailer number;
    - Carrier’s name;
    - 24-hour period starting time( selected by the driver’s home terminal)
    - Driver’s signature/certification;
    - Main office address;
    - Remarks;
    - Co-driver’s name ( if applicable)
    - Total hours in each duty status ( at end of grid); and
    - Shipping document number(s), or shipper name and commodity.


    9. All log entries must:
    a. Be current to the last change of duty status;
    b. Identify the name of the city, town, or village, with state abbreviation where each change of duty status occurred in the remarks section of the log;
    c. Be legible and in the driver’s own handwriting;
    d. Include all 11 of the required items listed above in paragraph 7;
    e. Use the Central Time Zone time;
    f. Be done in duplicate.


    10. Entries for multiple days off vacations may be consolidated onto a single log form, as long as the inclusive dates are clearly shown.


    11. All drivers must submit the original log to the company, together with all supporting documents, within 5 days of completion. Supporting documents include, but are not limited to, bills of loading, carriers pros, freight bills, gate record receipts, weigh/scale tickets, fuel receipts, toll receipts, toll billing statements, port of entry receipts, delivery receipts, lumper receipts, agriculture inspection reports, traffic citations, inspection reports, driver and vehicle examination reports, and any and all other documents or receipts the driver receives during his or her trip.


    12. All drivers must have a copy of each log for the previous 7 consecutive days with them at all times while on duty and have the logs available for inspection.

    13. All logs will be audited for compliance with this policy and 49 C.F.R.Part 395. The audit will include comparing the logs with fuel purchase reports and other supporting documents, plus PC Miler computations, to determine if the log was accurately completed.


    14. Drivers found in violation of this policy and 49 C.F.R.Part 395 shall be subject to discipline in accordance with the following disciplinary policy:
    a. Failure to turn in logs or supporting documents as required by company policy:
    - 1st violation – Written Warning;
    - 2nd violation – written Warning plus mandatory retraining;
    - 3rd violation – 1Week Suspension;
    - 4th violation – Discharge.
    b. Violations of the 11-hour, 14-hour, or 70-hour driving rule
    - 1st violation – Written Warning;
    - 2nd violation- Written Warning plus mandatory retraining;
    - 3rd violation 1 Week Suspension;
    - 4th violation Discharge
    c. False records of duty status
    - 1st violation – written Warning
    - 2nd violation – Written Warning plus mandatory retraining
    - 3rd violation – 1 Week Suspension
    - 4th violation – Discharge.
    d. Form and Manner
    - 1st violation – Verbal Warning;
    - 2nd violation – Written Warning;
    - 3rd violation – Written Warning plus mandatory retraining;
    - 4th violation – 1 Week Suspension.
    e. Failing to have the last 7 days of logs available during a roadside inspection.
    - 1st violation – Written Warning;
    - 2nd violation – Written Warning plus mandatory retraining;
    - 3rd violation – 1 Week suspension;
    - 4th violation – discharge.


    If a driver does not have violations for a 30-day month period the driver will move back up on the step process, with the exception that any driver who has been through mandatory training twice is subject to termination immediately upon the next violation.

    The Company reserves the right to amend, change, or rescind this Policy at any time and in any manner it chooses, in its sole discretion, with or without notice to any affected employees or others. This Policy does not, in any way, create contractual rights between the Company and its employees or others.

  • Receipt for Denemo ONE

    Hours of Service Policy
  • I, {fullName}, acknowledge that I have been issued this "Hours of Service
    Policy". I agree to read it fully, to be responsible for the information it contains, and to abide by all policies and instructions herein.

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  • To obtain past drug alcohol test results

    Driver’s authorization
  • I, {fullName}, must give the Company written authorization to obtain the results of all DOT-required drug and/or alcohol tests (including any refused to be tested) from all of the companies for which I worked as a driver, or for which I took a pre-employment drug and/or alcohol test, during the past two (2) years. I have also been advised and understand that my signing of this authorization does not guarantee me a job or guarantee that I will be qualified with the Company.


    Below I have listed all of the companies for which I worked as a driver, or to which applied as a driver during the past two (2) years. I hereby authorize the Company to obtain from those companies, and I hereby authorize those companies to furnish to the Company, the following information concerning my drug and alcohol test: (I)all positive drug test results during the past two (2) years; (II) all alcohol test results of 0.04 or greater during the past two (2) years; (III) all alcohol test results of 0.02 or greater but less than 0.04 during the past two (2) years;(IV) all instances in which I refused to submit to a DOT required drug and/or alcohol test during the past two (2) years.


    The following is a list of all of the companies in which I worked as a driver, or to which I applied for work as a driver, during the past two (2) years:

  • Driver’s certification:
    I {fullName}, have carefully read and fully understand this authorization to release my past drug and alcohol test results. In signing below, I certify that all of the information which I have furnished on this form is true and complete and that I have identified all of the companies for which I have either worked or applied for work, as a driver during the past two years.

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  • Previous Employer Inquiry

  • Drivers Statement of On-Duty Hours

    (To be completed upon hire)
  • Instructions:

    Motor Carriers using a driver for the first time shall obtain from the driver an assigned statement giving the total time on duty during the immediately preceding 7 days and the time at which such driver was last relieved from duty prior to beginning work for such carrier.

     Rule 395.8(j)(2) Federal Motor Carrier Safety Regulations.

     

    Note:

    Hours for any compensated work during the preceding 7 days, including work for a non-motor carrier entity, must be recorded on this form.

  • THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

  • IMPORTANT DISCLOSURE REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

  • In connection with your application for employment with DENEMO ONE INC (“Prospective Employer”), Prospective Employer, its employees, agents, or contractors may obtain one or more reports regarding your driving and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

    When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision not to hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or on the whole of this report.

    When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision not to hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

    Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge, crash, or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

    Any crash or inspection in which you were involved will be displayed on your PSP report. Since the PSP report does not report, or assign, or imply faults, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

    The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

  • AUTHORIZATION

    If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

    I authorize DENEMO ONE INC (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information, including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

    I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

    I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

    I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

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  • NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.


    NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49 C.F.R. 383.5.


    LAST UPDATED 2/11/2016

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