Driver Safety & Compliance Citation System

Driver Safety & Compliance Citation System

Company Safety Department • NYSDOT • FMCSA • Company Policy

Citation Information
Driver Information
Violation Selection
CODE
VIOLATION
ASSESSMENT
PRE-TRIP / POST-TRIP INSPECTION
PT-01
Failure to complete required pre-trip inspection
$25
PT-02
Incomplete or improperly documented pre-trip inspection
$25
PT-03
Failure to review previous DVIR / reported defects
$25
PO-01
Failure to complete required post-trip inspection/review
$25
PO-02
Incomplete / improperly submitted post-trip report
$25
FUELING / END-OF-ASSIGNMENT REQUIREMENTS
FU-01
Failure to properly fuel vehicle at end of assigned job, trip, run, or shift
$25
FU-02
Failure to properly document fueling / fuel level
$15
ACCIDENT / DAMAGE / SUMMONS REPORTING
DMG-01
Failure to report vehicle damage
$50
ACC-01
Failure to report accident, collision, or reportable incident
$100
SUM-01
Failure to report police or agency-issued summons / citation
$50
ELD / HOURS OF SERVICE
ELD-01
Failure to properly log into / use ELD
$25
ELD-02
Failure to properly record duty-status changes
$25
ELD-03
Failure to certify / submit ELD records
$25
ELD-04
Improper Personal Conveyance use
$50
ELD-05
Improper Yard Move use
$50
ELD-06
Failure to report ELD malfunction / follow procedure
$25
ELD-07
Use of another driver's ELD account / falsification
$100
HOS-01
Hours-of-Service violation
$100
VEHICLE SAFETY / COMPANY POLICY
VS-01
Operating vehicle with known safety defect
$100
VS-02
Failure to verify correction of reported defect
$50
VS-03
Failure to properly secure vehicle after assignment
$25
CP-01
Failure to comply with Company Safety / Operational Policy
$25
TOTAL ADMINISTRATIVE ASSESSMENT: $ 0.00
Violation Details


Disposition / Corrective Action

Driver Appeal Request

RIGHT TO REQUEST SAFETY DEPARTMENT REVIEW

A driver who disagrees with this citation, the violation cited, or the administrative assessment imposed may request an appeal and hearing before the Company Safety Department.

The appeal request must be submitted by the appeal deadline shown on this citation.

Upon receipt of a timely appeal request, the Safety Department will review the request and advise the driver of the date, time, and location or method of the hearing.

The driver will be provided an opportunity to explain the circumstances surrounding the citation and may present relevant documents, records, photographs, witness information, or other supporting evidence.

APPEAL REQUESTED • PAYMENT HELD PENDING SAFETY DEPARTMENT REVIEW


Safety Department Hearing / Appeal Review


New York State Wage / Payment Notice

NO DEDUCTION FROM DRIVER PAYCHECK

The Company intends to comply with applicable New York State wage and labor laws, including New York Labor Law §193 governing deductions from employee wages.

No administrative assessment issued through this Driver Safety & Compliance Citation System will be deducted from the driver's paycheck, overtime, earned wages, commissions, or other earned payroll compensation through this system.

If an administrative assessment is imposed pursuant to Company policy, the assessed amount will be handled separately from payroll.

The driver will be directed to make any required payment directly to Company Administration using an approved non-payroll payment method.

Payment of an administrative assessment does not reduce, offset, replace, delay, or otherwise alter wages already earned by the driver.

If the driver timely requests an appeal, collection of the administrative assessment will be held pending the Safety Department's review and final decision.

NO PAYROLL DEDUCTION • PAYMENT, IF DUE, IS MADE DIRECTLY TO ADMINISTRATION
Administrative Payment Record

DRIVER SAFETY &
COMPLIANCE CITATION
COMPANY SAFETY DEPARTMENT
CITATION NO.
NOTICE OF NON-COMPLIANCE
Driver
Driver ID
Vehicle / Bus
Run / Assignment
Date / Time
Location
VIOLATION(S)
Code Description Policy / Regulation Assessment
DESCRIPTION / FACTS
POLICE / AGENCY INFORMATION
Agency: Summons / Report No.:
SUPPORTING EVIDENCE
Violation Level
Total Assessment
$ 		Payment Due
CORRECTIVE ACTION
DRIVER APPEAL
Appeal Requested:

Appeal Request Deadline:

Date Requested:

Reason:


Driver Evidence:
HEARING NOTICE
Upon receipt of a timely appeal request, the Safety Department will review the request and advise the driver of the date, time, and location or method of the hearing. The driver will be given an opportunity to explain the circumstances surrounding the citation and present relevant information, documentation, or other evidence.

Hearing Date:    Time:

Location / Method:
NEW YORK STATE WAGE NOTICE: The Company intends to comply with applicable New York State wage and labor laws, including New York Labor Law §193. No administrative assessment issued through this citation system will be deducted from the driver's paycheck, earned wages, overtime, commissions, or other earned payroll compensation through this system. If an assessment remains due following any applicable review or appeal, payment is to be made separately and directly to Company Administration using an approved non-payroll payment method. Payment does not reduce, offset, replace, delay, or otherwise alter earned wages.
NO PAYROLL DEDUCTION • PAYMENT DIRECTLY TO ADMINISTRATION
DRIVER ACKNOWLEDGMENT
I acknowledge receipt of this Driver Safety & Compliance Citation. My signature acknowledges receipt only and does not necessarily constitute an admission or agreement with the citation.
Driver Signature / Date
Safety Official Signature / Date
Issued By:
DRIVER COPY • SAFETY DEPARTMENT COPY • CITATION