LIMITED QUERIES OF THE FEDERAL MOTOR CARRIER SAFETY ADMINISTRATION CONSENT FOR DRUG AND ALCOHOL CLEARINGHOUSE
I hereby provide consent to AMG Logistics Inc. to conduct a limited of the FMCSA Commercial Driver's License Drug and Alcohol Clearinghouse to determine whether drug or information about me exists in the Clearinghouse. I understand this consent shall remain on file and shall serve as ongoing consent for AMG Logistics Inc. to conduct multiple limited queries of the Clearinghouse at any time during my employment or contract period without asking me for additional consent. I understand that ill refuse to provide consent for AMG Logistics Inc. to conduct a limited query of the Clearinghouse, AMG Logistics Inc. is required to prohibit me from performing safety-sensitive functions, including operating a commercial motor vehicle. I understand that if the limited query conducted by AMG Logistics Inc. indicates that drug or alcohol information exists about me in the Clearinghouse, the FMCSA will not disclose that information to AMG Logistics Inc. unless I give additional specific consent within the Clearinghouse. However, I understand that AMG Logistics Inc. will be required to conduct a full query of the Clearinghouse within 24 hours after a limited query indicates that drug or alcohol information exists and that if I do not grant consent within the Clearinghouse for that Full query l will be removed from performing safety-sensitive functions, including operating a commercial motor vehicle.
CERTIFICATION OF RECEIPT AND UNDERSTANDING OF AND CONSENT TO COMPLY WITH THE COMPANY SUBSTANCE ABUSE PROGRAM
The Company is vitally concerned with those situations where the use of illegal drugs or the illegal use of legal drugs, and the misuse of alcohol can seriously interfere with an individuals health end job performance and The Company's business operations, and is a hazard to the safety and welfare of other employees or the public at large. The Company has established a Substance Abuse Program for the purpose of maintaining a drug and alcohol free work place, in accodance with Federal Regulations and Company Policy. All existing covered persons and new applicants for covered positions must be drug and alcohol free in accordance with DOT Regulations and The Company Substance Abuse Program. I hereby authorize The Company to obtain my DOT drug and alcohol test results from my past employers to the previous two (2) years, in accordance with the Federal Regulations and understand that those test results will be kept strictly confidential. I understand The Company has designated a third party to act as its "Designated Agent" for the purpose of receiving and processing individual drug and alcohol test results administered to its employees and job applicants. I hereby authorize The Company's "Designated Agent" to receive my drug and alcohol test results direct from The Company's drug testing laboratories and alcohol testing facilities, and to process and report such test results to The Company in a confidential manner.
REQUEST FOR CHECK OF DRIVING RECORD
I hereby authorize "HIRE RIGHT" to release my driving record information to AMG Logistics Inc. for purpose of investigation as required by Sections 391.23 and 391.25 of the Federal Motor Carrier Safely Regulations. You are released from any and all liability which may result from furnishing such information.
I understand that as required by the Federal Motor Carrier Safety Regulations Title 49 United States Code of Federal Regulations Section 391,103, and company policy, all prospective drivers must submit to a controlled substances test. A urine sample will be collected and tested for controlled substances. I also understand that if test positive for use of controlled substances, I am not medically qualified to operate a commercial motor vehicle. The results of the drug test will be maintained by the Medical Review Officer or the company who will report whether the test results were negative or positive to the motor carrier. The results will not be released to any additional parties without my written authorization. I hereby certify that I have read and understood above requirement.
REGARDING BACKGROUND REPORTS FROM THE PSP ONLINE SERVICE
I authorize AMG Logistics Inc. 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.
RULES OF CONDUCT FOR ALL DRIVERS
Failure to call in twice a day will lead to a fine of $50 for each truck, or $25 per driver each day. All drivers MUST Iog in to ELD every time before becoming ON -duty. All drivers must complete a Pre-Trip Inspection on the tractorand trailer, according to DOT regulations. Company must be informed of any problems noticed during the Pre-Trip inspection. Any citations received due to the notified problem will be paid by the Company. Any citations received due to the neglect of the driver will not be paid by the Company... In case of any truck or trailer equipment failures, the Company must be informed immediately 24 hours a day. The Company will not acknowledge any actions taken by the driver prior to informing the Company, and any equipment damage due to the neglect of the driver will be considered the responsibility of the driver, and will not be paid by the Company. If a load requires refrigeration, the driver must check the condition of the trailer every two (2) hours, including temperatures required by the shipper, and fuel level in the trailer. The Company will not be held responsible for damaged cargo, due to negligence or improper inspection. Any deducted charges against cargo liability will be withheld from INDEPENDENT CONTRACTOR'S settlement. All drivers are required to provide complete protection and safety of all cargo, whether refrigerated or dry. All drivers are required to keep a log book up-to-date for each portion of a trip. All log books must be completed and turned into the Company within 13 days from present day, and kept on file according to DOT regulations. Any log book violations will be paid by the driver, not the Company. If a truck is ordered Out of Service due to a logbook violation, each driver will be fined according to the Company policy. If a load is not picked up or delivered late- due to Police Order or for any other reason, unless approved by the shipper and receiver, all late charges incurred by Company will be withheld from INDEPENDENT CONTRACTOR'S setlement. All drivers must inspect the loading of a trailer, where allowed, and check weight at the nearest scale. If the load appears to be overweight, the driver must inform Company immediately by the phone, and return to original loading area for proper weights. The Company will not pay any Citations due to overweight violations. During loading, the driver must pay attention to the condition of the load, and number of pallets placed on the trailer. If the driver observes any damage such as bad condition of the product, broken boxes, spilling etc …,the driver should stop the loading process, and immediately inform the Company. If the Company approves the damaged load, the driver must note the damage(s) on the Bill of Lading, and request the signature of the shipper's representative, as proof and acknowledgment of previous damage(s) to the load. At all times, drivers must be courteous and respect all rules and regulations of our customers, other drivers, and officers of all regulatory agencies. Cause of being a subject for immediate discharge-include the following: - ishonesty: -Immoral conduct while on duty: -Fighting: - Possession of narcotics, or being under the influence of alcohol while on duty: - Failure to immediately report an accident which results in fatality, injury or property damage; - Failure to carry out instructions or a direct order ofa supervisor; - Theft; - Participating in any activities that interfere with Company operation. I have read and understand the company rules and do hereby agree follow to them.