Form MCSA-5887 Commercial Motor Vehicle Carrier Survey

OMB No.: 2126-XXXX  Expiration: XX/XX/20XX



A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply
with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2126-XXXX. Public reporting for this collection of information
is estimated to be approximately 21 and 71 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering
and maintaining the data needed, completing and reviewing the collection of information. All responses to this collection of information are voluntary.
The confidentiality of this collection will be kept private to the extent possible under law. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, U.S. Department of
Transportation, Federal Motor Carrier Safety Administration, 1200 New Jersey Avenue, SE, Washington, D.C. 20590-0001.

United States Department of Transportation
Federal Motor Carrier Safety Administration

Commercial Motor Vehicle Carrier Survey
(Online questionnaire item set)

FORM MCSA-5887
CARRIER NAME
CARRIER DEPARTMENT OF TRANSPORTATION NUMBER

NUMBER OF POWER UNITS

NUMBER OF FULL-TIME DRIVERS

STREET ADDRESS/ROUTE NUMBER

CITY

STATE

CARRIER TELEPHONE

CARRIER FAX

CONTACT PERSON FIRST NAME

CONTACT PERSON LAST NAME

CONTACT PERSON TITLE/POSITION

CONTACT PHONE

ZIP CODE

SUFFIX
CONTACT E-MAIL

QUESTION 1: By now you should have received a notice from the FMCSA explaining the purpose and importance of this survey. If you have not seen the
letter from FMCSA would you like to review it now?
Yes

No

QUESTION 2: Which of the following method or methods do you use to pay your drivers? (check all that apply)
Pay by the mile

Pay by the hour

Salary

Pay by percentage of load

Pay by revenue

Pay by delivery or stop

Other (please specify):
QUESTION 3: You indicated that you have multiple methods by which you pay your drivers. Please provide an estimate of the percentage of drivers
working for your company and the operation type the method applies to:
Method of Compensation

Percentage

Average Annual Total Compensation

Pay by the mile
Pay by the hour
Salary
Pay by percentage of load
Pay by revenue
Pay by delivery or stop
Other (as specified above):

FORM MCSA-5887 • Page 1 of 5

OMB No.: 2126-XXXX  Expiration: XX/XX/20XX



QUESTION 4: Has your company changed the way it pays its drivers within the past five years?
(If "yes," complete questions 5 and 6; if "no," skip to question 7)
Yes

No

QUESTION 5: If you answered "yes" to Question 4, please describe the change your company made to the way it pays it's drivers:

QUESTION 6: If you answered "yes" to Question 4, please explain why your company changed the way it pays it's drivers:

QUESTION 7: Which of the following best describes your trucking operation? (check all that apply)
Short-haul

Long-haul

Line-haul

QUESTION 8: If you indicated earlier that you pay by multiple methods of compensation, then this question deals with how your pay methods break
down by type of operation. What percent of your operations does each pay method apply to?
(Note: complete the applicable operations and pay types from questions 2 and 7)
Pay by
the mile

Pay by
the hour

Salary

Pay by
percentage
of load

Pay by
revenue

Pay by
delivery
or stop

Other

TOTAL

Short-haul
Long-haul
Line-haul
Total (100%)

QUESTION 9: If you indicated that you pay some or all of your drivers by the hour, do you pay overtime?
Yes

No

If "yes," do you pay overtime based on:
More than 8 hours worked per day or shift?

More than 40 hours worked per week?

Some other criterion (please specify):
QUESTION 10: If you indicated that you pay some or all of your drivers by the mile, by load, and/or by revenue, do you pay these drivers for time beyond
regular pay?
Yes

No

If "yes," do you pay excess time based on:
On-duty hours not driving beyond the 14-hour driving limit?
Sleeper berth time?

On-duty not driving time?

FORM MCSA-5887 • Page 2 of 5

OMB No.: 2126-XXXX  Expiration: XX/XX/20XX



QUESTION 11: Do you pay for on-duty time during which a driver does not drive?
Yes

No

If "yes," which of the following do you pay for? (check all that apply)
For excess mileage driven

Detention time/staging

Loading/unloading

Repair time

Training

Paperwork

Other (please specify):
QUESTION 12: What is the average number of drivers who worked for your company over the last 24 months?
Full-Time:

Part-Time:

Leased/Contract:

QUESTION 13:  Are any of your drivers a member of a bargaining unit (Labor Union)?
Yes

No

If "yes," what percentage are members?
1-25%

26-50%

51-75%

76-100%

QUESTION 14: You indicated that a total of
drivers have worked for your company over the last 24 months. Please indicate the number of
safety-related events associated to drivers by compensation type during that period:
Number of Events
Type of Safety Event

Drivers paid
by the mile

Drivers paid
by the hour

Drivers paid
by salary

Drivers paid
by load

Drivers paid
by revenue

Drivers paid
by delivery

At-fault recordable crash
(driver- and vehicle-related cause)
At-fault non-recordable crash
(including single vehicle and
property damage crashes)
Hours of service violation (including
70-hour for 100-air mile drivers)
False record of duty violation
Out-of-service violation
(vehicle and driver)
Moving violations (e.g., speeding,
lane change, following too close, etc.)
Other safety-related violations
(please indicate below)

Please list other safety-related violations indicated above:

QUESTION 15: What is the average annual total compensation of your full-time drivers? (check only one)
Less than $20,000

$20,000-$29,999

$30,000-$39,999

$50,000-$59,999

$60,000-$69,999

$70,000 or more

$40,000-$49,999

QUESTION 16: Which of the following benefits are provided in full or in part to your company's drivers? (check all that apply)
Medical insurance

Life insurance

Long-term disability

Short-term disability

Retirement plan

Educational assistance

Paid vacation

Paid sick leave

FORM MCSA-5887 • Page 3 of 5

Drivers paid
by other

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QUESTION 17: Do you provide bonuses for any of the following? (check all that apply)
Safe driving

On-time delivery

Revenue

Other (please specify):
QUESTION 18: What is the average age of all drivers working for your company? (check only one)
Younger than 25

25-34

35-44

55-64

65-74

75 or older

45-54

QUESTION 19: What is the average years of experience of all drivers working for your company? (check only one)
1-5 years

6-10 years

21-25 years

26+

11-15 years

16-20 years

QUESTION 20: Do you offer a higher starting pay for drivers with experience?
Yes

No

QUESTION 21: What is the average retention rate for drivers working for your company?
(check only one; for a one-year period calculate [(Total Employees – Employees Quit or Fired)/Total Employees] × 100 = Retention Rate)
0-10%

11-25%

26-50%

51-75%

>75%

QUESTION 22: What process or programs do you employ to encourage retention? (check all that apply)
Selective recruitment

Higher pay

Tenure incentives

Training or education

Performance bonuses

Other (please specify):
QUESTION 23: Which best describes your commercial operation?
(check one)
For-hire

Private

(check all that apply)
Truckload

Less-than-truckload

Tanker

Other (please specify):

Regional

QUESTION 24: Are you an owner/operator?
Yes

No

QUESTION 25: If yes, are you contracted to one company?
Yes

No

QUESTION 26: How many power units are there in your company's fleet? (check only one)
1-5

6-50

51-500

More than 500

QUESTION 27: Do you use safety monitoring systems or processes for your drivers? (check all that apply)
On-board recorders

GPS units

Speed limiters

Other (please specify):
QUESTION 28: What is the average annual miles driven for your company?

FORM MCSA-5887 • Page 4 of 5

OMB No.: 2126-XXXX  Expiration: XX/XX/20XX



QUESTION 29: On average, approximately how many annual miles do your drivers drive a commercial vehicle for your company? (check only one)
0-25,000

25,001-50,000

50,001-75,000

75,001-100,000

100,001-125,000

125,001-150,000

Over 150,000

Unknown

QUESTION 30: What is the average length of haul for drivers working for your company? (check only one)
1-49 miles

50-99 miles

100-199 miles

200-499 miles

500 or more miles

QUESTION 31: Which of the following are primary commodities that your company typically hauls? (check all that apply)
General freight/truckload

General freight/less-than-truckload

Building materials

Hazardous chemicals

Processed foods

Heavy machinery

Raw petroleum products

Refined petroleum products

Automotive parts or vehicles

Forest products

Farm fresh products

Household goods

Retail store—grocery delivery

Bulk—dump truck

Parcels

Mine ores

Other (please describe):

NOTE:  If you indicated in Question 2 that the company uses more than one method to pay
its drivers, please provide responses to these questions for all drivers employed during the
past 24 months:

QUESTION D1: Complete the following driver identification information:
DRIVER'S FIRST NAME

DRIVER'S MIDDLE NAME

COMMERCIAL LICENSE NUMBER

STATE

QUESTION D2: Was

DRIVER'S LAST NAME

working as a driver for your company within the last 12 months?
Yes

No

QUESTION D3: On average, approximately how many annual miles did this driver drive a commercial vehicle for your company? (check only one)
0-25,000

25,001-50,000

50,001-75,000

75,001-100,000

100,001-125,000

125,001-150,000

Over 150,000

Unknown

QUESTION D4: What type of operation does this driver typically drive? (check all that apply)
Short-haul

Long-haul

Line-haul

QUESTION D5: How is this driver paid? (check all that apply)
Paid by the mile

Paid by the hour

Paid by delivery or stop

Salary

Paid by percentage of load

Paid by revenue

Other (please specify):

QUESTION D6: In what age group does this driver belong? (check only one)
Younger than 25

25-34

35-44

45-54

55-64

65-74

75 or older

QUESTION D7: What is this driver's approximate gross average annual income? (check only one)
Less than $20,000

$20,000-$29,999

$30,000-$39,999

$50,000-$59,999

$60,000-$69,999

$70,000 or more

FORM MCSA-5887 • Page 5 of 5

$40,000-$49,999