OMB NO: XXXX-XXXX
EXPIRATION DATE: mm/dd/yyyy
DETENTION TIME DRIVER ELECTRONIC QUESTIONS
Prompted Through the Dispatching Dev
Public Burden Statement
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 current 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 120 minutes per response by fleet managers and 0.5 minutes per response for CMV drivers, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are voluntary. 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, Federal Motor Carrier Safety Administration, MC-RRA, 1200 New Jersey Avenue, SE, Washington, D.C. 20590.
Driver
Message#1
Message:
For your recent STOP, please answer YES or NO in the form. If you answer YES, you will be asked more questions.
Question 1:
Is this stop a pick-up, delivery, or drop-off?
NO
YES
If YES, then the driver will be asked more questions
If NO, then the driver will not be asked more questions
Driver Message#2
Message:
For your recent stop, deemed a pick-up, delivery, or drop-off, please complete the attached form.
Note: Appointment arrival agreed upon with shipper, consignee, yard
Note: Missed scheduled arrival time regardless of whether there was an agreed upon appointment
Note: Loading/Unloading = the time spent waiting during that activity
Note: ACTIVE Dwell time = vehicle inspection, securing load, paperwork (does NOT include waiting)
NOTE: Incident = Did your vehicle hit or almost hit another vehicle or object during your last leg?
Question 2:
Was there an appointment for this stop?
NO
YES
Question 3:
If you were late for this stop, why?
Not Late
Left Late
Delayed at previous stop
Maintenance
HOS
Traffic
Weather
Inspection
Delayed gaining entry
Repower
Personal
Other
Question 4:
Load or Unload Hours
b. 1 hours-
c. 2 hours-
d. 3 hours-
e. 4 hours-
f. 5 hours-
g. 6 hours-
h. 7 hours-
i. 8 hours-
j. 9 hours-
k. 10 hours-
l. 11 hours-
m. 12 hours-
n. 13 hours-
o. 14 hours-
p. 15 hours-
q. 16 hours-
r. 17 hours-
s. 18 hours-
0 Minutes-
15 minutes-
30 minutes-
45 Minutes-
Active Dwell Time Hours
a. 0 hours-
b. 1 hours-
c. 2 hours-
d. 3 hours-
e. 4 hours-
f. 5 hours-
g. 6 hours-
h. 7 hours-
i. 8 hours-
j. 9 hours-
k. 10 hours-
l. 11 hours-
m. 12 hours-
n. 13 hours-
o. 14 hours-
p. 15 hours-
q. 16 hours-
r. 17 hours-
s. 18 hours-
Active Dwell Time Minutes
0 Minutes-
15 minutes-
30 minutes-
45 Minutes-
Question 5:
Was there an incident on this leg?
No
Yes, while driving
Yes, at a facility
Almost, while driving
Almost, at a facility
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Christiana Ridgeway |
File Modified | 0000-00-00 |
File Created | 2024-07-27 |