Driver’s Daily Log (Example)
og
Cycle 1‐ 70 Hrs. ‐ 7 Days ☒
Outside 160 Km Radius ☒
Date: 21/06/2013(D/M/Y)
Unit # Bus
Unit # Trailer
Driver’s Name In Full
Driver’s Signature
234
987
Mr. Big Berd
Big Berd
Licence Plate Bus
License Plate Trailer
Total Hours Today
Name of Co‐Driver
XYZ 678
ABC 234
10
Ernie R. Duckiest
Odometer Start
Odometer Finish
Km Driven Today
Co‐Driver’s Signature
123456
123986
530
Ernie R. Duckiest
Name Of Carrier
School’s Address
Address of originating terminal if
FMDD: Initial
(Divided Record Permit)
ABC BUS LINES
123 Sesame Street Wainwright AB
different than School
Date 21/06/2013 (D/M/Y)
Mid‐ Noon 1 2 3 4 5 6 7 8 9 10 11 12
Total
Night 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Hours
Off Duty
_14__
Sleeper Birth
_N/A
Driving
_6__
On Duty
(not driving)
_4___
Remarks
24
Date
1
2
Previous 2
Total Hours
8
8
ORIGINAL‐ Give to Contractor to be placed in Driver File
on duty
days
DUPLICATE‐ Operator Must Retain For Six Months
Total hours
16
16
off duty
*FMDD Drivers should complete a personal assessment of your fatigue status prior to every trip you make. If you determine you are not fit to drive, advise your supervisor or the Safety
Officer and indicate a replacement will need to be found to complete the trip. Drivers must not drive nor should any person permit a person to drive that is not considered fit to drive. If you
can, with a clear conscience answer positively to all of the points below, check the ‘FMDD’ box in the date column for each day you drive.
I have had 10 hours of off‐duty time during the previous day.
☐
I will not exceed 13 hours of driving time
☐
I will not exceed 15 hours on‐duty time during the day
☐
I have not exceeded 70 duty hours limits in the previous 7 days (Cycle 1) or 120 hours in the previous 14 days (Cycle 2)
☐
I am well rested and feel confident I am fit to drive at this time.