Trucking Supplemental Risk Questionnaire Template - Axis Group Page 2
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1
2Trucking Supplemental Risk Questionnaire (cont.)
17.
Formal equipment repair request for drivers to notify management of de ciencies?
Yes
No
18.
Driver’s inspection log for pre-trip and in-service inspections?
Yes
No
19.
What is the average age of the tractors?
Age of oldest unit?
20.
What is the accident reporting procedure?
21.
Does the insured use atbed trucks?
Yes
No
If yes, what percent (%) is atbed?
22.
What process is used when tarping loads (if applicable)?
23.
Manual system?
Automatic system?
24.
Are owner-operators used?
Yes
No
If yes, what is the total percent (%) of owner-operators to total drivers?
How are the owner-operators paid?
What are the maintenance requirements and schedule for the owner-operators’ equipment?
Is it checked and recorded by management?
Yes
No
Additional comments:
To the best of my knowledge, all of the information I have given about my business is true and correct.
O cer or Owner of Business
Date
(A) 2107 West Cass Street, Suite B, Tampa, FL 33606 | (P) 813.251.3181 | (F) 888.833.7383
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