DRIVER’S TIME RECORD
Driver’s Name (Print) ______________________________Month__________Yr______
COMPANIES MAY PREPARE THIS REPORT INSTEAD OF
“DRIVER’S DAILY IF THE FOLLOWING APPLIES:
Intermittent Drivers
•
Driver operates within 100-air mile radius of headquarters.
•
Shall complete this form for 7 days
Driver returns to headquarters and is released from work within
preceding any day driving is
12 consecutive hours.
performed. This includes the
•
Driver has at least 10 consecutive hours off duty between each
preceding month.
12 hour shift.
Date
Start Time
End Time
Total
Driving
Truck No.
Notes
“All Duty”
“All Duty”
Hours
Hours
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31