Fleet Safety Contest

Eligibility - All Nebraska Trucking Association members in good standing and operate trucks. DUE BY AUG 17, 2019

Aggregate Carrier
Agricultural Commodities
Contract Carrier
Heavy Hauler
Household Movers
Less-Than-Truckload Carrier
Private Carrier
Tank Truck-Bulk Carrier
Truckload Carrier
Other

#DOT Recordable Accidents in Neb. Preventable & Non-Preventable Mileage in Nebraska Accident Frequency Ratio # Non-Recordable Accidents & Incidents in Neb. Total # of Accidents

# DOT recordable accidents in Neb. preventable & non-preventable mileage in Neb. accident frequency ratio # of non-recordable accidents & incidents in Neb total # of accidents

# DOT recordable accidents in Neb. preventable & non-preventable mileage in Neb. accident frequency ratio # of non-recordable accidents & incidents in Neb. total # of accidents

# DOT recordable accidents preventable & non-preventable overall mileage accident frequency ratio # of non-recordable accidents & incidents total # of accidents

Provide a summary of your safety program and what differentiates your company from others regarding safety. Attach a separate sheet if necessary. List type of operation, states operating in, ave. # of daily drops, and unusual challenges.

I hereby certify that the above information is accurate to the best of my knowledge. I agree that an audit of my company’s safety records by fleet safety contest officials can be made prior to the announcement of any award. (Full name, title and date required in box below)