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Backup Documents 12/13/2022 Item #16A12 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 A 1 2 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3 County Attorney Office County Attorney Office J�4 /ice 1 z/s/2 4. BCC Office Board of County Commissioners zre 4le f'l (Voltz 5. Minutes and Records Clerk of Court's Office �n (�I 15l a�, 10:31 PRIMARY CONTACT INFORMATION �l Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Omar DeLeon,Transit Manager Phone Number 239-252-4996 or 252- Contact/ Department TMS—PTNE Division 5840 Agenda Date Item was 12-13-2022 Agenda Item Number 16Al2 Approved by the BCC (Doc. ID #23775) Type of Document CAT PTASP Number of Original 1 Attached Public Transportation Agency Safety Plan Documents Attached PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Please email;Omar.Deleon(a�colliercountvfl.gov&Corene.Sanger(a,colliercountvfl.gov The Signed PTASP Plan Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A (Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? OD 2. Does the document need to be sent to another agency for additional signatures? If yes, OD provide the Contact Information (Name;Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be OD signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's OD Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the OD document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's OD signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip OD should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 12-13-22 and all changes made during N/A is not the meeting have been incorporated in the attached document. The County 1)440, an option for Attorney's Office has reviewed the changes, if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made, and the document is ready for the .5i/ an option for Chairman's signature. ( this line. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16Al2 / , < '..' , itk ,�._ - .4 am Tc_ , t11 ..- i s ' S _s it t.. Public Transportation ! ,...,t. .t,1�'�s ��Agency Safety Plan • �- 1 , 2022 .. '—'�_ i - :. - -`Ir.. . _ ' .ram •- ---.. • .._ *. " '^f3scah ^z « •Ir _�, �; z.., '�,Zvi P . y '„,if",� nee• -- o- a? `, s ,"-u''.a: ti -65;4a-'S•,:c J� '� c J 9 E 1 gird. .' N0EA { '' ` NOVEMBER 21 F'. - Collier Area Transit Authored by: Public Transit & Neighborhood `` Enhancement Division i(-/ r� -- --?'Cle CAT :,44 COWER AREA TRANSIT Final Rule 49 CFR Part 673 The Public Transportation Agency Safety Plan (PTASP) final rule (49 C.F.R. Part 673) requires certain operators of public transportation systems that are recipients or sub-recipients of FTA grant funds to develop safety plans that include the processes and procedures necessary for implementing Safety Management Systems (SMS). The rule requires that safety plan include the processes and procedures for implementing SMS. "Safety is a core organizational function that focuses on management of safety risk through all aspects of Collier Area Transit's operations." Under Part 673, a transit agency is required to maintain documents that describe its Safety Plan, including those related to implementation and results from processes and activities. Also, a transit operator may have existing documentation that describes processes, procedures, and other information required in Part 673. These documents are referenced in our Safety Plan by the applicable document name and its location within the appropriate sections of the plan. Documentation related to the implementation of this SMS; the programs, policies, and procedures used to carry out this ASP; and the results from its SMS processes and activities will be maintained for three years after creation. They will be available to the FTA or other Federal or oversight entity upon request. This document has been prepared by Collier County to meet the requirements of this final rule. 2 l6Al2 Table of Contents Section 1. Transit Agency Information 4 Section 2. Plan Development, Approval, and Updates 6 Section 3 — Safety Performance Targets 8 Section 4 — Risk Reduction Program 9 Section 5 — Public Health 10 Section 6 — Development and Implementation of a Safety Management System (SMS) 12 Section 7 - Safety Management Policy 12 Section 8 — Safety Risk Management 19 Section 9 — Safety Assurance 27 Section 10 — Safety Promotion 34 Definitions of Special Terms Used in the Safety Plan 37 List of Acronyms Used in the Safety Plan 40 SRM Form 41 Collier County System Safety Program Plan (SSPP) 42 MV SMS Plan 43 3 Section 1. Transit Agency Information Collier County is located in southwest Florida and is bordered on the northwest by Lee County and on the northeast by Hendry County, on the east by both Broward and Miami-Dade County, on the west by the Gulf of Mexico, and on the south by Monroe County. The county is 2,305 square miles in total size, including water area and consists of three incorporated areas: Naples, Everglades City, and Marco Island. The Public Transit and Neighborhood Enhancement (PTNE) Division, a division of the Transportation Management Services Department of Collier County Government is charged with providing fixed route and demand response operations for residents and visitors of Collier County. The County utilizes a contractor to perform the operations by utilizing County owned and maintained vehicles. As a contractual requirement of 20% of paratransit trips are provided on non-County owned vehicles in order to meet the demands of the system. The Contractor provides the resources required to operate the delivery of services that includes, management, personnel, administration, supplies, equipment, services to manage and administer for all of the requirements of that contractual agreement. The fixed-route service is provided seven days a week from 3:30 a.m. to 8:50 p.m. from Monday through Saturday (depending on the route) and 6:50 a.m. to 6:40 p.m. on Sunday. No services are provided on major holidays, including on Thanksgiving Day, Christmas Day, New Year's Day, Memorial Day, U.S. Independence Day, or Labor Day. For persons who are unable to use the CAT fixed-route system due to physical or mental impairment, the Collier Area Paratransit System is available. An eligibility application process must be completed, and the persons must qualify in order to use the paratransit service.Trips may be scheduled that begin and end within the Americans with Disabilities Act (ADA) corridor which is three-quarters (%) of a mile from a CAT fixed-route. Hours of operation for Collier Area Paratransit are the same as the CAT fixed- route bus schedule. Transportation Disadvantaged (TD) service is also available to qualifying persons with origins or destinations outside of the 3 -mile ADA corridor. An application is required to qualify for the service and proof of income for all household residents must be submitted. To be eligible for TD service, an individual must be unable to transport themselves or purchase transportation because of one of the following three criteria. 1. Mental or physical disability 2. Income status 3. Age The TD service operates Monday through Sunday, from approximately 4 a.m. to 6 p.m. 4 16A1 2 Transit Agency Name Collier Area Transit(CAT) Transit Agency Address 8300 Radio Rd. Naples, FL 34104 Name and Title of Accountable Executive Michelle Arnold, Director of PINE Name of Chief Safety Officer or SMS Omar Deleon,CAT Transit Manager Executive Mode(s)of Service Fixed Route, Demand List All FTA Funding Covered by This Plan Response Types(e.g.,5307, 5307,5310,5311,5339 5310,5311) Mode(s)of Service Provided by the Motor Bus (MB), Demand Response(DR). Transit Agency All operating transportation services contracted through MV Transportation, (Directly operated or Inc. contracted service) Does the agency provide transit services on behalf of Yes No Description of another transit agency n ® Arrangement(s) or entity? Name and Address of Collier County Board of County Commissioners—Collier Area Transit Transit Agency(ies)or Public Transit& Neighborhood Enhancement Division Entity(ies)for Which 8300 Radio Road Service Is Provided Naples,FL 34104 5 ...................................................................................... ;.y i Section 2. Plan Development, Approval, and Updates The following section provides information on the approval process for the Plan development. This section will also document the annual review of the plan and track all the updates that are made as a result of the annual review or periodic changes made to the plan to improve safety. Section 2.1—Plan Approval Name of Entity That Collier Area Transit(CAT) Drafted This Plan (A section of the Public Transit&Neighborhood Enhancement Division) Safety Committee Safety Committee review and approval of PTASP Date: 1'V' a LL Signature of Accountable Executive Date of Signature Signature by the Accountable Executive /L' 13 - Z 02.- Michelle Arnold Name of Indi • • at Approved This v Date of Approval Plaan/ _ f L Approval by the Board of Directors or an Equivalent Willi., McDaniel Authority Relevant Documentation(title and location) Collier County Board of County Commissioners,Chairman 3299 Tamiami Trail East,Suite 303,Naples,Florida 34112 Name of IndividuaVEntity That Certified This Plan Date of Certification Michelle Arnold /Z-l3- Z{j Certification of Compliance Relevant Documentation(title and location) Director of Public Transit&Neighborhood Enhancement(PINE)Division Section 2.2—Version Management A record of the complete history of successive versions of the plan shall be maintained in the table below. Version Number and Updates Version Section/Pages Affected Reason for Change Date Issued Number 1 Original Original Safety Management System(SMS)Plan May 12,2020 2 Added sections to comply with new requirements A legality 6 ATTEST CRYSTAL,K.KINZEL,CLERK Jeffrey A. KI zkr,County Attorney RY: 1bAl2 Section 2.3—Annual Review and Update of the Public Transportation Agency Safety Plan Each year during the month of June, a review of the Plan will be conducted by members of the Safety Committee. All necessary revisions will be made, and the updated Plan will be signed off by the Accountable Executive and the Collier County Board of County Commissioners. Safety Committee Safety Committees are required to serve as the basic forum to review safety issues and hazards, hazard reports, safety inspections reports, accident investigations, and corrective actions. The Safety Committee representatives are front line employee representatives and management representatives that communicate safety concerns from their work areas to the Safety Committee, and report back to their work groups. The safety committee is also responsible for identifying and recommending risk-based mitigations or strategies necessary to reduce the likelihood and severity of consequences identified through the agency's safety risk assessment. Identifying mitigations or strategies that may be ineffective, inappropriate, or were not implemented as intended; and identifying safety deficiencies for purposes of continuous improvement. 7 Section 3 -Safety Performance Targets Collier Area Transit has established safety performance targets based on the safety performance measures reported under the National Public Transportation Safety Plan. These measures will be evaluated periodically to determine when action must be taken to address inadequate safety performance. In conducting the assessment of the system's safety performance, the information may not directly show us what is wrong as much as it discloses that something is wrong. A deeper look into the information available may be required to better determine how best to address safety deficiencies. A plan to address identified safety deficiencies could involve: • Addressing underlying hazards and potential consequences through Safety Risk Management; • Changing data collection or analysis techniques to better understand what's really going on; • Testing and evaluating new approaches to Safety Management System (SMS) processes. Section 3.1-Annual Safety Performance Targets SPT Category 2019 2020 2021 3-Year Average Target MB DR MB DR MB DR MB DR MB DR Total Number of 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0,0 0.0' Fatalities Fatality Rate per 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0,0 100,000 VRM Total Number of 3.0 2.0 3.0 2.0 3.0 2.0 3.0 2.0 3.0 2.0'. Injuries Injury Rate per 100,000 0.2 0.1 0.2 0.1 0.2 0.1 0.2 0.1 0.2 0.2 VRM Total Number of Safety 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0- Events Safety Event Rate per 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2- 100,000 VRM Total Number of Major 15.0 9.0 15.0 9.0 15.0 9.0 15.0 9.0 20,0 20.0 Mechanical System Failures Vehicle Failures Per 1.1 0.6 1.1 0.6 1.1 0.6 1.1 0.6 2,0 2.0 100,000 VRM) Annual VRM 1,378,866 1,406,149 1,378,866 1,406,149 1,378,866 1,406,149 1,378,866.00 1,406,149.00 1300000 1400000 t; Section 3.2-Safety Performance Target Coordination PTNE Division Director and Transit Manager will communicate regularly with Collier Metropolitan Planning Organization(MPO)and the Florida Department of Transportation (FDOT)for establishing and maintaining safety performance targets. An annual meeting schedule between Collier MPO and CAT will be organized and the safety activities that impact the performance targets will be reviewed during these meetings. Upon completion of the PTASP, in which the performance targets are established,the safety activities will be monitored regularly, and documentation of these activities will be made available at the annual meetings. The safety performance target review shall include discussion about whether the targets are being met and if not,what steps will be required to better meet the established targets. An evaluation of the targets shall also consider whether the targets are realistic and attainable. 8 16Al2 If it has been determined that the targets are not attainable, recommendations for modification or replacement of the target will be considered. On or around June 30th of each year the Safety Performance targets will be transmitted to the Collier MPO for their records. Section 4 — Risk Reduction Program Collier County is considered an urbanized area with population of 200,000 or more. Consequently, this PTASP contains a Risk reduction program for transit operations to improve safety by reducing the number and rates of accidents, injuries, and assaults on transit workers based on data submitted to the National Transit Database, including: 1. A reduction of vehicular and pedestrian accidents involving buses that includes measures to reduce visibility impairments for bus operators that contribute to accidents, including retrofits to buses in revenue service and specifications for future procurements that reduce visibility impairments. 2. The mitigation of assaults on transit workers, including the deployment of assault mitigation infrastructure and technology on buses, including barriers to restrict the unwanted entry of individuals and objects into the workstations of bus operators when a risk analysis performed by the recipient's Safety Committee determines that such barriers or other measures would reduce assaults on transit workers and injuries to transit workers. Through risk identification and assessment, a determination is made of the probability and severity of potential losses. Safety and loss control programs are developed to modify and eliminate or reduce the risks of these exposures. To reduce vehicular and pedestrian accidents involving buses, including measures to reduce visibility impairments for bus operators that contribute to accidents, prompt reporting, responding and thorough investigation of each occurrence is necessary. Identifying all factors that came into play to cause an incident, accident, or injury, and getting down to the root cause, is the only way to ensure proper steps will be taken to prevent a recurrence. This includes examining driving and work procedures and revising them if found faulty; and providing the appropriate training so that staff can recognize unusual activity and know how to respond accordingly to prevent or reduce assault and injury to transit workers. Operator safety is paramount for Collier Area Transit, so much so that the system has invested in barriers to restrict the unwanted entry of individuals and objects into their workstations. An evaluation was completed before the purchase of barrier for the agency, including monitoring other agency risk reduction after the installation of barriers. For mitigation strategies to be effective, the evaluation of safety risk must identify what is being done now compared to what can be done in the future to reduce or prevent recurrence. Statistics from accidents and incidents are tracked and compared to performance measures and targets to determine whether mitigations are effective. The risk analysis is performed by the Safety Committee with recommendations to management. 9 Section 5 — Public Health FTA encourages each transit agency to consider identifying mitigations or strategies related to exposure to infectious diseases. The following is Collier Area Transit's Infectious Disease Plan. To protect staff and others from infectious disease and slow the spread, workspaces will be evaluated to identify locations where workers cannot maintain social distancing of at least 6 feet from each other and/or customers. The following hierarchy of controls will be utilized to address these situations to limit the spread of the virus that causes COVID-19. The PTASP Safety committee of both workers and management staff may be consulted to effectively recognize all scenarios. Hierarchy of Controls-Overview Controlling exposures to occupational hazards is the fundamental method of protecting workers. Traditionally, a hierarchy of controls has been used as a means of determining how to implement feasible and effective control solutions. One representation of this hierarchy is as follows: m" Hierarchy of Controls efr�etive Elimination Physically remove {the hazard v.'Substitution —" I Replace the hazard Isolate people from the hazard Administrative Change the way Controls people work Protect the worker with V I Personal Protective Equipment lrea.t elf het[vie The idea behind this hierarchy is that the control methods at the top of graphic are potentially more effective and protective than those at the bottom. Following this hierarchy normally leads to the implementation of inherently safer systems, where the risk of illness or injury has been substantially reduced. Elimination and Substitution Elimination and substitution,while most effective at reducing hazards,also tend to be the most difficult to implement in an existing process. If the process is still at the design or development stage, elimination and substitution of hazards may be inexpensive and simple to implement. For an existing process, major changes in equipment and procedures may be required to eliminate or substitute for a hazard. 10 16Al2 Engineering Controls Engineering Controls are favored over administrative and personal protective equipment (PPE) for controlling existing worker exposures in the workplace because they are designed to remove the hazard at the source, before it comes in contact with the worker. Well-designed engineering controls can be highly effective in protecting workers and will typically be independent of worker interactions to provide this high level of protection. The initial cost of engineering controls can be higher than the cost of administrative controls or PPE, but over the longer term, operating costs are frequently lower, and in some instances, can provide a cost savings in other areas of the process. Administrative Controls and PPE Administrative controls and PPE are frequently used with existing processes where hazards are not particularly well controlled.Administrative controls and PPE programs may be relatively inexpensive to establish but, over the long term, can be very costly to sustain. These methods for protecting workers have also proven to be less effective than other measures, requiring significant effort by the affected workers. While protecting workers, it is important to note that control recommendations or interventions to reduce risk of spreading COVID-19 must be compatible with any safety programs and personal protective equipment(PPE) normally required for the job task.Approaches to consider may include the following: COVID-19 Workplace Health and Safety Plan • Identify an on-site workplace coordinator who will be responsible for COVID-19 assessment and control • When developing plans, include key employees in the workplace • Develop plans to communicate with passengers entering the bus regarding modifications to work or service processes • Notify all workers that any COVID-19 concerns should be directed to the identified coordinator • Implement flexible sick leave and supportive policies and practices • Develop policies that encourage sick employees to stay at home without fear of reprisals, and ensure employees are aware of these policies • If contractors are employed in the workplace, develop plans to communicate with the contracting company regarding modifications to work processes Take action if an employee is suspected or confirmed to have COVID-19 • Immediately separate employees who report with or develop symptoms at work from other employees and arrange for private transport home. These employees should self-isolate and contact their health care provider immediately • Close off and sanitize any areas used for prolonged periods of time by the sick person • Employees who test positive for COVID-19 should immediately notify their employer of their results 11 • Sick employees should follow CDC recommended steps to self-isolate or seek care. Employees should not return to work until they meet the criteria to discontinue home isolation, in consultation with healthcare providers Section 6 — Development and Implementation of a Safety Management System (SMS) Collier Area Transit in coordination with the contractor has established and implemented an SMS Plan. The SMS has appropriately been scaled to the size, scope, and complexity of the transit agency. Safety Management System (SMS) Goals 6.1 Goal 1: SMS to reduce casualties/occurrences Utilize a safety management systems framework to identify safety hazards, mitigate risk and reduce casualties and occurrences resulting from transit operations to meet or exceed the acceptable level of safety performance. 6.2 Goal 2: SMS to foster a robust safety culture Foster agency-wide support for transit safety by establishing a culture where management is held accountable for safety and everyone in the organization takes an active role in securing transit safety; cultivate a generative safety culture in which employees are comfortable and encouraged to bring safety concerns to the attention of management. 6.3 Goal 3: SMS to enhance system/equipment reliability Provide a safe and reliable transit operations by ensuring that all vehicles, equipment and facilities are regularly inspected, maintained and serviced as needed. 6.4 Concept of SMS Operations: The four components of the LYNX Safety Management System are: • Safety Policy — Establishes senior management's commitment to continually improve safety; defines the methods, processes, and organizational structure needed to meet safety goals. • Safety Risk Management — Determines the need for, and adequacy of, new or revised risk based on the assessment of acceptable risk. • Safety Assurance — evaluate the continued effectiveness of implemented risk control strategies; • supports the identification of new hazards. Safety Promotion — Includes training, communication, and other actions to create a positive safety culture within all levels of the workforce. Section 7 - Safety Management Policy In accordance with Part 673, Collier Area Transit has developed a policy statement that states our organization's safety objectives and sets forwards policies, procedures and organizational structures that will achieve the safety objectives. Collier County Public Transit system is known as Collier Area Transit (CAT) and identifies safety and safety management as core business functions, and we are committed to a proactive safety risk 12 16Al2 management process by identifying potential hazards, analyzing risks associated with those hazards, and putting in place necessary mitigations that can save lives, reduce injuries, and reduce costs. CAT refers to both Collier County personnel and its contractor team as "employees"of the CAT system. Collier County and its contractor have adopted Safety Management System (SMS) principles, following the safety management processes identified in this Safety Plan and in the corresponding plan developed by the contractor. Working together, Collier County and its contractor will implement, maintain, and continuously improve safety management processes to ensure CAT's employees, customers and the general public are safe when on our property and travelling on our systems. Section 7.1— Policy Statement and Objectives Safety is a core value of Collier Area Transit and its management team and we are committed to developing, implementing, maintaining and constantly improving processes to ensure the safety of our employees, customers and the general public. The Safety Management System process will be utilized to set a focus of safety as a priority and to allocate organizational resources — people, processes, and technology— at a level scaled to the size, scope and complexity of our agency. Collier Area Transit is committed to: Executive Commitment to Safety: Executive management will lead the development of an organizational culture that promotes safe operations and provides appropriate resources to supporting this core management function by fostering and ensuring safe practices, improving safety when needed, and encouraging effective employee safety reporting and communication. Collier Area Transit will hold executives, County and contracted managers, and County and contracted employees accountable for safety performance. But ultimately, the responsibility for safety rests with the Accountable Executive. Responsibility & Accountability: All levels of managements must ensure the performance of CAT's Safety Management System and take an active role in the Safety Risk Management process and ensure that Safety Assurance functions are adequately supported. Managers also are responsible for ensuring that Safety Risk Management is being performed in their operational areas of control so that safety risk associated with safety hazards is assessed and mitigated. Communication & Training: Employee engagement is crucial to a functioning Safety Management System. Communication systems will be put in place to enable greater awareness of CAT's safety objectives and safety performance targets as well as to provide on-going safety communication up, down, and across the organization. All levels of management must proactively engage employees and work to keep the lines of safety communication honest and open. All employees will be made aware of the importance of CAT's Safety Management System and trained in safety reporting procedures. Responsibility of Employees & Contractors: All employees and contractors will support safety management by ensuring that hazards are identified and reported. Employee Reporting: Executive management will establish a safety reporting program as a viable tool for employees to voice their safety concerns. All frontline employees will be responsible for 13 t A f c utilizing this program as part of the Safety Management System. No action will be taken against any employee who communicates a safety condition through the CAT's safety reporting program unless such disclosure indicates the following: an illegal act, gross misconduct or negligence, or a deliberate or willful disregard of CAT's rules, policies, and procedures. Performance Monitoring& Measuring:Collier Area Transit will establish rea►istic measures of safety performance and establish safety performance targets to ensure continual improvement in safety performance. Managers will verify that the safety risk mitigations put in place are appropriate and effective. Review & Evaluation: Collier Area Transit will measure Safety Management System performance by analyzing key safety performance indicators, reviewing inspections, investigations and corrective action reports, and auditing the processes that support the Safety Management System. These activities will become the basis for revising or developing safety objectives,safety performance targets and plans with the goal of continuous safety improvement. Acknowledgement from Accountable Executive: Signature: -- t� Date: /213 - JoZZ— Michelle Arnold, PTNE Division Director 14 16Al2 Section 7.2—Safety Management Policy Communication It is the policy of CAT to maintain open communication between management and employees on matters pertaining to safety. All input regarding safety is considered important and is valued. Employees are encouraged to actively participate in the Employee Safety Reporting Program (ESRP). Employees should feel free to express any safety concerns during safety meetings, individually to supervisors or in writing without fear of retaliation. CAT takes a non-punitive approach to safety management and encourages employee safety reporting by providing protections to employees, with exception to illegal act, gross negligence or deliberate or willful disregard of regulations or procedures. Detailed procedures are discussed in CAT's, PTASP/Safety Management System (SMS) Plan. Management supports, encourages and accepts both positive and negative feedback. Management assures employees that there is no fear of retaliation when it comes to safety. To make safety reports employees can contact the employee hotline at 877-687-2338. Employees may also submit their concerns electronically by submitting their concerns via email to rideCAT@colliercountyfl.gov. Safety communication methods vary but will be comprised of both internal and external platforms and tools. The Safety Management Policy (SMP) is posted in the CAT employee area(s) and kept electronically at the Transit Division office. Internal Communication: Internal communication/awareness may be accomplished using: • Notice boards • Intranet postings • Regular safety meetings and/or training sessions • Safety advisories (local, state or national) • Telephone or email communications • In-person, informal employee exchanges • MV Corporate Information Monitor The Accountable Executive, with assistance from the Chief Safety Officer, is responsible for internal safety communication. Internal communication will consist of ad hoc and regularly established activities designed to communicate and reinforce the SMS policy and related elements to all affected employees,to include: • The importance of conformance and the potential consequences of non-conformance with the SMS policy, processes or procedures • Individual roles and responsibilities in achieving conformance with the SMS process • The risks associated with work activities revealed from safety data collected and analyzed • Relevant output from management safety reviews • Reported hazards/near-misses and incidents • Changing safety requirements 15 • Safety performance data • Key results of internal/external assessments and audits • Other information needed to support the SMS Implementation Plan External Communication: CAT has determined that significant risks identified through the operation of the SMS Implementation Plan will not be communicated to the general public unless required by federal, state or local regulations. Information regarding general SMS operation and specific risks identified will be communicated to the appropriate governing body, as required only. The Accountable Executive or designee is responsible for media communications regarding safety issues and in consultation with the county's Risk Manager, County Attorney Office and Public Information Officer, where appropriate. Section 7.3—Authorities, Accountabilities, and Responsibilities Safety accountabilities and responsibilities span from executive management to contract management down to front-line employees. All employees, whether County personnel or contracted employee, are responsible for safe operations of the Transit system, as outlined in our Commitment to Safety statement. The Executive Officer, also titled Department Head, provides strategic direction and has the responsibility for providing the leadership and resources to carry out the Safety Management System (SMS) plan. The following defines the roles of individuals responsible for the development and management of Collier Area Transit's Safety Management System (SMS). Accountable Executive:The Director of Public Transit&Neighborhood Enhancement(PTNE) Division is designated as the Accountable Executive and has ultimate responsibility for the safe, effective and reliable operation of Collier county's public transit system and accordingly, he/she is responsible for ensuring resources are dedicated to the management of safety, through the successful development and implementation of the Agency Safety Plan (ASP) and the SMS implementation plan and ensuring transit operation is safe and sustainable. Chief Safety Officer or SMS Executive: The Contractor Safety Manager, under guidance from the Transit Manager, is responsible for developing the ASP and SMS implementation plan with CAT leadership, including the Directors, contractor General Manager, and the County representatives, and is also responsible for monitoring the contractor to ensure transit service is safe and sustainable. Agency Leadership and Executive Management: Agency Leadership and Executive Management are tasked and authorized with making sure that the organization safety policies and procedures are followed and communicated to their direct reports, general managers, managers and front-line supervisors. They will provide positive leadership and direction in maintaining the safety policy as a major priority in all operations. This group is responsible for providing resources to acquire and maintain safety and health equipment, devices and programs. They will support safety standards and behaviors ensuring that steps are made to identify and mitigate hazard and risk. 16 16Al2 In the case of CAT where the County has ultimate responsibility of developing and implementing the ASP and SMS but the contractor is responsible for the day to day operations, it is essential that the County management team and the contractor management team work together to ensure that the plan is adhered to and promoted with a coordinated effort. The contractor's General Manager is responsible for implementing CAT's Agency Safety Plan and SMS implementation plan, including activities associated with the county's safety program. The coordination effort involves partnering with the contractor's Safety Leadership team which includes the Chief Safety Officer,VP of Safety,or Director of Safety, has the authority and responsibility for making sure the safety policies and procedures are adhered by and promoted by senior management, department supervisors and managers, area safety directors and key safety team members. The Safety Leadership team will stay informed of law changes or updates concerning employee safety and record keeping and will amend safety policies as required.This group will conduct periodic reviews of safety standards to remain current with federal and state requirements. They will provide guidance in maintaining a high standard of safety training programs and assist in analyzing safety data to identify future mitigation strategies.The Directors of Safety will conduct an annual audit to ensure compliance with Federal, State and Local rules and regulations as well as company policies and procedures. Key Personnel: Key staff includes the County's Transit Manager, and Maintenance Supervisor, and the contractor's Safety Manager, Operations Manager, Road Supervisors, and Dispatchers who are all responsible for following CAT's safety policies including any applicable state and federal safety regulations, including FTA, FDOT and ADA). These individuals must stay current on all internal and external safety training and are responsible for reporting and responding to accidents, injuries, near misses, unsafe working conditions and potential hazards within their scope of influence. Supervisors and Managers will evaluate employee performance ensuring each employee's safe behavior and work methods and coach, retrain and discipline as required. They are also responsible for promoting the Employee Safety Reporting Program (ESRP) and reviewing and resolving all submissions responsibility. The County's Maintenance Supervisor is responsible for OSHA compliance and site maintenance activities. The Contractor has identified the following specific roles and responsibilities for their supervisors and managers in their corporate Safety Management System Plan. • General Manager: Ultimate responsibility for the safety performance of the location and authorizes activities to support an effective SMS. • Operations Manager: Responsible for promoting operational safety and adhering to our policies and procedures. • Trainers/Instructors: Responsible for ensuring that every employee is trained proficiency in accordance with the performance standards. 17 A f • Supervisors: Responsible for playing an active role in SMS activities, including sufficient road observations and identifying potential safety hazards with recommended solutions. Section 7.4—Employee Reporting Program CAT has many sources of information related to safety concerns that employees can use to help identify hazards. CAT at times collects this information through proactive activities, such as using an employee safety reporting program or monitoring service operations, and reactive measures, such as investigating past events that may or may not have resulted in injuries or damage. By analyzing this collected safety data, CAT can determine the greatest safety concerns and how we will prioritize the investment of resources to address them. CAT retains many sources of safety data and information, but the Employee Safety Reporting Program (ESRP) may be the single most important source of information for the management of safety. Despite all our planning efforts we aren't able to anticipate all unsafe scenarios. Therefore, when unplanned conditions occur during operations, frontline employees observe them first. And it is imperative that these employees understand the importance of safety reporting program and they function as "safety eyes" of the system. CAT's ESRP allows employees who observe safety concerns in their day-to-day duties to notify designated personnel—without fear of reprisal—of safety concerns,operational deficiencies, instances of non-compliance and deviations from procedures, before they result in an actual safety event. For example, employees may report observed speeding on bus routes, failure to complete pre-trip inspections, detours and traffic work zones on route, non-working traffic lights or crossing gates, damage to terminals and bus stops that might impact safety, defective roadways (i.e. potholes, worn striping, crumbling asphalt), and clearance issues. When an employee becomes aware of a safety hazard or concerns, they shall submit a report within eight (8) business hours at the end of a shift by one of the following different ways: • County 311 hotline to call and report safety or other concerns; • Safety email or reporting form on the County intranet or website; • Completion of an Incident Report Form/note dropped in a safety box in a break room or facility; • Completing an SMS employee report form available from dispatch; • Verbal or written reports to supervisors, managers, or safety officers. Supervisor/management is then required to file a report using the incident report form or other effective means; • Safety committee meetings; • Driver meetings; and/or • Reports issued to dispatch over the radio or on mobile data terminals. The County will be advised of all reported conditions for coordination and resolution. The contractor will do their best to come up with a mitigation solution for the reported condition. At times, resolution will have to be completed with the assistance of the County because the mitigation measure is outside 18 16A1 2 of the contractor's control. In these circumstances the reported condition will be forwarded to the County for follow up. Although all employees are encouraged to report safety conditions to senior management without threat of disciplinary action, disciplinary action could result if the condition reported reveals the employee willfully participated in or conducted a/an illegal act, gross negligence or deliberate or willful disregard of regulations or procedures, including violated motor vehicle laws or safety policies adopted by the contractor. Section 8 — Safety Risk Management Section 8.1 -Safety Risk Management Process It is the intent of CAT's Safety Risk Management processes to promote the identification of hazards or risks before they escalate into accidents or incidents. The following section will identify what methods CAT will use to identify hazards and the consequences of those hazards; the processes used to assess the safety risks associated with the identified hazards; and the methods used to identify mitigations or strategies necessary as a result of safety risk assessments. Section 8.2 - Safety Hazard Identification The primary method used by CAT to identify safety hazards or concerns, threats to the transit system, and the vulnerabilities of the system is through the collection of historical data, incident reports submitted by drivers and supervisors, data collected through the employee safety reporting program, and information provided by federal and state agencies and local law enforcement. The data is evaluated to identify the origin of any safety concern or potential sources of hazards in the operations or construction projects. The resources are reviewed to determine whether any patterns/trends exist. The findings of the evaluation are then documented in order to establish corrective actions to prevent hazards in the future. Actions taken are monitored to measure their effectiveness. Some information resources evaluated to properly identify safety hazards include, but are not limited to the following: • Operator incident reports • Risk management reports • Bus maintenance reports • Passengers' letters and telephone calls • Management's written concerns • Staff meeting notes • Special requests • Historical data • Information from public safety officials • Operator observed hazards • Real-time, GPS-based bus video surveillance system on CAT transit buses • Employee reported concerns 19 Inspections Inspections conducted is another important source of information about hazards. Results from these inspections help to identify areas where mitigations designed and adopted to manage safety risk are not being carried out as required. CAT conducts audit of internal and Contractor personnel performing their job duties, vehicles, facilities, and data to identify potential safety concerns or issues, such as: • Rules compliance checks, which may identify: o Non-compliance with safety rules, o Challenges in complying with safety rules, and/or o Emerging practices. • Operations personnel fitness-for-duty checks, which may identify: o Impairment, o Fatigue, o Absence of corrective lenses, o Apparent injuries, and/or o Uniform or equipment issues. • Radio or digital communication checks, which may identify radio failures, dead spots, and areas of high interference. • CDL and driver citation checks, which may identify driver non-compliance with driving regulations and requirements. • Pre-trip inspections,which may identify instances of a bus beginning revenue service after failing a pre-trip inspection. • Vehicle inspections, which may identify a series of defects in components and part with the potential to impact the safety performance of the vehicle. • Facility inspections, which may identify conditions with the potential to impact safety. Investigations As part of our SMS, CAT investigates safety events to identify causal factors. These safety events include accidents, incidents, and occurrences. As defined in § 673.5 "Investigation" is defined as "the process of determining causal and contributing factors"for the purpose of"preventing recurrence and mitigating risk". Causal and contributing factors may include key actions, situations, or conditions, the elimination of which, would have prevented or reduced the effects of the safety event. Investigations may be an important source of data for monitoring and measuring compliance with and effectiveness of procedures and safety risk mitigations. Hazards identified in Investigations are considered in our Safety Risk Management(SRM) process,from: • Driver, dispatcher, supervisor, and mechanic performance information, • Training and evaluation information, 20 16Al2 • Rule compliance and sufficiency information, • Camera and event recorder information, • Vehicle information, • Vehicle performance and maintenance information, • Radio or digital communications information, and/or • Environmental information. Causal and contributing factors also present potential issues and concerns that are assessed through our SRM process. These factors may include organizational issues, technical failures, environmental conditions, and other issues. Safety Trend Analysis Safety trend analysis identifies patterns or changes that might otherwise be overlooked during the collection of safety data. Patterns and changes can be related to behavior, occurrences, or other aspects of operations. They are usually identified through analysis of a particular period of time. CAT reviews data for the following periods of times as applicable to identify safety trends: • Weekly, • Monthly, • Seasonal, • Yearly, or • Over a certain number of years. Notable trends may indicate hazards to be assessed through your SRM process. Cameras and Data Recorders CAT utilizes technologies, including onboard cameras and accelerometers,video systems, and GPS and mobile data terminals to help ensure the safety of the driver and passengers. Recordings resulting from these technologies may identify potential sources of hazards in our operations, including driver behaviors, operating environments, road conditions, changing configurations, vehicle handling, and use of defensive driving techniques. Training and Evaluation Records Information compiled from the vendor's training program and the training evaluations of personnel to help identify hazards for assessment through your SRM process. Analysis of this information helps to recognize where personnel may struggle to understand rules, requirements, or safe behaviors identified, and where particular procedures, practices, or requirements may need to be modified to address safety issues or concerns. CAT plans to review the results of training assessments and evaluations quarterly and annually to identify potential issues or concerns for further assessment. Internal Safety Audits Internal safety audits and reviews highlight how well safety in all aspects of the Transit Agency functions such as maintenance, operations, administrative, etc. is working at CAT. Examples of internal audits that may help you identify safety concerns or hazards include: 21 • Route qualification audits, which identify situations such as: o An operator who is assigned to a route without receiving route qualification, or o An extra board operator who is not qualified on all potential route assignments. • Recertification or refresher status audits, which may identify operators past their recertification or refresher training window. • Observation audits, which typically include line rides by instructors and safety officers, and which may identify operator behaviors and road conditions with potential safety impacts. • Hours of service audits, which may identify operators working excessive hours with limited opportunity for sufficient rest, as defined in your agency's policies and procedures. • Conduct a walkthrough of the affected area, assessing the possible hazardous condition, generating visual documentation (photographs and/or video), and taking any measurements deemed necessary; • Conduct interviews with employees in the area to gather potentially relevant information on the reported hazard; Monitoring of Normal Operations Observing normal operations helps understand how well service is provided in our system. Normal operations are observed from a safety perspective to understand how things are done. Targeted monitoring activities designed to observe normal service can help identify hazards for assessment. For example,observations of the bus dispatch center may identify and avoid practices that lead to confusion or distraction for dispatchers. Observing how buses pull in and out of a transit center may help identify concerns affecting pedestrians. Observing the performance of preventive maintenance inspections may indicate a potential concern with the use of lubricants that could lead to overheating and fire. External Sources External sources also provide valuable information to review safety performance and identify hazards, including: • FTA and other oversight authorities, which provide information based on Federal, State or local findings, research, considerations, or assessments. • Reports from the public,such as motorists, bicyclists, or pedestrians,which may contain safety information such as reckless driving, near misses, unsafe acts, or inattention. These reports should be confirmed by management before being entered as a hazard for SRM. • Safety audit findings and recommendations, which often require action in response to underlying concerns that your agency may want to run through its SRM process. • Safety bulletins and information from manufacturers and transit associations, which may identify issues or concerns to be reviewed by CAT in our SRM process. 22 16Al2 CAT reviews safety/security information resources and determines if additional methods should be used to identify system threats and vulnerabilities. This includes a formal evaluation program to ensure that safety/security procedures are maintained and that safety/security systems are operable. Safety/security testing and inspections may be conducted to assess the vulnerability of the transit system. Testing and inspection include the following three-phase approach: (a) Equipment preparedness, (b) Employee proficiency, and (c) System effectiveness. Other potential sources of hazard to CAT include the following: Accidents: Transit vehicle accidents-defined as collisions with other vehicles,objects or persons with the potential for damage to people and/or property and the possibility of lawsuits and/or criminal charges. Transit passenger incidents - involving passenger falls, injuries relating to lift and securement operation, injuries before boarding or after alighting and passenger illnesses. Employee accidents and incidents-include injuries within the office,on official travel,while maintaining the equipment, and on-premises, but not while operating a vehicle for public transport. Such accidents/incidents create the possibility for loss of workforce, worker's compensation claims, etc. Acts of Nature Floods - heavy rain, and storm surge, may cause flooding than can result in loss of life, damage to facilities, danger to vehicles on roadways and loss of power and communications. Forest Fire— an uncontrolled fire in a wooded area that may damage buildings and restrict access to roadways. Severe fires may have effects on the environment. Fog - a thick cloud of tiny water droplets suspended in the atmosphere at or near the earth's surface which obscures or restricts visibility. Hurricanes —severe winds that depending on the wind impact can result in damage to property and structures and potentially loss of life. Critical Infrastructure Power outages-whether short or long in duration, can impact overall ability to operate transit services and limit functional nature of transit equipment and facilities. Vehicle fires— could cause transit employee and passenger injuries and death, and damage or loss of transit equipment and have the potential for lawsuits. Facility loss-loss of administrative, maintenance,or operations facilities—whether caused by structural collapse, presence of toxic materials, violation of municipal codes, fire, or significant events on neighboring properties—can hamper the ability to sustain service. Hazardous Materials Blood-borne pathogens - exposure can put drivers, passengers, maintenance employees and bus cleaners at risk of contracting disease. 23 Toxic material spills - toxic materials fall into four basic categories: blister agents such as solvents; cardio-pulmonary agents such as chlorine gas; biological agents such as anthrax;and nerve agents such as Sarin. While some of these materials may be agents of terrorist acts, accidental release is also possible.Additionally, low-level exposure to maintenance related chemicals and vehicle fluids can pose a risk to employee and environmental health. Section 8.3 -Safety Risk Assessment All identified and system accepted hazards, near-miss situations and safety events that occur shall be risk assessed. Risk assessment will be conducted for the "as reported" condition and again conducted for the "mitigated" condition. Additionally, and separate to individual proactive reports, system-wide annual risk assessments will be conducted. The risk assessment and risk control process shall be reviewed and revised: ■ As a part of the monthly safety meetings ■ As applicable due to new or revised activities or procedure ■ Annually by management A safety risk assessment has two elements: hazard severity and hazard probability. Hazard severity is a qualitative determination of the worst likely case that could be anticipated because of human error, poor design, failure or malfunction of component(s). Hazard severity ratings are as follows: • Catastrophic — Operating conditions are such that human error, poor design, failure or malfunction of components may commonly cause multiple deaths, numerous casualties or major system loss. Catastrophic hazards require immediate cessation of the unsafe activity or operation • Critical —Operating conditions are such that human error, poor design, failure or malfunction of components may commonly cause death, limited casualties or significant system loss that will require immediate termination of the unsafe activity or operation. • Serious—Operating conditions are such that human error, environment, poor design, failure or malfunction of components or procedural deficiencies may commonly cause severe injury, severe occupational illness, or major subsystem damage requiring immediate corrective action. • Marginal — Operating conditions are such that they commonly cause minor injury, minor occupational illness, or minor system damage. Human error or component failures can be controlled or counteracted. • Negligible—Operating conditions are such that human error, poor design,failure or malfunction of components may commonly cause no, or less than minor injury, occupational illness, or system damage Hazard probability is a subjective measure of likelihood that a specific hazard will occur during the useful life of the asset. Hazard probability is categorized as follows: 4 Frequent—Likely to occur frequently 4 Probable—Likely to occur several times 24 16Al2 4 Occasional —Likely to occur sometime 4 Remote— Unlikely but possible to occur 4 Improbable—So unlikely that it can be rejected from consideration Hazard severity and probability are used to determine the magnitude of the hazard and the priority in the form of a Risk Assessment Matrix (Figurel). This will help to assess the level of risk (risk rating)for each identified hazard and subsequent control measures to apply through hazard resolution or mitigation. Figure 1. Risk Assessment Matrix POTENTIAL CONSEQUENCES OR SEVERITY LIKELIHOOD Catastrophic Critical Serious Marginal Negligible Frequent Very High Very High High Moderate Low Probable Very High High High Moderate Low Occasional High High Moderate Moderate Low Remote High Moderate Moderate Low Very Low Improbable Moderate Moderate Low Very Low Very Low Risk Rating Action Required Very High Risk must be immediately mitigated and constantly monitored High Risk must be treated and constantly monitored Moderate Risk may be managed, and reduction strategies implemented Low Risk may be accepted after a risk review Very Low Risk would normally not be treated Section 8.4—Safety Risk Mitigation Each hazard category in the Risk Assessment Matrix(Figure 1) requires a specific level of resolution and control as shown in the Hazard Decision Matrix (Figure 2). Hazard resolution and/or control involves the analysis and corrective action taken to eliminate or reduce the risk associated with an identified hazard to the lowest practical level. In most cases, acceptable hazard resolution will require a combination of actions or methods of control. The preferred order to satisfy system safety requirements and to resolve the identified hazards is as follows: 25 • Design to eliminate/minimize risk. Where possible, hazards will be eliminated through design. If the hazard cannot be eliminated because it is inherent or it is not financially feasible, it will be reduced to an acceptable level. Specific actions to be taken include building in redundancy or backups, use of highly reliable components, and use of fail-safe devices or transfer the risk to a third party. • Use appropriate safety devices for hazards that cannot be eliminated or minimized through design. This involves the installation of permanent system design features to improve safety by automatically controlling the risk of hazard with no human intervention. • Use warning devices to reduce the risk associated with the hazard to acceptable level. This is applicable when neither design nor safety devices can effectively eliminate identified hazards or adequately reduce the risk associated with the hazard to acceptable level. • Approved procedures and training programs are the lowest level of control, and they will be used when it is not possible or practical to eliminate hazards or reduce risks through system design, and safety or warning devices. The purpose of training programs is to recognize the hazard and personnel actions to avoid the hazard. Procedures will include precautionary notations, warning signs and use of personal protective equipment. The Operations Contractor, MV Transportation Inc.,also has an established PTASP/Safety Management System (SMS) Plan which details how safety risk mitigation efforts will be implemented. As reinforcement of the County's PTASP, MV Transportation and County staff reviews any risks that have been identified during weekly meeting, and an action plan discussed. It is the responsibility of the Transit Manager to monitor the mitigation process. MV Transportation's General Manager will ensure the mitigation process that is agreed upon is completed. Figure 2. Hazard Decision Matrix FREQUENCY HAZARD CATEGORY OF OCCURRENCE Catastrophic Critical Serious Marginal Negligible Frequent Unacceptable Unacceptable Unacceptable Undesirable Undesirable Acceptable Probable Unacceptable Unacceptable Undesirable Undesirable with Review Acceptable Acceptable Occasional Unacceptable Undesirable Undesirable with Review with Review Acceptable Acceptable Remote Undesirable Undesirable Acceptable with Review with Review Acceptable Acceptable Acceptable Improbable Acceptable Acceptable with Review with Review with Review 26 16 A 1 2 Section 9 —Safety Assurance Section 9.1—Safety Performance Monitoring and Measurement Collier Area Transit's Safety Assurance processes within our Safety Management System (SMS) functions to ensure the implementation and effectiveness of safety risk mitigation, and to ensure we meets or exceeds our safety objectives through the collection, analysis,and assessment of information. As the agency responsible for the Transit system in Collier County, CAT will ensure that the safety assurance requirements are met and that the data/documentation collected and maintained to carry out the ASP is maintained a minimum of three years and will be made available upon request by all reviewing agencies. Safety assurance is the means to demonstrate that organizational arrangements and processes for safety achievement are properly applied and continue to achieve their intended objectives. This is achieved through safety performance monitoring and measurement processes by which the performance is verified against the safety policy, stated safety objectives and targets. The safety performance monitoring and measurement for CAT includes activities that: • Monitors our system compliance with and sufficiency of the procedures for operations and maintenance; • Monitors our operations to identify any safety risk mitigations that may be ineffective, inappropriate, or were not implemented as intended; • Conducts investigations of safety events to identify causal factors; and • Monitors information reported through any internal safety reporting programs. Section 9.2—Operations and Maintenance Monitoring Procedures The contractor will be responsible for ensuring that all organizational arrangements and processes for safety achievement are properly applied and continue to achieve their intended objectives. It is the responsibility of the Contractor's safety management team to provide the appropriate training to all employees and reinforce those safety activities so that it becomes a way of general day to day operations. Self-monitoring of its staff must be conducted but ultimately it is the responsibility of the County's transit management staff to conduct safety performance monitoring to ensure that the contractor is complying with all established procedures. The monitoring process shall consist of a review of all operational and maintenance procedures to determine if they are being complied with. The frequency of review will depend on the procedure being reviewed. If compliance is not being achieved and evaluation of any potential hazards will be done. Any inefficient procedures will be addressed through the safety risk management. The mitigation options will also be evaluated for appropriateness, whether they are achievable. If not, alternate mitigation approaches can be considered for implementation. Specific activities to monitor the transit system for compliance with procedures for operations and maintenance include the following: 27 Operator Selection MV Transportation management is responsible for ensuring that the following State of Florida Operational and Maintenance Requirements are met when hiring new drivers. • Complete employment application. • All drivers must pass a complete criminal background check before being put into revenue service. MV Transportation or its subcontractors will, at a minimum, perform the following checks to determine if the Driver has a criminal background: o National Sex Offender database o Widescreen National Criminal Search o Address history o Motor Vehicle Records o Social Security Number Check o Prior Drug and Alcohol use • Drivers will not be used in revenue service if they have been convicted of a felony offense involving murder, attempted murder, assault, sexual assault or battery, theft, fraud, burglary, grand theft auto, robbery, crimes against children and/or adults, a felony offense including drug-related incidents, or other offense related to the performance of this contract with MV Transportation, except as allowed by Florida Statutes Title XXXI - Chapter 435.07 (exemption from disqualifications). • All background checks will be updated every five years. • Applicants who were previously terminated by any previous employer for drug or alcohol use shall not be eligible for hire. • A conviction includes a guilty verdict, a determination of guilt after trial to a judge,a guilty plea, deferred adjudication, or a plea of nolo contendere or no contest. • The driver must not have been convicted of a serious traffic violation such as driving under the influence of alcohol or drugs, leaving the scene of an accident, using a vehicle in the commission of a felony, reckless driving and/or reckless endangerment within the last ten (10) years. • Each driver must undergo a commercial and personal driving record check with the Florida Department of Highway Safety and Motor Vehicles. • The driver must not have more than 2 (Two) traffic citations for a moving violation in the past 3 years. An MVR review will be conducted every 6 months after hire. • The driver must not have had a driver's license suspended or revoked for moving violations within the last two (2 or 3) years. • The driver must have possessed a valid CDL Driver's License from any U.S. State for the last three (3)years. • All applicants must possess a High School Diploma or General Equivalency Diploma (GED). • Each Driver must possess and maintain a Commercial Driver's License with the proper endorsements if required by the position. • Current Driver's License must be issued by the State of Florida. • All drivers must be able to speak and understand English, and drivers must be proficient in 28 16Al2 written English to successfully complete all paperwork required for this contract, including, but not limited to, vehicle manifests, incident and accident reports. • Drivers of vehicles must pass a pre-employment physical and drug/alcohol test in accordance with U.S. Department of Transportation requirements. • Drivers and all other employees performing safety-sensitive function(s) will satisfy the requirements of MV Transportation's Drug and Alcohol Testing Program, which will be administered in conformance with the requirements of 49 C.F.R., Parts 40 and 655, as they may be amended or superseded from time to time. • Drivers must be physically able to perform all duties and tasks required or necessary to achieve full performance of the obligations relating to the transporting of passengers with disabilities, including, but not limited to: i. Assisting passengers in getting to, on, off and from the vehicles. ii. Securing mobility devices within the paratransit vehicle. iii. Assisting passengers with the carrying of small packages (as determined by MV Transportation). • Train and certify all drivers. • All drivers are given access to a copy of the SSPP and all subsequent revisions. All drivers must sign the acknowledgement of agreement to comply with the SSPP during their training as one of the hiring requirements. • MV Transportation shall require drug and alcohol testing of Drivers including but not limited to pre-employment, reasonable suspicion, post-accident, and follow-up. All drug and alcohol testing costs shall be borne by the Transportation Providers. • Noncompliance with any regulatory or agency specific requirement may result in suspension or termination of employment. • It is the policy of MV Transportation to screen applicants to eliminate those that pose a safety or security threat to the agency or who would not be capable of carrying out agency safety and security policies. • Signed acknowledgement of receipt and agreement to comply with drug-free workplace policy. The County Transit Manager,or designee, inspects the personnel files for the operators to ensure these safety-related items was processed as part of the selection process. Background checks are required every five years for operators. Drug and Alcohol Policies A critical element of CAT's commitment to safe operations is ensuring that employees are not impaired due to the use of alcohol, illegal drugs, prescription drugs or over-the-counter medication. CAT requires its contractor to follow the requirements set forth under 49CFR Part 655 and 49CFR Part 40 Amended as mandated by the FTA. The contractor's drug and alcohol program include specific policies, procedures and responsibilities for pre-employment, random and post-accident testing. The County Transit Manager, or designee, monitors the contractor's drug and alcohol testing program for compliance. 29 Transit Bus & Door to Door Service Safety and Security The comprehensive, onboard GPS-based video surveillance system on all fixed route revenue vehicles provides coverage of all activities in and around the transit vehicles in real time. These videos are continuously recorded and available for up to 30 days. The bus video surveillance system helps make passengers and drivers feel safe and secure, prevent/deter crime, etc. The video footage is also used in accident and other investigative works by the department and/or law enforcement agencies. To ensure that the footage is available when needed, the Transit Manager, or designee, conducts a periodic review of the camera inspection logs. Driver's Vehicle Checklist CAT drivers complete a vehicle pre-trip inspection checklist when putting a vehicle into service. This pre-trips inspection includes: • Inspection of the vehicle's required safety equipment; • Inspection of the interior of the vehicle to detect unauthorized objects or tampering; • Inspection of the interior lights to make sure they are operational and have not been tampered with; • Inspection under the vehicle to detect items taped or attached to the frame; • Inspection of the exterior of the vehicle for unusual scratches or marks made by tools; signs of tampering; unusually clean or dirty compartments; or items attached using magnets or duct tape; • Following established policy governing suspicious packages, devices, or substances to determine if an unattended item or an unknown substance found during inspection is potentially dangerous; • Immediately notifying a supervisor in the case of a potentially suspicious packages(s) or evidence of tampering. Do not start or move the vehicle or use electronic means of communication. Periodically throughout the driver's shift, the above inspections are conducted. The County Transit Manager, or designee, monthly monitors the drivers' inspection logs to ensure that they are being performed appropriately. The time it took to complete the inspection is also evaluated. Mechanic's Vehicle Checklist CAT mechanics or contracted mechanics make the following security checks before releasing a vehicle for revenue service: • Ensures that required safety equipment is on vehicle; • Inspects the interior of the vehicle for unknown objects or tampering; • Inspects the interior lights to make sure they are operational and have not been tampered with; • Inspects under the vehicle for items taped or attached to the frame; 30 16A1e • Inspects the exterior of the vehicle for unusual scratches or marks made by tools; signs of tampering; unusually clean or dirty compartments; or items attached using magnets or duct tape; • Inspects the gas cap for signs of tampering or unusual items; • Inspects the engine compartment and other areas to detect foreign objects or false compartments in the air filter area or the cold oil filter. Also look for additional wires running to or from the battery compartment,and take note of unusually clean components and devices; • Inspects the fuel and air tanks to detect inconsistent and missing connections. Monthly maintenance reports are provided to the Transit Manager, or designee for inspection. Vehicle Maintenance CAT provides proper maintenance of vehicles and equipment critical to the continued safe operation of the transit system. Vehicle maintenance practices regularly address safety-related vehicle equipment to ensure that no unsafe vehicles are dispatched for service. Safety-related vehicle equipment includes: • Service brakes and parking brake • Tires, wheels, and rims • Steering mechanism • Vehicle suspension • Mirrors and other rear vision devices (e.g., video monitors) • Lighting and reflectors or reflective markings • Wheelchair lifts Most safety-related equipment is inspected during a pre-trip inspection to ensure that the vehicle is fit for service. The vehicle maintenance program addresses the following categories: ■ Daily servicing needs—This relates to fueling, checking and maintaining proper fluid levels (oil, water, etc.), vehicle cleanliness, pre- and post-trip inspections and maintenance of operational records and procedures. ■ Periodic inspection — These activities are scheduled to provide maintenance personnel an opportunity to detect and repair damage or wear conditions before major repairs are necessary. Inspection items include suspension elements, leaks, belts, electrical connections, tire wear, and any noticeable problems. ■ Interval related maintenance — The focus is to identify wear, alignment, or deterioration problems of parts or fluids. Replacement intervals of these items are determined through transit agency experience and manufacturer recommendations. ■ Failure maintenance - When a failure is encountered that makes the vehicle unsafe or unable to continue operation, the vehicle is removed from service and returned to the garage for repair. 31 Section 9.3—Safety Risk Mitigations Monitoring The Mitigation Monitoring plan helps ensure safety performance monitoring and measurement activities are performed to confirm that mitigations are effective, appropriate, and fully implemented. Data will be collected as part of the safety assurance activities to identify performance indicators. Safety performance indicators are signals or early warning signs that will help measure inputs, outputs, outcomes, or impacts. These performance indicators can be classified as either leading or lagging indicators. Leading indicators are used to anticipate and prevent injuries and accidents. This data source can include information collected from road observations, ride checks, mobile blitzes, or the ESRP. Lagging indicators measures what has happened, including accidents and injuries. This information will be collected and tabulated so that the metric can be utilized to allow for analyzation of historical information, as well as view in real-time whether our risk mitigation plans are reducing the accidents and injuries. Upon evaluation of the performance indicators, a corrective action plan will be developed to help address short-term defects or any compliance issues. The intent is to continuously monitor the hazards to establish corrective measure to eliminate the behavior that caused an event. Section 9.4—Safety Event Investigations CAT will conduct investigations of safety events such as accidents, incidents and occurrences to identify causal factors. The investigations will determine whether or not the event is preventable and identify whether any external factors such as organizational issues,technical failures, environmental conditions or other factors may have contributed to the event. In order to promote the continuous safety performance improvement of the SMS, CAT will promptly and thoroughly investigate events that result in safety of transit risk, product, service, and employee safety risk. Near-miss incidents are investigated if it is not readily determined the root cause of the near-miss. Details of the contractor's responsibilities are discussed in the MV Transportation Inc., PTASP/Safety Management System (SMS) Plan. Investigations are a methodical search into an event where information relating to factors that may have caused or contributed to the event are discovered. The SMS uses a structured Investigative process where evidence,contributing factors and root cause is recorded such that follow-on mitigating actions may be tracked. As with any investigation, time is of the essence, therefore investigations should proceed as soon as practical to avoid potentially losing valuable information. Investigations are to be concluded within 5 business days of the incident. Only trained investigators are to conduct investigations and under no circumstance may an investigator examine his/her own work area incident. A complete investigation is comprised of the following three stages being completed: 1. Investigation and interview stage: All relevant information is found. 32 I 6 A 1 2 2. Root Cause Stage: Contributing factors and root cause is determined and information is recorded. 3. Preventative strategies recommendations are prepared and recorded. For near-miss reports, a full investigation may not be required. In this case, the Accountable Executive will determine the level of investigation appropriate to effectively address the report. Section 9.5— Internal Safety Reporting Monitoring The safety assurance process within CAT is achieved by monitoring and measuring the outcomes of activities that operational personnel must engage in for the delivery of services. CAT management obtains information for safety performance monitoring from a variety of sources including direct employee input, a hazard reporting system, meetings, or assessments/audits. Each of these types of information sources may exist to some degree and should be assessed on a routine schedule for risk identification and trend analysis by the operations manager, maintenance manager and safety manager in particular. CAT will accomplish continual safety performance monitoring and oversight of the SMS as indicated below. As a part of the annual safety objectives and targets development process, contractor management will work with County transit staff to establish the initial list of safety objectives and targets. Contractor management will assist vehicle operations and maintenance departments with monitoring of the objectives and targets. Weekly staff meetings and monthly safety and operators' meetings where safety performance and means to continually improve safety performance will be discussed. Once data from all safety-related activity is reviewed, management and/or supervisors will communicate the appropriate information to all employees in the organization. This includes updating any existing response/mitigation and an assessment of the appropriateness and effectiveness of the mitigations to address the hazards or event contributing factors. The mitigation will be considered as appropriate if it actually addresses any identified hazard. The mitigation will only be considered effective if it consistently manages the safety risk under normal operating conditions. Effective mitigation must reduce the safety risks to an acceptable level as defined by the risk assessment in the risk assessment matrix. Management will also propose prioritization of the responses/mitigations based on the risk assessment for each hazard. 33 ti Section 10 —Safety Promotion Safety Promotion (SP) outlines requirements for promoting both Safety Management System (SMS) practices and safety throughout CAT's transit agency and consists of two elements; Competencies and training and Safety communication. Section 10.1—Competencies and Training In accordance with Part 673, Collier Area Transit has established and implemented a comprehensive safety training program for all employees and contractors that are directly responsible for safety, including refresher training. In addition to specifying who is directly responsible for safety and their training requirements, CAT identifies the competencies necessary to perform different job roles within the SMS operations. The County's Operations Contractor, MV Transportation, Inc., utilizes a commercial product called Avatar for new driver training. Details of the entire training program, including recurrent training is in their Safety Manual located at the CAT offices. The purpose of SMS training is to establish a department-level approach, which ensures that all employees have the appropriate level of knowledge about the CAT SMS Plan and how the policies, processes and procedure affect how they perform their duties. SMS training will help establish initial competency and for on-going competence building.Additionally, this is a method for demonstration of the SMS and its contribution to safety culture development. The contractor will appropriately train employees at each relevant function and level such that they are aware of: • The SMS Safety Policy • The SMS Safety Culture Policy • The SMS manual, website and subsequent use • The importance of conformance with SMS • Individual roles and responsibilities specific to the SMS (Safety Accountabilities) • General hazard reporting requirements of the SMS • General risk assessment procedure of the SMS • General accident/incident or near-miss reporting and investigation requirements • General responsibilities with respect to the SMS emergency preparedness and response plan • De-escalation training. The contractor's SMS training takes into account different levels of responsibility, ability, literacy, and risk to ensure that there is an appropriate awareness among employees and managers as to what their role responsibilities are. Accordingly, CAT will provide SMS training as follows: 34 16Al2 Managers/Supervisors: Awareness of SMS roles and responsibilities, safety policy, safety culture policy, SMS requirements, related DOT/FTA regulations, management commitment and responsibilities, and safety performance monitoring responsibilities. Transit Supervisors/Dispatchers: SMS policy, SMS processes management, management commitment and responsibilities, hazard identification and risk management, safety performance monitoring responsibilities. Frontline personnel including vehicle operators, and maintenance mechanics: SMS Overview,safety policy, safety culture policy, safety reporting, hazard identification and risk assessment procedure, accident/incident investigation process. Competence Frontline employees and management competence within the SMS operations will be assured through continuous communication and involvement in the SMS as follows: Employees shall be: • Involved in the review of hazard and risk assessments, accident/incident investigation findings and department or process-specific SMS standard operating process development where appropriate. • Consulted where there are workplace changes that occur as a result of SMS-related activities • Informed of significant issues arising from the operation of the SMS; including lessons- learned from hazards, near-miss reports and accident/incident investigation findings. Employee involvement shall be accomplished by: • Submission of hazard reports • Involvement in risk assessment results and implementation of post-event investigation findings • Participation in safety performance monitoring in his/her division • Participation in SMS assessments Managers shall: • Be involved in the review of hazard and risk assessments, accident/incident investigation findings and department or process-specific SMS standard operating process development where appropriate • Coordinate workplace changes that need to occur as a result of SMS-related activities • Lead resolution of SMS matters in their division • Coordinate resolution of significant issues arising from the operation of the SMS at their site, including lessons-learned from hazards, near-miss reports, and implementation of accident/incident investigation findings • Lead monthly division SMS reviews 35 Section 10.2—Safety Communication In accordance with Part 673, CAT documents and maintains records of safety and safety performance which is then communicated throughout the Transit organization. Our safety communication includes information on hazards and safety risk relevant to employees' roles and responsibilities. We also inform employees of safety actions taken in response to reports submitted through our employee safety reporting program. The operating contractor is required to consistently reinforce SMS through monthly safety meetings, memos, one-on-one discussions with operators, and on-going analysis of data. Additionally, through technology such as GPS and on-board camera systems identify unsafe behavior taking swift corrective action. At weekly meetings between County Transit staff and the contractor, any employee reports regarding incidents or observed unsafe conditions are reviewed and mitigation strategies, if warranted, are discussed followed by development of an action plan. To ensure that employees understand what is communicated or what action they must take as a result of the information, questions are asked of the employees and safety messages are repeated/re- enforced depending on the responses received. The County reviews the information that is disseminated to employees and occasionally sit in on training session to ensure the information is accurate and kept up to date. 36 I 6 A 1 2 Definitions of Special Terms Used in the Safety Plan Accident-Accident means an Event that involves any of the following:A loss of life;a report of a serious injury to a person; a collision of public transportation vehicles; a runaway train; an evacuation for life safety reasons; or any derailment of a rail transit vehicle, at any location, at any time, whatever the cause. Accountable Executive - Accountable Executive means a single, identifiable person who has ultimate responsibility for carrying out the Public Transportation Agency Safety Plan of a public transportation agency; responsibility for carrying out the agency's Transit Asset Management Plan; and control or direction over the human and capital resources needed to develop and maintain both the agency's Public Transportation Agency Safety Plan, in accordance with 49 U.S.C. 5329(d), and the agency's Transit Asset Management Plan in accordance with 49 U.S.C. 5326. Agency Safety Plan- Public Transportation Agency Safety Plan means the documented comprehensive agency safety plan for a transit agency that is required by 49 U.S.C. 5329 and this part. Chief Safety Officer-Chief Safety Officer means an adequately trained individual who has responsibility for safety and reports directly to a transit agency's chief executive officer, general manager, president, or equivalent officer. A Chief Safety Officer may not serve in other operational or maintenance capacities, unless the Chief Safety Officer is employed by a transit agency that is a small public transportation provider as defined in this part, or a public transportation provider that does not operate a rail fixed guideway public transportation system. Equivalent Authority- Equivalent Authority means an entity that carries out duties similar to that of a Board of Directors, for a recipient or subrecipient of FTA funds under 49 U.S.C. Chapter 53, including sufficient authority to review and approve a recipient or subrecipient's Public Transportation Agency Safety Plan. Event- Event means any Accident, Incident, or Occurrence. Federal Transit Administration - Federal Transit Administration, an operating administration within the United States Department of Transportation. Hazard - Hazard means any real or potential condition that can cause injury, illness, or death; damage to or loss of the facilities, equipment, rolling stock, or infrastructure of a public transportation system; or damage to the environment. Incident - Incident means an event that involves any of the following: A personal injury that is not a serious injury; one or more injuries requiring medical transport; or damage to facilities, equipment, rolling stock, or infrastructure that disrupts the operations of a transit agency. Investigation-the action of investigating something or someone; formal or systematic examination or research. National Public Transportation Safety Plan- National Public Transportation Safety Plan means the plan to improve the safety of all public transportation systems that receive Federal financial assistance under 49 U.S.C. Chapter 53. 37 Occurrence-Occurrence means an Event without any personal injury in which any damage to facilities, equipment, rolling stock, or infrastructure does not disrupt the operations of a transit agency. Operator - Operator of a public transportation system means a provider of public transportation as defined under 49 U.S.C. 5302(14). Performance Measure- Performance measure means an expression based on a quantifiable indicator of performance or condition that is used to establish targets and to assess progress toward meeting the established targets. Performance Target - Performance target means a quantifiable level of performance or condition, expressed as a value for the measure, to be achieved within a time period required by the Federal Transit Administration (FTA). Risk- Risk means the composite of predicted severity and likelihood of the potential effect of a hazard. Risk Mitigation - Risk mitigation means a method or methods to eliminate or reduce the effects of hazards. Safety Assurance - Safety Assurance means processes within a transit agency's Safety Management System that functions to ensure the implementation and effectiveness of safety risk mitigation, and to ensure that the transit agency meets or exceeds its safety objectives through the collection, analysis, and assessment of information. Safety Management Policy - Safety Management Policy means a transit agency's documented commitment to safety,which defines the transit agency's safety objectives and the accountabilities and responsibilities of its employees in regard to safety. Safety Management System (SMS) - Safety Management System (SMS) means the formal, top-down, organization-wide approach to managing safety risk and assuring the effectiveness of a transit agency's safety risk mitigation. SMS includes systematic procedures, practices, and policies for managing risks and hazards. SMS Executive - Safety Management System (SMS) Executive means a Chief Safety Officer or an equivalent. Safety Performance Target-Safety Performance Target means a Performance Target related to safety management activities. Safety Promotion - Safety Promotion means a combination of training and communication of safety information to support SMS as applied to the transit agency's public transportation system. Safety Risk Assessment - Safety Risk Assessment means the formal activity whereby a transit agency determines Safety Risk Management priorities by establishing the significance or value of its safety risks. Safety Risk Management - Safety Risk Management means a process within a transit agency's Public Transportation Agency Safety Plan for identifying hazards and analyzing, assessing, and mitigating safety risk. 38 16Al2 Serious Injury-Serious injury means any injury which: (1) Requires hospitalization for more than 48 hours, commencing within 7 days from the date of the injury was received; (2) Results in a fracture of any bone (except simple fractures of fingers, toes, or noses); (3) Causes severe hemorrhages, nerve, muscle, or tendon damage; (4) Involves any internal organ; or (5) Involves second-or third-degree burns, or any burns affecting more than 5 percent of the body surface. Small Public Transportation Provider - Small public transportation provider means a recipient or subrecipient of Federal financial assistance under 49 U.S.C. 5307 that has one hundred (100) or fewer vehicles in peak revenue service and does not operate a rail fixed guideway public transportation system. State - State means a State of the United States, the District of Columbia, Puerto Rico, the Northern Mariana Islands, Guam, American Samoa, and the Virgin Islands. State of Good Repair - State of good repair means the condition in which a capital asset is able to operate at a full level of performance. State Safety Oversight Agency-State Safety Oversight Agency means an agency established by a State that meets the requirements and performs the functions specified by 49 U.S.C. 5329(e) and the regulations set forth in 49 CFR part 674. Transit Agency-Transit agency means an operator of a public transportation system. Transit Asset Management Plan -Transit Asset Management Plan means the strategic and systematic practice of procuring, operating, inspecting, maintaining, rehabilitating, and replacing transit capital assets to manage their performance, risks, and costs over their life cycles, for the purpose of providing safe, cost-effective, and reliable public transportation, as required by 49 U.S.C. 5326 and 49 CFR part 625. 39 a,: v List of Acronyms Used in the Safety Plan Acronym Word or Phrase CAT Collier Area Transit ESRP Employee Safety Reporting Plan FTA Federal Transit Administration SMS Safety Management System PTASP Public Transit Agency Safety Plan 40 16Al2 Collier County System Safety Program Plan (SSPP) 42 MV Transportation - Collier Area Transit • a `°s _ ,K r a'.1 i. ,', i. .till 1 .7'�Y �, i4f $'.. 1. 7 __:: , — "1,7 # 1 ,a -w_ 1 jj • r d t s , OW ' i THE PURRRFECT MOO SYSTEM SAFETY PROGRAM PLAN (SSPP) Issued: January 2017 Last Revised: February 2020 Last Self Certified: January 2022 16Al2 System Safety Program Plan (SSPP) Document Activity Log (Continued) Date Activity Concerned Remarks (Review/Update/Addendum/ Person Adoption/Distribution) (Signature) Adopted Collier Area Transit 3/26/16 SSPP K. Frye MV Transportation developed 1/5/17 own SSPP K. Frye SSPP Updated B.Morales 1/5/18 2/1/19 SSPP Updated B Morales 11/12/19 SSPP Updated B Morales Update Section 6-Qualification and Revision made in 02/07/2020 Selection of Drivers M.Arnold response to audit finding. MV Transportation- Collier Area Transit System Safety Program Plan (SSPP) Table of Contents 1.0 MANAGEMENT SAFETY COMMITMENT AND POLICY STATEMENT 1-1 2.0 SYSTEM SAFETY GOALS AND SSPP 2-1 2.1 SSPP Control and Update Procedures 2-2 3.0 HAZARD AND SECURITY PLAN (HSP) 3-1 4.0 SYSTEM DESCRIPTION 4-1 5.0 ORGANIZATION STRUCTURE AND SYSTEM SAFETY RESPONSIBILITIES 5-1 5.1 Community Transit Organization Chart 5-1 5.2 Community Transit System Safety Responsibilities by Position 5-2 5.3 System Safety Responsibilities of Contract Service Operator(s) 5-3 6.0 QUALIFICATION AND SELECTION OF DRIVERS 6-1 7.0 DRIVER SAFETY TRAINING AND TESTING 7-1 7.1 Initial Driver Training and Testing 7-1 7.2 On-Going/Refresher Training and Testing 7-2 7.3 Remedial Training and Testing 7-3 7.4 NIMS Training 7-3 8.0 RECORDS MANAGEMENT 8-1 9.0 DRUG AND ALCOHOL PROGRAM 9-1 10.0 VEHICLE MAINTENANCE PROGRAM 10-1 10.1 Daily Vehicle Inspections(DVI) 10-1 10.2 Preventive Maintenance 10-2 10.3 Bus Safety Inspections 10-3 11.0 SAFETY DATA ACQUISITION &ANALYSIS 11-1 12.0 HAZARD IDENTIFICATION AND RESOLUTION 12-1 12.1 Hazard Identification 12-1 12.2 Hazard Categorization 12-1 12.3 Hazard Resolution 12-1 13.0 EVENT INVESTIGATION 13-1 14.0 MEDICAL EXAMS FOR BUS TRANSIT SYSTEM DRIVERS 14-1 15.0 OPERATING AND DRIVING REQUIREMENTS 15-1 15.1 Wireless Communication 15-2 16.0 VEHICLE EQUIPMENT STANDARDS & PROCUREMENT CRITERIA 16-1 17.0 INTERNAL AND EXTERNAL SAFETY AUDITS 17-1 18.0 CERTIFICATION 18-1 19.0 APPENDICES 19-1 MV Transportation Collier Area Transit ii 16Al2 System Safety Program Plan (SSPP) Table of Contents (Continued) Appendices - • Appendix A: Rule Chapter 14-90, F.A.C. • Appendix B: Qualification Policy • Appendix C: Qualification Process Workflow- Fully Qualified Model • Appendix D: FMCSA DOT Disclosure and Authorization • Appendix E: FTA DOT Disclosure and Authorization • Appendix F: MV Transportation Disclosure and Authorization Forms • Appendix G: NAPLES Current Paratransit Training Syllabus • Appendix H: NAPLES Current Fixed Route Training Syllabus • Appendix I: NAPLES Staff Syllabus • Appendix J: New Driver Hires Assessment • Appendix K: Radio Operating Procedures • Appendix L: Driver Refresher Training • Appendix M: Safety Calendar • Appendix N: General Safety Guidelines • Appendix 0: Record Retention • Appendix P: Substance Abuse Policy • Appendix Q: Maintenance Plan • Appendix R: Preventative Maintenance Guidelines • Appendix S: Hazardous Communication Plan • Appendix T: Incident Accident Reporting • Appendix U: Medical Examination Form MCSA 5875 & 5876 • Appendix V: FL Wireless Communication • Appendix W: Annual Review of Driving Records - Drivers • Appendix X: Annual DOT Driving Record Review Form • Appendix Y: S-10 Compliance with Regulations • Appendix Z: SambaSafety DRM State Support MatriX • Appendix AA: Internal Safety Audit Checklist • Appendix AB: Bus Transit System Annual Safety and Security Certification Form • Appendix AC: SSPP Addendums (placeholder for future updates) • Appendix AD: Text Formatting Palette MV Transportation Collier Area Transit iii System Safety Program Plan (SSPP) 1 .0 Management Safety Commitment and Policy Statement MV Transportation - Collier Area Transit is committed to providing safe, secure, clean, reliable, and efficient transportation services to the patrons. This policy statement serves to express management's commitment to and involvement in providing and maintaining a safe and secure transit system. Section 341.041, Florida Statutes (F.S.); Section 334.044(2), F.S.; and Section 341.061(2)(a), F.S., requires the establishment of minimum equipment and operational safety standards for all governmentally owned bus transit systems; privately owned or operated bus transit systems operating in this state which are financed wholly or partly by state funds; all bus transit systems created pursuant to Chapter 427, F.S.; and all privately owned or operated bus transit systems under contract with any of the aforementioned systems. Safety standards for bus transit systems are provided by Rule Chapter 14-90, Florida Administrative Code (F.A.C.), hereinafter referred to as Rule 14-90. Bus transit systems are required to develop, adopt, and comply with a System Safety Program Plan (SSPP) in accordance with Section 14-90.004(1), FAC and all subparagraphs. In addition, Section 14-90.004(3), requires systems to establish criteria and procedures for the selection, qualification, and training of all drivers and includes consistency with applicable federal and state laws, rules, and regulations; background checks and documentation; minimum content for instructional and procedural training; and written operational and safety procedures and minimum content thereof. In the interest of safety and security, and in order to comply with the statutory requirements, MV Transportation has developed and adopted this System Safety Program Plan (SSPP) that complies with established safety standards set forth in Rule 14-90. The SSPP is intended to document all policies, functions, responsibilities, etc. of the agency necessary to achieve a high degree of system safety and applies to all areas of the transportation system, including procurement, administration, operations, maintenance, etc. MV Transportation management is authorized and responsible for maintaining a coordinated safety system in order to identify and prevent unsafe acts and conditions that present a potential danger or threat to public safety. Management commits to maintain and implement the SSPP and comply with the policies, procedures, and standards included in this document. All departments, personnel, and contract service operators are charged with the responsibility of adhering to this SSPP. Any violation of safety and security practices is subject to disciplinary actions. Management is ultimately responsible for enforcing the SSPP and maintaining a safe and secure system. Signature Braian Morales, General Manager MV Transportation Collier Area Transit Date: January 2, 2019 MV Transportation Collier Area Transit 1-1 16A1 2 System Safety Program Plan (SSPP) 2.0 System Safety Goals and SSPP MV Transportation has established the following goals for the system safety program: • Achieve a high standard of system safety in all areas of the transportation system • Develop and implement a comprehensive, systematic, and coordinated program to identify, assess, and control all safety hazards • Develop and maintain a high level of safety awareness among all employees through pre- employment screening and systematic training and testing programs • Establish safety standards for contract service operators and ensure compliance • Ensure that system safety is integrated with daily operations through operational standards and procedures, vehicle maintenance, inspections, record keeping, audits, quality assurance and quality control • Ensure that all vehicles and equipment operated by the agency meet established safety standards • Maintain a formal process for event investigation, emergency preparedness and response, and handling security threats • Ensure a drug free workplace • Comply with all regulatory requirements The purpose of the SSPP document is to: • Establish and document system safety policies and procedures in compliance with Rule 14-90 • Establish a coordinated and documented process to implement the SSPP during the operations of the system in order to achieve system safety goals • Identify and delegate safety functions and responsibilities to units and personnel within the organization and contract service operators • Facilitate internal and external safety audits to identify, track, and resolve safety program deficiencies In accordance with Rule 14-90 (included in Appendix A), the SSPP must address the following safety elements and requirements: • Safety policies and responsibilities • Vehicle and equipment standards and procurement criteria • Operational standards and procedures • Bus driver and employee selection • Driving requirements • Bus driver and employee training • Vehicle maintenance MV Transportation Collier Area Transit 2-1 System Safety Program Plan (SSPP) • Investigations of events • Hazard identification and resolution • Equipment for transporting wheelchairs • Safety data acquisition and analysis • Wireless communication plan • Safety standards for private contract bus transit system(s) that provide(s) continuous or recurring transportation services for compensation as a result of a contractual agreement with MV Transportation 2.1 SSPP Control and Update Procedures MV Transportation management will review the SSPP annually, update the document as necessary, and implement the changes within a timeframe that will allow the agency to timely submit the annual self-certification of compliance to the Florida Department of Transportation (FDOT). The annual review of the SSPP will be conducted as part of an internal audit beginning October 1 of each calendar year and ending prior to the end of the same calendar year. Necessary updates outside the annual update window will be handled as SSPP addendums which will be incorporated in the body of the SSPP during subsequent annual update. All proposed changes will be documented by the management as proposed SSPP addendums and distributed to all affected parties including employees and contract service operators. All parties must comment within two weeks of the issuance of the proposed changes unless otherwise specified. Following the approval of any modifications to the SSPP by the General Manager, management staff will distribute the SSPP addendum to all affected parties, with a cover memo highlighting the changes. All parties receiving the updates are required to sign for its receipt and acknowledge their responsibility in implementing the changes. Management will document and retain the proof of SSPP receipt by all employees during initial hire and subsequent updates. Agency's governing board will adopt the SSPP annually following the internal audit and a copy of the adopted SSPP will be distributed to all employees and contract service providers. A copy of the adopted SSPP will also be forwarded to the FDOT District Office. All review, update, addendum, adoption, and distribution activities will be documented in the SSPP Activity Log included in this document. MV Transportation Collier Area Transit 2-2 16A1 2 System Safety Program Plan (SSPP) 3.0 Hazard and Security Plan (HSP) In accordance with Rule 14-90, MV Transportation has adopted, and implemented a Hazard and Security Plan (HSP), often referred to as the Security Program Plan (SPP), which covers the hazard and security portion of the system safety program. The HSP contains information about prevention, mitigation, preparedness, response, recovery, and associated organizational responsibilities. The purpose of the HSP/SPP is to specify: • Actions required of employees on a daily, weekly, monthly, and annual basis to prevent or reduce the likelihood of security and emergency events from occurring, and to mitigate the effects of those events that do occur • Measures needed to prepare for incidents occurring within the transportation system and in the surrounding community • Agency procedures that should be established to respond to security hazards and emergencies that affect the system and its customers • Formal processes to recover from routine security events or major emergencies • Roles, responsibilities, and interagency coordination required to respond to a disaster or security event The HSP/SPP must address the following hazard and security elements and requirements: • Security policies, goals, and objectives • Organization, roles, and responsibilities • Emergency management processes and procedures for mitigation, preparedness, response, and recovery • Procedures for investigation of events described under subsection 14-90.004(5), F.A.C. • Procedures for the establishment of interfaces with emergency response organizations • Procedures for interagency coordination with local law enforcement jurisdictions • Employee security and threat awareness training programs • Security data acquisition and analysis • Emergency preparedness drills and exercises • Requirements for private contract transit providers that engage in continuous or recurring transportation services for compensation as a result of a contractual agreement with the bus transit system. • Procedures for SPP maintenance and distribution The HSP/SPP has been adopted separately from the SSPP. Bus transit systems are prohibited by Section 119.071(3)(2), Florida Statutes, from publicly disclosing the SPP, as applicable under any circumstance. The document is maintained in a secure location by management and access to the document is restricted to select agency personnel and appropriate FDOT personnel exercising oversight in this area. On-site access to the HSP/SPP is granted to regulatory authorities(FDOT, FTA, etc.) on as-needed basis. Select portions of the HSP/SPP may be shared with employees depending on their job responsibilities. MV Transportation Collier Area Transit 3-1 System Safety Program Plan (SSPP) 4.0 System Description Our Mission: Our mission is to be The Standard of Excellence in the provision of passenger transportation services. We will provide these services to both public and private agencies nationwide. We will accomplish this mission in a safe, efficient and cost-effective manner while treating our employees and service providers as part of our family and our customers as our most important asset. History: The Contractor MV TRANSPORTATION Inc. began service on March 26, 2016 for Collier Area Transit for the provision of fixed route and paratransit service. The term runs for 5 years with three one-year options. Services Provided and Jurisdiction: CAT provides fixed route service in Collier County on 19 routes, serving the incorporated areas of Naples, Marco Island, and Immokalee. The maximum hours of operations for the core routes are from 3:45 a.m. to 8:55 p.m., with service 7 days per week. Collier Area Paratransit also coordinates transportation services for the disable and economically disadvantaged. The majority of the trips are provided to passengers traveling to medical appointments, nutrition sites and work. Use of the Collier Area Paratransit system requires pre- certification. System Profile (As of January 1, 2018): Total Number of drivers 84 Full-time 67 PartTime 1 Volunteers N/A Number of operational buses: 73 Buses W/C accessible 73 Number of Type I buses (>22' length) 33 Type II buses (<22' length) 40 Dispatch Location(s): 8300 Radio Road, Naples, Florida 34104 Maintenance Locations 8300 Radio Road, Naples, Florida 34104 Community Transportation Coordinator (CTC): Yes No X CTC Operator: Yes X No CTC Name: Collier County Board of County Commissioners Contracted passenger service operations: (Describe) Collier County contracts with MV Transportation to provide fixed route and para transit services Contract operator(s) have adopted MV's SSPP and SPP approved by CTC: Yes No Describe: N/A Contract operator(s) adopts and implements the CTC's SSPP: Yes No X Describe MV follows MV SSPP Additional Information: MV Transportation Collier Area Transit 4-1 16Al2 System Safety Program Plan (SSPP) 5.0 Organization Structure and System Safety Responsibilities Management has the overall responsibility of safe and secure operations of MV Transportation and contract service operators. Each employee is required to carry out specific system safety responsibilities, depending on his/her position, in compliance with the SSPP. The organization chart below shows title of each position and the reporting structure; the table in the following page shows system safety responsibilities of each position. 5.1 Organizational Charts: MV Transportation Collier Area Transit S.Trinkle Regional Vice President B.Morales ' MV General Manager 1 i I I I G.Vertus N.Lopez T.Jones I J.Vargas I M.Maldonado Senior ITS Customer Service I Fixed Route Paratransit Coordinator Manager i Safety Manager ManagerManager I. LIITS Coordinator - Reconciliation Road Supervisors Fixed Route Mobility Manager Dispatchers _ Drivers IIfLLL Drivers I miim Customer Service I Utilities Reservationist. HDispatchers H Scheduler MV Transportation Collier Area Transit 5-1 16Al2 System Safety Program Plan (SSPP) 5.2 MV Transportation System Safety Responsibilities by Position Management Responsibility by Staff Responsibility System Safety Task Frequency Position by Position GM OpM SM Driver` Oversee and assure SSPP and HSP/SPP Daily X X X _ compliance Random inspections of Departments for Quarterly/ X X X safety compliance(pre-trip inspections, As needed driver files, maintenance records, etc.) SSPP and HSP/SPP review, Annual/As X X X maintenance, and distribution needed Intra-agency coordination and safety Monthly X X X X meetings Inter-agency coordination (FDOT, law As needed X X X enforcement, emergency response organizations, etc.) Facility inspection Monthly X X X Employee safety training and testing and Initial hire/ X X X record keeping Quarterly Drug free workplace(policy maintenance, Initial hire/ X X X employee training and testing,etc.) Quarterly Driver license validity check and record Initial hire/ X maintenance Quarterly X Administrative/Human Resource safety As needed X X X actions Safety and security data acquisition and On an X X X X analysis ongoing basis Medical examination of drivers and record Initial hire/ X X X keeping biennium Vehicle and equipment procurement As needed X X X Pre-trip inspections and record keeping Daily X X X X Vehicle maintenance and record keeping Daily X X X Annual safety inspections and record Annual X X X keeping Event investigation and record keeping As needed X X X Investigate safety complaints As needed X X X Pre-employment screening Initial hire X X X Employee time recording and Daily X X X maintenance Internal safety audits Annual/As X X X needed Facilitate external safety audits As needed X X X Records maintenance, retention, and Daily/As X X X distribution needed Contractor safety and security compliance Daily X X oversight X Hazard identification and resolution_ Daily X X X X Compliance with SSPP Daily X X X X Self-certification of safety compliance Annual X X MV Transportation Collier Area Transit 5-2 System Safety Program Plan (SSPP) 5.3 System Safety Responsibilities of Contract Service Operator(s) MV Transportation requires all contract service operators to fully comply with the established safety standards set forth in Rule 14-90. Contract operators have the option to either adopt and implement the SSPP and HSP/SPP of MV Transportation, or develop, adopt, and implement their own program plans, but must ensure compliance with Rule 14-90. If the contract service operator opts to develop their own SSPP and HSP/SPP, the program plans must be reviewed and approved by MV Transportation management prior to initiation of service. In addition, each contractor/subcontractor shall submit a safety and security certification to MV Transportation no later than March 15, annually for the prior calendar year period. The certification shall attest to the following: • The adoption of an SSPP and an HSP/SPP in accordance with established standards set forth in Rule 14-90. • Compliance with its adopted SSPP and HSP/SPP. • Performance of safety inspections on all buses operated by the system in accordance with Rule 14-90. • Reviews of the SSPP and HSP/SPP have been conducted to ensure they are up to date. The certification shall include: • The name and address of the contractor/subcontractor, and the name and address of the entity(ies) who performed bus safety inspections and security assessments during the prior calendar year, if different from that of the contractor/subcontractor. • A statement signed by an officer or person directly responsible for management of the contractor/subcontractor attesting to compliance with Rule 14-90. Contractors/subcontractors are subject to audits and inspections on an announced or unannounced basis at the discretion of MV Transportation management. MV Transportation, or its contractor, will conduct safety and security reviews of contract operators, at least once every three years, to ascertain compliance with the provisions of Rule 14-90. MV Transportation will prepare and submit a report of the audit to the affected contract operator within 30 business days of completion of the review containing the following: • Identification of the findings, including a detailed description of any deficiency. • Required corrective action and a schedule for implementation of the corrective action to be taken for each deficiency. • Any required suspension of bus transit system service should MV Transportation determine the continued operation of the service, or a portion thereof, poses an immediate danger to public safety. If the contract operator fails to correct specific deficiency(ies) in accordance with Rule 14-90 and the established implementation schedule, MV Transportation will notify the FDOT District Office and initiate actions to dismiss the contract. MV Transportation Collier Area Transit 5-3 16A1 2 System Safety Program Plan (SSPP) 6.0 Qualification and Selection of Drivers MV Transportation management is responsible for ensuring that the following minimum standards are met when hiring new drivers. • Complete employment application. • All drivers must pass a complete criminal background check before being put into revenue service. MV Transportation or its subcontractors will, at a minimum, perform the following checks to determine if the Driver has a criminal background: i. National Sex Offender database ii. Widescreen National Criminal Search iii. Address history iv. Motor Vehicle Records v. Social Security Number Check vi. Prior Drug and Alcohol use • Drivers will not be used in revenue service if they have been convicted of a felony offense involving murder, attempted murder, assault, sexual assault or battery, theft, fraud, burglary, grand theft auto, robbery, crimes against children and/or adults, a felony offense including drug-related incidents, or other offense related to the performance of this contract with MV Transportation, except as allowed by Florida Statutes Title XXXI - Chapter 435.07 (exemption from disqualifications). • All background checks will be updated every five years. • Applicants who were previously terminated by any previous employer for drug or alcohol use shall not be eligible for hire. • A conviction includes a guilty verdict, a determination of guilt after trial to a judge, a guilty plea, deferred adjudication, or a plea of nolo contendere or no contest. • The driver must not have been convicted of a serious traffic violation such as driving under the influence of alcohol or drugs, leaving the scene of an accident, using a vehicle in the commission of a felony, reckless driving and/or reckless endangerment within the last ten (10) years. • Each driver must undergo a commercial and personal driving record check with the Florida Department of Highway Safety and Motor Vehicles. • The driver must not have more than 2 (Two) traffic citations for a moving violation in the past 3 years. An MVR review will be conducted every 6 months after hire • The driver must not have had a driver's license suspended or revoked for moving violations within the last two (2 or 3) years. • The driver must have possessed a valid CDL Driver's License from any U.S. State for the last three (3) years. • All applicants must possess a High School Diploma or General Equivalency Diploma (GED). MV Transportation Collier Area Transit 6-1 System Safety Program Plan (SSPP) • Each Driver must possess and maintain a Commercial Driver's License with the proper endorsements if required by the position. • Current Driver's License must be issued by the State of Florida. • All drivers must be able to speak and understand English, and drivers must be proficient in written English to successfully complete all paperwork required for this contract, including, but not limited to, vehicle manifests, incident and accident reports. • Drivers of vehicles must pass a pre-employment physical and drug/alcohol test in accordance with U.S. Department of Transportation requirements. • Drivers and all other employees performing safety-sensitive function(s) will satisfy the requirements of MV Transportation's Drug and Alcohol Testing Program, which will be administered in conformance with the requirements of 49 C.F.R., Parts 40 and 655, as they may be amended or superseded from time to time. • Drivers must be physically able to perform all duties and tasks required or necessary to achieve full performance of the obligations relating to the transporting of passengers with disabilities, including, but not limited to: i Assisting passengers in getting to, on, off and from the vehicles. ii Securing mobility devices within the paratransit vehicle. iii Assisting passengers with the carrying of small packages (as determined by MV Transportation). • Train and certify all drivers. • All drivers are given access to a copy of the SSPP and all subsequent revisions. All drivers must sign the acknowledgement of agreement to comply with the SSPP during their training as one of the hiring requirements. • MV Transportation shall require drug and alcohol testing of Drivers including but not limited to pre-employment, reasonable suspicion, post-accident, and follow-up. All drug and alcohol testing costs shall be borne by the Transportation Providers. • Noncompliance with any regulatory or agency specific requirement may result in suspension or termination of employment. • It is the policy of MV Transportation to screen applicants to eliminate those that pose a safety or security threat to the agency or who would not be capable of carrying out agency safety and security policies. • Signed acknowledgement of receipt and agreement to comply with drug-free workplace policy. MV Transportation Collier Area Transit 6-2 16Al2 System Safety Program Plan (SSPP) 7.0 Driver Safety Training and Testing All employees and drivers of MV Transportation and all contract service providers are required to complete all training and testing requirements to demonstrate and ensure adequate skills and capabilities to safely operate each type of bus or bus combination before driving on a street or highway unsupervised. The Safety Manager is responsible for conducting and documenting all training and testing activities utilizing a certification process. Noncompliance with any regulatory or agency specific guideline or requirement may result in suspension or termination of employment. This section of the SSPP discusses the training and testing programs to be administered by the Safety Manager. 7.1 Initial Driver Training and Testing Upon hire, all drivers are required to complete MV Transportation Avatar Training and Testing program which includes training and testing in the following areas: 1. Bus transit system safety and operational policies and procedures (SSPP). 2. Operational bus and equipment inspections. 3. Bus equipment familiarization. 4. Basic operations and maneuvering. 5. Boarding and alighting passengers. 6. Operation of wheelchair lift and other special equipment. 7. Defensive driving. 8. Passenger assistance and securement. 9. Handling of emergencies and security threats. 10. Security and threat awareness. 11. Driving conditions. 12. Florida Rule 14:90 13. Wireless Communication All newly hired employees are provided classroom instructional training by the Trainer per agency's HSP/SPP. Drivers are given instruction in MV Transportation rules and standard operating procedures in the following areas: • General rules: General employee rules; includes instruction on duty to report any safety or security hazards observed by employees. • Personal appearance and conduct: Covers uniforms, grooming, and employee conduct. • Customer service: Covers expectations of employees when dealing with the public; includes instruction on how and to whom to report security incidents, and types of individuals or situations to be aware of and report. • MV Transportation Collier Area Transit 7-1 • Traffic laws: Covers applicable traffic-related laws and regulations, drug and alcohol testing, and drug and alcohol use restrictions. • Pre-trip inspection: Provides instruction in thorough inspection of a vehicle prior to placing the vehicle in service. • Maintenance and operations: Provides instruction on vehicle operating procedures and identifying common mechanical problems; also stresses the importance of graffiti removal and identification, notification to security personnel, and documentation of gang-related graffiti. • Fare handling: Covers fare collection procedures and provides instruction in dealing with fare disputes, conflict resolution, and notification of security personnel. • Americans with Disabilities Act requirements: Provides instruction in complying with ADA requirements and providing service to disabled patrons. • Emergency procedures: Provides instruction in emergency communications, involvement in traffic accidents, bio-hazards and medical emergencies involving passengers. • Safety procedures: Provides instruction in dealing with traffic safety issues; procedures for drivers to follow if involved in a traffic accident; fire, chemical or biological spill procedures; and procedures for dealing with suspicious objects or suspected explosive devices. • Radio procedures: Provides instruction on radio procedure for both routine and emergency radio traffic. Includes instruction on reporting crimes, suspicious acts, and potentially hazardous situations. • Report writing: Provides instruction on report writing, and reporting requirements. • SSPP: Drivers are given training on all areas of the Florida Rule 14-90 by a certified MV trainer. After each session testing is provided and collected by trainer. When scores are determined then test is discussed for further clarification on Florida Rule 14-90 areas within the SSPP. In addition, new drivers are required to successfully undergo a road test with an experienced driver. A new-hire check-off list must be completed to ensure the employee has received all required training and information. The Safety Manager will develop and maintain a Training Manual for new hire training and testing of employees. The manual will contain training course content, curriculum, lesson plans, testing requirements, etc. All training and testing activities will also be adequately documented by the Safety Manager MV Transportation Collier Area Transit 7-1 16Al2 System Safety Program Plan (SSPP) 7.2 On-Going/Refresher Training and Testing • The Safety Manager will develop and maintain a Training Manual for on-going and refresher training and testing of employees. The manual will contain training course content, curriculum, lesson plans, testing requirements, etc. On-going/refresher training and testing sessions will be conducted monthly on training areas specified by Rule 14-90 and each session will cover one or more training areas. The drivers will be required to attend the subject sessions so that each driver receives training and testing in all areas specified by Rule 14-90 at least once every three years. All training and testing activities will also be recorded and retained in files. An 80% minimum passing score is required for driver testing in all areas prescribed by 14-90. Each of the 14-90 administered tests will include 10 questions per training module. 7.3 Remedial Training and Testing MV Transportation will employ remedial training for drivers who have been involved in a serious collision or have developed unsafe driving behavior or other driving problems. Other causes for remedial training may include persistent customer complaints, supervisor recommendations, or a result of ongoing evaluations. Depending on the circumstances, the Safety Manager will determine the appropriate remedial training and testing, the results of which will also be documented and retained in files. 7.4 NIMS Training MV Transportation HSP/SPP requires that management staff take available NIMS training to understand this requirement and to coordinate regularly with outside organizations to prepare for coordinated responses to incidents. In addition, all employees will be provided security training and drills every six months to ensure they are familiar with emergency policies. All training and testing activities will also be recorded and retained in files. MV Transportation Collier Area Transit 7-2 System Safety Program Plan (SSPP) 8.0 Records Management The Safety Manager is responsible for implementing a record management program that includes maintenance, retention, distribution, and safe disposal of all safety and security records of the agency in compliance with state and federal regulations. All safety and security documents of the agency (SSPP, HSP/SPP, etc.) will be periodically revised, as needed, to ensure that they are up to date. Revisions and updates will be communicated with employees, contractors, and regulatory agencies as they occur or as deemed necessary by the management, depending on the nature of the revision or update. The HSP/SPP is considered a confidential document and will be retained in a secure location by management. MV Transportation will maintain and require providers to retain the following records for at least five years: • Records of bus driver background checks and qualifications • Detailed descriptions of training administered and completed by each bus driver • A record of each bus driver's duty status which will include total days worked, on-duty hours, driving hours, and time of reporting on and off duty each day • Event investigation reports, corrective action plans, and related supporting documentation • Records of annual safety inspections and documentation of any required corrective actions • Completed and signed medical examination reports for each bus driver • Collier Area Transit will maintain - Records of preventive maintenance, regular maintenance, inspections, lubrication, and repairs performed for each bus In addition, Collier Area Transit for MV Transportation or providers will retain records of daily bus inspections and any corrective action documentation for a minimum of two weeks. An organized paper and electronic filing system will be maintained by the agency, adequately backed up to prevent potential loss of information.All sensitive personnel records will be protected from public access. When ready for disposal, both paper and electronic data will be disposed of in a secure manner ensuring that critical information is protected. MV Transportation Collier Area Transit 8-1 16Al2 System Safety Program Plan (SSPP) 9.0 Drug and Alcohol Program MV Transportation and it providers have established a Zero Tolerance Substance Abuse Policy Statement in accordance with 49 C.F.R. Part 32 and a substance abuse management and testing program in accordance with 49 C.F.R. Parts 40 and 655, October 1, 2010, a copy of which is included in Appendix B. The Safety Manager with the help of the Director of Drug & Alcohol Compliance (MV Corporate) are responsible for ensuring the implementation of a drug and alcohol testing program for all safety-sensitive employees as identified and described within the subject policy. The intent of the policy is to: • Assure that employees are not impaired in their ability to perform assigned duties in a safe, productive, and healthy manner; • Create a workplace environment free from the adverse effects of drug and alcohol abuse or misuse; • Prohibit the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; and • Encourage employees to seek professional assistance when substance abuse adversely affects their ability to perform their assigned duties. Violation of this substance abuse policy is subject to disciplinary actions. MV Transportation Collier Area Transit 9-1 System Safety Program Plan (SSPP) 10.0 Vehicle Maintenance Program The function of the maintenance plan is to provide a consistent systematic program to properly maintain and service vehicles to meet or exceed the manufacturer's recommended maintenance schedule. MV Transportation's subcontractors vehicle maintenance programs will ensure that all buses operated, and all parts and accessories on such buses, including those specified in Rule 14-90.007, F.A.C., and any additional parts and accessories which may affect safety of operation, including frame and frame assemblies, suspension systems, axles and attaching parts, wheels and rims, and steering systems, are regularly and systematically inspected, maintained, and lubricated to standards that meet or exceed the bus manufacturer's recommendations and requirements. The Maintenance Manager is responsible for ensuring that all vehicles operated are regularly and systematically inspected, maintained, and lubricated according to FDOT Preventative Maintenance Plan (included in Appendix C (FDOT Preventative Maintenance Plan). 10.1 Daily Vehicle Inspections (DVI) Drivers are required to perform daily vehicle inspections prior to operating the assigned vehicle, during routes, and after all route schedules are completed. The pre-trip inspection includes an inspection of the following parts and devices to ascertain that they are in safe condition and in good working order: • Service brakes • Parking brakes • Tires and wheels • Steering • Horn • Lighting devices • Windshield wipers • Rear vision mirrors • Passenger doors • Exhaust system • Equipment for transporting wheelchairs • Safety, security, and emergency equipment During the scheduled trips and at the end of the day, the operator will note any additional findings and submit the daily vehicle inspection forms. The process and form/s to be utilized for daily vehicle inspections is included in agency's preventative maintenance guidelines. The daily vehicle inspection forms must be complete with the operator's signature and a check in each box to document that the items are "OK" or a defect is noted in the comments section. If the driver finds any mechanical or other problems that could compromise the safety of the vehicle at any point, the drivers will immediately inform the Maintenance Manager and the vehicle will not be scheduled for service until repaired. Failure to report deficiencies by drivers will lead to disciplinary action. The Maintenance Manager will review the daily inspections and document the corrective actions taken as a result of any deficiencies identified by the operator. The Maintenance Manager will also periodically conduct vehicle inspections behind the drivers who have completed the vehicle inspections to ensure that the daily vehicle inspections are adequately performed. Once defects MV I ransportation Collier Area Transit 10-1 1bAl2 System Safety Program Plan (SSPP) are noted they will be prioritized and sorted into categories for repairs. Daily inspection records will be retained for a minimum of two weeks. Once a defect is noted on the inspection form and repaired, the documentation will be attached to the work/repair order and filed in the maintenance files. 10.2 Preventive Maintenance A preventative maintenance schedule is implemented to inspect for safety hazards and to maintain vehicles in a manner conforming to safety regulations. MV Transportation or its providers will perform scheduled preventive maintenance on all vehicles at every 5,000-mile interval following the sequence "A"-"A"-"B"-"A"-"A"-"C"-"A"-"A". The "C" inspection will be marked as the required yearly Safety Inspection. When a vehicle is due for an inspection, it will be taken out of service until the inspection is completed. This allows a series of repairs to be carried out while minimizing costs and optimizing the number of operational vehicles. If a vehicle is "down" for an extended period of time due to unavoidable circumstances, preventative maintenance will not be scheduled. However, the annual inspection will be conducted on all vehicles regardless of "up/down" status and/or mileage accrued. The Maintenance Manager will regularly perform Quality Control (QC)/Quality Assurance (QA) checks to ensure that the inspections and repairs, both in-house and contracted providers, are completed and documented properly. Each vehicle will have a written record documenting preventive maintenance, regular maintenance, inspections, lubrication and repairs performed. Such records will be maintained for at least five years and include, at a minimum, the following information: • Identification of the bus, the make, model, and license number or other means of positive identification and ownership • Date, mileage, description, and each type of inspection, maintenance, lubrication, or repair performed • If not owned by MV Transportation, the name of any person furnishing a bus • The name and address of any entity or contractor performing an inspection, maintenance, lubrication, or repair For tracking purposes, a maintenance log will be kept containing vehicle ID, make and type of vehicle, year, model, special equipment, inspections, maintenance and lubrication intervals, and date or mileage when services are due. 10.3 Bus Safety Inspections Safety inspections are part of the maintenance inspections and are performed at least once every year on all buses operated by MV Transportation and contracted service providers. The Maintenance Manager is responsible for ensuring that each individual performing a bus safety inspection is qualified as follows: • Understands the requirements set forth in Rule 14-90 and can identify defective components. • Is knowledgeable of and has mastered the methods, procedures, tools, and equipment used when performing an inspection. • Has at least one year of training and/or experience as a mechanic or inspector in a vehicle maintenance program and has sufficient general knowledge of buses owned and operated by the bus transit system to recognize deficiencies or mechanical defects. A Each bus receiving a safety inspection shall be checked for compliance with the requirements for safety devices and equipment as referenced or specified by Rule 14-90. Specific operable equipment and devices as required by Rule 14-90 include the following as applicable to Type I and II buses: • Horn • Windshield wipers • Mirrors • Wiring and batteries • Service and parking brakes • Warning devices • Directional signals • Hazard warning signals • Lighting systems and signaling devices • Handrails and stanchions • Standee line and warning • Doors and brake interlock devices • Step-wells and flooring • Emergency exits • Tires and wheels • Suspension system • Steering system • Exhaust system • Seat belts • Safety equipment • Equipment for transporting wheelchairs • Working speedometer A safety inspection report will be prepared by the individual(s) performing the inspection and will include the following: • Identification of the individual(s) performing the inspection • Identification of the bus transit system operating the bus • The date of the inspection • Identification of the bus inspected • Identification of the equipment and devices inspected including the identification of equipment and devices found deficient or defective • Identification of corrective action(s) for any deficient or defective items found and date(s) of completion of corrective action(s) Records of annual safety inspections and documentation of any required corrective actions will be retained for a minimum of five years for compliance review. 16Al2 11 .0 Safety Data Acquisition & Analysis Understanding safety data is an important step towards allocating important and scarce resources to implement safety program elements. Safety data relative to transit provider operations can be used to determine safety trends in system operation. The following data will be collected and retained by MV Transportation or its providers on an ongoing basis: • Accident and incident data • Maintenance data including daily vehicle inspection forms • Passenger claims and complaints • Records of crimes and rule violations occurring in and around the transit agency The data will be analyzed by MV Transportation management both qualitatively and quantitatively for safety hazard identification, resolution and risk management purposes. The analysis will be conducted in Microsoft Excel software and will account for frequency, severity, causal factors, and acceptability of occurrences. The analysis results will be useful for identifying necessary actions to minimize safety risks. Analysis of safety data will also help improve system performance, not only in respect to safety, but also in overall delivery of service to the public. In addition, trend analyses of safety data can help determine the effectiveness of safety initiatives that have been implemented. The results of such analysis will be shared with agency staff on an annual basis for awareness and support. MV I ransportation (;oilier Area I ransit 11-1 System Safety Program Plan (SSPP) 12.0 Hazard Identification and Resolution Hazard management is a mechanism by which hazards are identified, analyzed for potential impact on the operating system, and resolved in a manner acceptable to the management and regulatory agencies. MV Transportation hazard management consists of three primary components— hazard identification, hazard categorization, and hazard resolution. 12.1 Hazard Identification By means of safety data acquisition and analysis and coordination with Safety Manager and the General Manager will identify system hazards on an ongoing basis. 12.2 Hazard Categorization Once the key system hazards have been identified, the Safety Manager will categorize the hazards based on severity and probability of occurrence. Hazard severity is a subjective measure of hazard, supported by factual data, and will be categorized as follows— • Catastrophic— Death or system loss • Critical —Severe injury, severe occupational illness, or major system damage • Marginal — Minor injury, minor occupational illness, or minor system damage • Negligible— less than minor injury, occupational illness, or system damage Hazard probability is a subjective measure of likelihood that a specific hazard will occur and will be categorized as follows— • Frequent— Likely to occur frequently • Probable— Likely to occur several times • Occasional— Likely to occur sometime • Remote— Unlikely but possible to occur • Improbable—So unlikely that it can be rejected from consideration 12.3 Hazard Resolution Once the hazards are identified and categorized, subsequent analysis will be undertaken to resolve the issue and minimize risk associated with the identified hazard. A hazard resolution matrix will be developed combining hazard severity and hazard frequency, as shown in the matrix on the following page, to identify the level of acceptance for a specific hazard/risk. MV Transportation Collier Area Transit 12-1 16Al2 System Safety Program Plan (SSPP) Hazard Resolution Catastrophic Critical Marginal Negligible Matrix Frequent Unacceptable Unacceptable Unacceptable Acceptable with reservation Probable Unacceptable Unacceptable Undesirable Acceptable with reservation Occasional Unacceptable Undesirable Undesirable Acceptable Remote Undesirable Undesirable Acceptable with Acceptable reservation Improbable Acceptable with Acceptable with Acceptable with Acceptable reservation reservation reservation The results of the analysis will be shared by the Safety Manager with the General Manager on an ongoing basis to identify appropriate actions. All "unacceptable" hazards must be eliminated and measures will be taken for the remaining risk acceptance categories to minimize risk. The results of such analysis will be shared with agency staff on an annual basis for awareness and support. MV Transportation Collier Area Transit 12-2 System Safety Program Plan (SSPP) 13.0 Event Investigation For the purpose of this SSPP, events are considered accidents or incidents that involve a transit vehicle or take place on MV Transportation's controlled property. An "accident" is an event that causes damage to a vehicle, individual, or property while the vehicle is in motion. It may involve a single vehicle or multiple vehicles. An "incident" is defined as an event that causes damage to a vehicle, individual, or property, which is not an accident. Any event involving a bus or taking place on bus transit system controlled property and resulting in a fatality, injury, or property damage will be investigated by MV Transportation or its subcontractor. All events, included but not limited to the following, will be investigated: • A fatality, where an individual is confirmed dead within 30 days of a bus transit system related event, excluding suicides and deaths from illnesses. • Injuries requiring immediate medical attention away from the scene for two or more individuals. • Property damage to bus transit system buses, non-bus transit system vehicles, other bus system property or facilities, or any other property. MV Transportation will have the discretion to investigate events resulting in property damage less than $1,000. • Evacuation of a bus due to a life safety event where there is imminent danger to passengers on the bus, excluding evacuations due to operational issues. In case of all events, drivers are required to contact the local law enforcement, dispatcher, and emergency medical services (as required) immediately. Supervisors will be sent to the scene depending on the severity of the event at the discretion of the Safety Manager. Each investigation will be documented in a final report that includes a description of the investigation activities, identified causal factors, and any identified corrective action plan. Each corrective action plan will identify the action to be taken by the bus transit system and the schedule for its implementation. The Safety Manager will monitor and track the implementation of each corrective action plan. Investigation reports, corrective action plans, and related supporting documentation will be maintained by the Safety Manager for a minimum of four years from the date of completion of the investigation. MV Transportation Collier Area Transit 13-1 16Al2 System Safety Program Plan (SSPP) 14.0 Medical Exams for Bus Transit System Drivers This section of the SSPP establishes MV Transportation's and its subcontractors medical examination requirements for all applicants for driver positions and for existing drivers. • Medical examination requirements include a pre-employment examination for applicants, an examination at least once every two years for existing drivers, and a return to duty examination for any driver prior to returning to duty after having been off duty for 30 or more days due to an illness, medical condition, or injury. • Medical examinations will be performed and recorded according to MCSA-5875 and 5876, included in Appendix U. • Medical examinations will be performed by a Doctor of Medicine or Osteopathy, Physician Assistant, or Advanced Registered Nurse Practitioner licensed or certified by the State of Florida. If medical examinations are performed by a Physician Assistant or Advanced Registered Nurse Practitioner, they must be performed under the supervision or review of a Doctor of Medicine or Osteopathy. • An ophthalmologist or optometrist licensed by the State of Florida may perform as much of the medical examination as it pertains to visual acuity, field of vision, and color recognition. • Upon completion of the medical examination, the examiner shall complete, sign, and date the medical examination form and maintain the original at his or her office. • Upon completion of the medical examination, the examiner shall complete, sign, and date the medical examination certificate and provide a copy to MV Transportation. • Upon completion of the medical examination the driver shall provide their driver license number, signature, and date on the medical examination certificate. • Completed and signed medical examination certificate for each bus driver, dated within the past 24 months, will be maintained on file by the subcontractor for a minimum of four years from the date of the examination • A copy of the MEC shall be provided to MV by the subcontractor and the expiration date shall be recorded into a tracking database. • MV Transportation will not allow a driver to operate a transit bus without having on file a completed medical examination certificate dated within the past 24 months. MV Transportation Collier Area Transit 14-1 r � r System Safety Program Plan (SSPP) 15.0 Operating and Driving Requirements The Safety Manager is responsible for overall compliance with all operating and driving requirements of the SSPP in accordance with the rule 14-90. It is the responsibility of every MV Transportation employee and subcontractor employee who performs driving and/or operational duties to strictly adhere to the following requirements: • Under no circumstances is a driver allowed to operate a vehicle without having the appropriate and valid driver's license in his or her possession. • Drivers are not permitted to drive a bus when his or her driver license has been suspended, cancelled, or revoked. A driver who receives a notice that his or her license to operate a motor vehicle has been suspended, cancelled, or revoked is required to notify his or her supervisor of the contents of the notice immediately, if possible, otherwise no later than the end of the business day following the day he or she received the notice. Violation of this policy may result in disciplinary actions including suspension or termination of employment. • MV Transportation management will annually check Motor Vehicle Records (MVR) for all drivers for investigating information on license suspensions, revocations, accidents, traffic violations, unpaid summons, etc. MV Transportation management will also check driver license status of each driver utilizing the Florida Department of Highway Safety and Motor Vehicles website (https://www6.hsmv.state.fl.us/DLCheck/main.jsp). • Buses must be operated at all times in compliance with applicable traffic regulations, ordinances, and laws of the jurisdiction in which they are being operated. • Drivers are not permitted to drive more than 12 hours in a 24-hour period, or drive after having been on duty for 16 hours in a 24-hour period. A driver is not permitted to drive until the requirement of a minimum eight consecutive hours of off-duty time has been fulfilled. A driver's work period begins from the time he or she first reports for duty to his or her employer. A driver is permitted to exceed his or her regulated hours in order to reach a regularly established relief or dispatch point, provided the additional driving time does not exceed one hour. • Drivers are not permitted to be on duty more than 72 hours in any period of seven consecutive days; however, any 24 consecutive hours of off duty time shall constitute the end of any such period of seven consecutive days.A driver who has reached the maximum 72 hours of on duty time during the seven consecutive days is required to have a minimum of 24 consecutive hours of off duty time prior to returning to on duty status. • A driver is permitted to drive for more than the regulated hours for the safety and protection of the public when conditions such as adverse weather, disaster, security threat, a road or traffic condition, medical emergency, or an accident occur. • Drivers are not permitted to drive a bus when his or her ability is impaired, or likely to be impaired, by fatigue, illness, or other causes, likely to create an unsafe condition. • Drivers will not report for duty or operate any vehicle while under the influence of alcohol or any other substance, legal or illegal, that may impair driving ability. All employees are required to comply with agency's Substance Abuse Policy. • Drivers are required to conduct daily vehicle inspections and reporting of all defects and deficiencies likely to affect safe operation or cause mechanical malfunctions. MV Transportation Collier Area Transit 15-1 16A1 2 System Safety Program Plan (SSPP) • Drivers are required to immediately report any defect or deficiency that may affect safe operations or cause mechanical malfunctions. Any defect or deficiency found shall be properly documented on a Daily Vehicle Inspection (DVI) form and should be submitted to the Maintenance Manager. • The Maintenance Manager will review daily inspection reports and document corrective actions taken as a result of any deficiencies identified by daily inspections. • A bus with any passenger doors in the open position will not be operated with passengers aboard. The doors will not be opened until the bus is stopped. A bus with any inoperable passenger door will not be operated with passengers aboard, except to move a bus to a safe location. • Drivers will ensure that during darkness, interior lighting and lighting in stepwells on buses shall be sufficient for passengers to enter and exit safely. • Passengers will not be permitted in the stepwells of any bus while the bus is in motion, or to occupy an area forward of the standee line. • Passengers will not be permitted to stand on buses not designed and constructed for that purpose. • Buses will not be refueled in a closed building. The fueling of buses when passengers are being carried will be reduced to the minimum number of times necessary during such transportation. • Drivers are required to be properly secured to the driver's seat with a restraining belt at all times while the bus is in motion. • Buses will not be left unattended with passengers aboard for longer than 15 minutes. The parking or holding brake device will be properly set at any time the bus is left unattended. • Buses will not be left unattended in an unsafe condition with passengers aboard at any time. • Drivers are prohibited from leaving keys in the vehicle for any reason at any time the bus is left unattended. • Transit vehicles will not be used at any time for any unauthorized use, including private pay trips. Noncompliance with these requirements may result in disciplinary actions including suspension or termination of employment. 15.1 Wireless Communication "Wireless communication device" means an electronic or electrical device capable of remote communication. Examples include cell phones, personal digital assistants (PDAs) and portable computers(commonly called laptop computers). "Use of a wireless communication device"means use of a mobile telephone or other electronic or electrical device, hands-on or hands-free, to conduct an oral communication; to place or receive a telephone call; to send or read electronic mail or a text message; to play a game; to navigate the Internet; to play, view, or listen to a video; to play, view, or listen to a television broadcast; to play or listen to music; to execute a computational function, or to perform any other function that is not necessary for the health or safety of the person and that entails the risk of distracting the employee from a safety- MV Transportation Collier Area Transit 15-2 .'h System Safety Program Plan (SSPP) critical task. Use of an electronic or electrical device that enhances the individual's physical ability to perform, such as a hearing aid, is not included in this definition. MV Transportation requires all drivers to fully comply with the following wireless communication policies— Policies on the use of a personal wireless communication device: • The use of a personal wireless communication device is prohibited while the transit vehicle is in motion. • All personal wireless communication devices must be turned off with any earpieces removed from the operator's ear while occupying the driver's seat. • In an emergency, if a driver is unable to use the radio (e.g., driver is separated from the vehicle due to a need to evacuate or the radio is inoperable due to lack of coverage or other malfunction), a personal cellular phone may be used to contact the agency. In such situation the driver must park the vehicle in a safe place off the road and call the direct line to the dispatcher. Policies on the use of a wireless communication device issued to the operator by the bus transit system for business purposes: • Drivers are not permitted to use any wireless communication device issued by the bus transit system while the transit vehicle is in motion except brief radio communications with the dispatcher. If the driver must use the radio for a long duration, he/she must stop the vehicle in a safe place off the road. • Employees are permitted to use wireless communication devices issued by the bus transit system in the following situations - o A driver needing to communicate with the dispatcher and vice-versa. o A driver requesting medical or emergency assistance. o A driver reporting an illegal activity, a traffic accident, a road hazard, or a safety or security threat. MV Transportation requires all employees to follow the radio operating procedures included in MV Transportation training program. MV Transportation Collier Area Transit 15-3 16A1 System Safety Program Plan (SSPP) 16.0 Vehicle Equipment Standards & Procurement Criteria For vehicles that MV Transportation will procure, it will utilize the Transit Research-Inspection- Procurement Services (TRIPS) program, formerly known as the Florida Vehicle Procurement Program (FVPP), and other State Programs strictly adhering to the vehicle equipment standards and procurement criteria specified in 14-90.007. • All buses procured and operated must meet the following minimum standards, as applicable: a. The capability and strength to carry the maximum allowed load and not exceed the manufacturer's gross vehicle weight rating (GVWR), gross axle weighting, or tire rating. b. Structural integrity that mitigates or minimizes the adverse effects of collisions. c. Federal Motor Vehicle Safety Standards (FMVSS), 49 C.F.R. Part 571, Sections 102, 103, 104, 105, 108, 207, 209, 210, 217, 302, 403, and 404, October 1, 2008, hereby incorporated by reference. • Proof of strength and structural integrity tests on new buses procured will be submitted by manufacturers or bus transit systems to the Department. • In addition, every bus operated by the agency will be equipped as follows: o Mirrors. There shall be two exterior rear vision mirrors, one at each side. The mirrors shall be firmly attached to the outside of the bus and so located as to reflect to the driver a view of the highway to the rear along both sides of the vehicle. Each exterior rear vision mirror, on Type I buses shall have a minimum reflective surface of 50 square inches. Neither the mirror nor the mounting shall protrude farther than the widest part of the vehicle body except to the extent necessary to produce a field of view meeting or exceeding the requirements of this section. All Type I buses shall, in addition to the above requirements, be equipped with an inside rear vision mirror capable of giving the driver a clear view of seated and standing passengers. Buses having a passenger exit door that is located inconveniently for the driver's visual control shall be equipped with additional interior mirrors to enable the driver to view the passenger exit door. In lieu of interior mirrors, trailer buses and articulated buses may be equipped with closed circuit video systems or adult monitors in voice control with the driver. o Wiring and Batteries. Electrical wiring shall be maintained so as not to come in contact with moving parts, heated surfaces, or be subject to chafing or abrasion which may cause insulation to become worn. Every Type I bus manufactured on or after February 7, 1988, shall be equipped with a storage battery electrical power main disconnect switch. The disconnect switch shall be practicably located in an accessible location adjacent to or near to the battery and be legibly and permanently marked for identification. Every storage battery on a public-sector bus shall be mounted with proper retainment devices in a compartment which provides adequate ventilation and drainage. o Brake Interlock Systems. All Type I buses having a rear exit door shall be equipped with a rear exit door/brake interlock that automatically applies the brake upon driver activation of the rear exit door to the open position. Brake interlock MV Transportation Collier Area Transit 16-1 System Safety Program Plan (SSPP) application shall remain activated until deactivated by the driver and the rear exit door returns to the closed position. The rear exit door brake interlock on such buses shall be equipped with an identified override switch enabling emergency release of the brake interlock function. The override switch-shall not be located within reach of the seated driver. Air pressure application to the brake during brake interlock operation, on buses equipped with rear exit door/brake interlock, shall be regulated at the equipment's original manufacturer's specifications. o Standee Line and Warning. Every bus designed and constructed to allow standees shall be plainly marked with a line of contrasting color at least two inches wide, or be equipped with some other means to indicate that all passengers are prohibited from occupying a space forward of a perpendicular plane drawn through the rear of the driver's seat and perpendicular to the longitudinal axis of the bus. A sign shall be posted at or near the front of the bus stating that it is a violation for a bus to be operated with passengers occupying an area forward of the line. o Handrails and Stanchions. Every bus designed and constructed to allow standees shall be equipped with overhead handrails for standee passengers. Overhead handrails shall be continuous, except for a gap at the rear exit door, and terminate into vertical stanchions or turn up into a ceiling fastener. Every Type I and Type II bus designed for carrying more than 16 passengers shall be equipped with handrails, stanchions, or bars at least 10 inches long and installed to permit safe on-board circulation, seating and standing assistance, and boarding and alighting by elderly and handicapped persons. Type I buses shall be equipped with a safety bar and panel directly behind each entry and exit step well. o Flooring, Steps, and Thresholds. Flooring, steps, and thresholds on all buses shall have slip resistant surfaces without protruding or sharp edges, lips, or overhangs, in order to prevent tripping hazards. All step edges and thresholds shall have a band of color(s) running the full width of the step or edge which contrasts with the step tread and riser, either light-on-dark or dark-on-light. o Doors. Power activated doors on all buses shall be equipped with a manual device designed to release door closing pressure. o Emergency Exits. All buses shall have an emergency exit door, or in lieu thereof, shall be provided with emergency escape push-out windows. Each emergency escape window shall be in the form of a parallelogram with dimensions not less than 18" by 24", and each shall contain an area of not less than 432 square inches. There shall be a sufficient number of push-out or kick-out windows in each vehicle to provide a total escape area equivalent to 67 square inches per seat, including the driver's seat. No less than 40% of the total escape area shall be on one side of the vehicle. Emergency escape kick-out or push-out windows and emergency exit doors shall be conspicuously marked with a sign or light and shall always be kept in good working order so that they may be readily opened in an emergency. All such windows and doors shall not be obstructed either inside or outside so as to hinder escape. Buses equipped with an auxiliary door for emergency exit shall be equipped with an audible alarm and light indicating to the driver when a door is ajar or opened while the engine is running. Supplemental security locks operable by a key are prohibited on emergency exit doors unless these security locks are equipped and connected with an ignition interlock MV Transportation Collier Area Transit 16-2 I6AI2 System Safety Program Plan (SSPP) System or an audio-visual alarm located in the driver's compartment. Any supplemental security lock system used on emergency exits shall be kept unlocked whenever a bus is in operation. o Tires and Wheels. Tires shall be properly inflated in accordance with manufacturer's recommendations. i. No bus shall be operated with a tread groove pattern depth: 1. Less than 4/32 (1/8)of an inch, measured at any point on a major tread groove for tires on the steering axle of all buses. The measurements shall not be made where tie bars, humps, or fillets are located. 2. Less than 2/32 (1/16) of an inch, measured at any point on a major tread groove for all other tires of all buses. The measurements shall not be made where tie bars, humps, or fillets are located. ii. No bus shall be operated with recapped, regrooved, or retreaded tires on the steering axle. iii. Wheels shall be visibly free from cracks and distortions and shall not have missing, cracked, or broken mounting lugs. o Suspension. The suspension system of all buses, including springs, air bags, and all other suspension parts, shall be free from cracks, leaks, or any other defect which may cause its impairment or failure to function properly. o Steering and Front Axle. The steering system of all buses shall have no indication of leaks which would or may cause its impairment to function properly, and shall be free from cracks and excessive wear of components that may cause excessive free play or loose motion in the steering system or above normal effort in steering control. o Seat Belts. Every bus shall be equipped with an adjustable driver's restraining belt in compliance with the requirements of FMVSS 209, "Seat Belt Assemblies" 49 C.F.R. 571.209 October 1, 2008, and FMVSS 210, "Seat Belt Assembly Anchorages" 49 C. F. R. 571.210 October 1,2008, hereby incorporated by reference. o Safety Equipment. Every bus shall be equipped with one fully charged dry chemical or carbon dioxide fire extinguisher, having at least a 1A:BC rating and bearing the label of Underwriter's Laboratory, Inc. The fire extinguishers shall be maintained as follows: i. Each fire extinguisher shall be securely mounted on the bus in a conspicuous place or a clearly marked compartment and be readily accessible. ii. Each fire extinguisher shall be maintained in efficient operating condition and equipped with some means of determining if it is fully charged. iii. Every Type I bus shall be equipped with portable red reflector warning devices in compliance with Section 316.300, Florida Statutes. o Persons with Disabilities. Buses used for the purpose of transporting individuals with disabilities shall meet the requirements set forth in 49 C.F.R. Part 38, October 1, 2008, hereby incorporated by reference, as well as the following: i. Installation of a wheelchair lift or ramp shall not cause the manufacturer's GVWR, gross axle weight rating, or tire rating to be exceeded. MV Transportation Collier Area Transit 16-3 System Safety Program Plan (SSPP) ii. Except in locations within 3 1/2 inches of the bus floor, all readily accessible exposed edges or other hazardous protrusions of parts of wheelchair lift assemblies or ramps that are located in the passenger compartment shall be padded with energy absorbing material to mitigate injury in normal use and in case of a collision. This requirement shall also apply to parts of the bus associated with the operation of the lift or ramp. iii. The controls for operating the lift shall be at a location where the bus driver or lift attendant has a full view, unobstructed by passengers, of the lift platform, its entrance and exit, and the wheelchair passenger, either directly or with partial assistance of mirrors. Lifts located entirely to the rear of the driver's seat shall not be operable from the driver's seat, but shall have an override control at the driver's position that can be activated to prevent the lift from being operated by the other controls (except for emergency manual operation upon power failure). iv. The installation of the wheelchair lift or ramp and its controls and the method of attachment in the bus body or chassis shall not diminish the structural integrity of the bus nor cause a hazardous imbalance of the bus. No part of the assembly, when installed and stowed, shall extend laterally beyond the normal side contour of the bus or vertically beyond the lowest part of the rim of the wheel closest to the lift. v. Each wheelchair lift or ramp assembly shall be legibly and permanently marked by the manufacturer or installer with the following information: 1. The manufacturer's name and address. 2. The month and year of manufacture. 3. A certificate that the wheelchair lift or ramp securement devices, and their installation, conform to State of Florida requirements applicable to accessible buses. o Wheelchairs. Wheelchair lifts, ramps, securement devices, and restraints shall be inspected and maintained as required by this rule chapter. Instructions for normal and emergency operation of the lift or ramp shall be carried or displayed in every bus. MV I ransportation Collier Area I ransit 16-4 16Al2 System Safety Program Plan (SSPP) 17.0 Internal and External Safety Audits The Safety Manager is responsible for conducting announced and unannounced internal safety audits of MV Transportation units and contract operators. Annual internal safety audits will be conducted starting November 1 of each calendar year and ending prior to the end of the same calendar year utilizing the internal audit checklist included in Appendix G. The annual audit results will be documented by the Safety Manager in a report containing the following: • Identification of the findings, including a detailed description of any deficiency. • Required corrective action and a schedule for implementation of the corrective action to be taken for each deficiency. • Any required suspension of bus transit system service should MV Transportation determine the continued operation of the service, or a portion thereof, poses an immediate danger to public safety. In addition, announced and unannounced periodic internal audits will be conducted by the Safety Manager to ensure compliance with all of the objectives and requirements of SSPP and Rule 14- 90. Safety audits of vehicles and records will be conducted on random basis. Facility inspection will be conducted once every month to identify and resolve potential safety and security hazards. The General Manager will regularly perform Quality Control (QC)/Quality Assurance (QA) checks to ensure that safety compliance, both in-house and contracted, is achieved at all times. Contractors/subcontractors are subject to audits and inspections on an announced or unannounced basis at the discretion of MV Transportation management. MV Transportation, or its contractor, will conduct safety and security reviews of contract service operators, at least once every three years, to ascertain compliance with the provisions of Rule 14-90. MV Transportation management will work closely with regulatory agencies (FDOT, FTA, etc.) when external audit notifications are received and allocate resources, as necessary, to facilitate the audits. MV Transportation Collier Area Transit 17-1 System Safety Program Plan (SSPP) 18.0 Certification The General Manager will submit an annual safety and security certification to the FDOT utilizing the self-certification form included in Appendix H. The certification will be submitted no later than February 15, for the prior calendar year period unless otherwise required by FDOT. The certification will attest to the following: • The adoption of an SSPP and an SPP in accordance with established standards set forth in Rule 14-90. • Compliance with the adopted SSPP and SPP. • Performance of safety inspections on all buses operated by the system in accordance with Rule 14-90. • Reviews of the SSPP and SPP have been conducted to ensure they are up to date. The certification will also include: • The name and address of MV Transportation, and the name and address of the entity(ies) who performed bus safety inspections and security assessments during the prior calendar year, if different from MV Transportation. • A statement signed by General Manager/signatory authority responsible for the management of MV Transportation attesting to compliance with Rule 14-90. MV I ransportation Collier Area Transit 18-1 l6A ! 2 System Safety Program Plan (SSPP) 19.0 Appendices • Appendix A: Rule Chapter 14-90, F.A.C. • Appendix B: Qualification Policy • Appendix C: Qualification Process Workflow- Fully Qualified Model • Appendix D: FMCSA DOT Disclosure and Authorization • Appendix E: FTA DOT Disclosure and Authorization • Appendix F: MV Transportation Disclosure and Authorization Forms • Appendix G: NAPLES Current Paratransit Training Syllabus • Appendix H: NAPLES Current Fixed Route Training Syllabus • Appendix I: NAPLES Staff Syllabus • Appendix J: New Driver Hires Assessment • Appendix K: Radio Operating Procedures • Appendix L: Driver Refresher Training • Appendix M: Safety Calendar • Appendix N: General Safety Guidelines • Appendix 0: Record Retention • Appendix P: Substance Abuse Policy • Appendix Q: Maintenance Plan • Appendix R: Preventative Maintenance Guidelines • Appendix S: Hazardous Communication Plan • Appendix T: Incident Accident Reporting • Appendix U: Medical Examination Form MCSA 5875 & 5876 • Appendix V: FL Wireless Communication • Appendix W: Annual Review of Driving Records - Drivers • Appendix X: Annual DOT Driving Record Review Form • Appendix Y: S-10 Compliance with Regulations • Appendix Z: SambaSafety DRM State Support MatriX • Appendix AA: Internal Safety Audit Checklist • Appendix AB: Bus Transit System Annual Safety and Security Certification Form • Appendix AC: SSPP Addendums (placeholder for future updates) • Appendix AD: Text Formatting Palette MV Transportation Collier Area Transit 19-1 System Safety Program Plan (SSPP) Appendix A Rule Chapter 14-90, F.A.C. 16Al2 CHAPTER 14-90 EQUIPMENT AND OPERATIONAL SAFETY STANDARDS FOR BUS TRANSIT SYSTEMS 14-90.002 Definitions 14-90.004 Bus Transit System Operational Standards 14-90.0041 Medical Examinations for Bus Transit System Drivers 14-90.006 Operational and Driving Requirements 14-90.007 Vehicle Equipment Standards and Procurement Criteria 14-90.009 Bus Safety Inspections 14-90.010 Certification 14-90.012 Safety and Security Inspections and Reviews 14-90.002 Definitions. Terms used in this rule chapter shall mean as defined in Section 341.031,F.S.,in addition: (1)"Bus"means any motor vehicle,other than a taxicab,which is designed or constructed for the public transport of persons for compensation and is owned,operated,leased,or controlled by a bus transit system.Buses are designated in two categories: (a)Type I means over 22 feet in length,including bumpers. (b) Type II means 22 feet or less in length,including bumpers and paratransit type vehicles,such as minibuses,standard vans, modified vans,station wagons,and sedans. (2) "Bus Transit System" means a community transportation coordinator; a public transit provider; or a private contract transit provider which owns, operates, leases, or controls buses or taxicabs where such transportation consists of continuous or recurring transportation under the same contract; or a privately owned or operated transit provider that receives operational or capital funding from the Department and owns, operates, leases, or controls buses, other than nonpublic sector buses that provides transportation services available for use by the general riding public. (3)"Community Transportation Coordinator"means a provider of transportation services or an entity that ensures such services are provided by another bus transit system. (4)"Department"means the Florida Department of Transportation. (5)"Drive"or"Operate"means all time spent at the controls of a bus in operation. (6)"Driver"means any person trained and designated to drive a bus on a street or highway being used for the public transport of persons for compensation. (7)"FMVSS"means the Federal Motor Vehicle Safety Standards in effect at the time the bus or component is manufactured. (8) "For Compensation" means for money, property, or anything else of value whether paid, received,or realized, directly or indirectly. (9) "Manufacturer"means the original producer of the chassis,the producer of any type of bus,or the producer of equipment installed on any bus for the purpose of transporting individuals with disabilities. (10) "Off-Duty" means any time the driver is not on duty, required to be in readiness to work,or under any responsibility to perform work.Such time shall not be counted towards the maximum allowed on-duty hours within a 24-hour period. (11) "On Duty" means the status of the driver from the time he or she begins work, or is required to be in readiness to work, until the time the driver is relieved from work and all responsibility for performing work. "On Duty" includes all time spent by the driver as follows: (a) Waiting to be dispatched at bus transit system terminals,facilities,or other private or public property,unless the driver has been completely relieved from duty by the bus transit system. (b)Inspecting,servicing,or conditioning any vehicle. (c)Driving. (d)Remaining in readiness to operate a vehicle(stand-by). (e)Repairing,obtaining assistance,or remaining in attendance in or about a disabled vehicle. (12)"Passenger"means a person who is on board,boarding,or alighting from a bus for the purposes of public transport. (13) "Paratransit" means those elements of public transit which provide service between specific origins and destinations selected by the individual user with such service being provided at a time that is agreed upon by the user and the provider of the service. Paratransit service is provided by taxis, limousines, "dial-a-ride" buses, and other demand-responsive operations that are characterized by their nonscheduled,non-fixed route nature. (14) "Safe Condition" means a condition where hazards are reduced to the lowest level feasible and substantial compliance exists with all safety rules,regulations,and requirements. (15) "Safety Review"means an on-site assessment to determine if a bus transit system has adequate safety management controls in place and functioning in accordance with the safety standards provided and incorporated by reference in this rule chapter. (16) "Security" means freedom from harm resulting from intentional acts against passengers, employees, equipment, and facilities. (17) "Security Program Plan" or "SPP" means a document developed and adopted by the bus transit system detailing its policies,objectives,responsibilities,and procedures for the protection and defense of the system and persons from intentional acts of harm. (18) "Security Review" means an on-site assessment to determine if a bus transit system has security management controls in place and functioning in accordance with the security requirements provided in this rule chapter. (19) "System Safety Program Plan"or"SSPP"means a document developed and adopted by the bus transit system detailing its policies,objectives,responsibilities,and procedures against injuries or damage. (20) "Taxicab" means any motor vehicle of nine passenger capacity or less, including the driver, engaged in the general transportation of persons for compensation, not on a regular schedule, between fixed termini, or over regular routes, where such vehicle does not provide transportation services as a result of a contractual agreement with a bus transit system. (21) "Trailer Bus"means a trailing or towed vehicle designed or used for the transportation of more than 10 persons,e.g.,tram buses. (22)"Twenty-four Hour Period"or"24-Hour Period"means the consecutive time beginning at 12:00.01 a.m.to 12:00.00 a.m. (23)"Unsafe Condition"means anything which endangers human life or property. (24) "Personal wireless communications device" means an electronic or electrical device that was not provided by the bus transit system for business purposes. (25)"Use of a wireless communications device"means use of a mobile telephone or other electronic or electrical device,hands- on or hands-free, to conduct an oral communication; to place or receive a telephone call; to send or read electronic mail or a text message;to play a game;to navigate the Internet;to play,view,or listen to a video;to play,view,or listen to a television broadcast; to play or listen to music; or to execute a computational function. Use of an electronic or electrical device that enhances the individual's physical ability to perform,such as a hearing aid,is not included in this definition. (26) "Wireless communications device"means an electronic or electrical device capable of remote communication.Examples include cell phones,personal digital assistants(PDAs)and portable computers(commonly called laptop computers). Rulemaking Authority 334.044(2), 341.061(2), 341.041(3), 341.031 FS. Law Implemented 341.041(3), 341.061(2) FS. History—New 9-7-87, Amended 11-10-92,8-7-05,9-16-10. 14-90.004 Bus Transit System Operational Standards. (1) Each bus transit system shall develop and adopt an SSPP that complies with or exceeds the established safety standards set forth in this rule chapter. (a)The SSPP shall address the following safety elements and requirements: 1. Safety policies and responsibilities. 2. Vehicle and equipment standards and procurement criteria. 3.Operational standards and procedures. 4.Bus driver and employee selection. 5.Driving requirements. 6. Bus driver and employee training. As part of the driver training program, specific procedures, and training shall be implemented to instruct the driver on how to safely approach and depart from a transit bus stop to avoid contact with pedestians and other hazards. 7.Vehicle maintenance. 8.Investigations of events described under subsection 14-90.004(5),F.A.C. 9.Hazard identification and resolution. 16Al2 10.Equipment for transporting wheelchairs. 11. Safety data acquisition and analysis. 12. A wireless communication plan and procedure that provides for the safe operation of the bus transit vehicle. The wireless communication plan and procedure shall assure that: a. The use of a personal wireless communication device is prohibited while the transit vehicle is in motion,and b. All personal wireless communications devices are turned off with any earpieces removed from the operator's ear while occupying the driver's seat. 13. A policy on the use of a wireless communications device issued to the operator by the bus transit system for business related purposes. Policies developed shall assure that: a.Guidelines are developed that allow for the use of a wireless communications device in emergency situations,and b. The use of a wireless communications device does not interfere with the operator's safety related duties. 14.The Bus Transit System shall develop a driver educational training program addressing: a. The proper use of a wireless communications device issued to the operator by the Bus Transit System while in the performance of their safety related duties,and b.The hazards associated with driving and utilizing a wireless communications device. 15. Safety standards for private contract bus transit system(s)that provide(s)continuous or recurring transportation services for compensation as a result of a contractual agreement with the bus transit system. (b)Each bus transit system shall implement and comply with the SSPP during the operation of the system. (c) Each bus transit system shall require that all operable transit buses be inspected at least once per year in accordance with established standards. (d)Each bus transit system shall submit an annual safety certification to the Department verifying the following: 1. Adoption of an SSPP,which meets or exceeds the established standards set forth in this rule chapter. 2. Compliance with its adopted SSPP and that safety inspections have been performed at least once a year on all buses operated by the bus transit system,by persons meeting the requirements set forth in Rule 14-90.009,F.A.C. (e) Bus transit systems shall immediately suspend affected system service operations if,at any time,continued operation of the system,or a portion thereof,poses an immediate danger to public safety. (2)Each bus transit system shall develop and adopt an SPP that meets or exceeds the security requirements set forth in this rule chapter.The SPP shall be adopted separately from the SSPP. (a)The SPP shall address the following security requirements: 1. Security policies,goals,and objectives. 2.Organization,roles,and responsibilities. 3.Emergency management processes and procedures for mitigation,preparedness,response,and recovery. 4.Procedures for investigation of events described under subsection 14-90.004(5),F.A.C. 5.Procedures for the establishment of interfaces with emergency response organizations. 6.Procedures for interagency coordination with local law enforcement jurisdictions. 7.Employee security and threat awareness training programs. 8. Security data acquisition and analysis. 9.Emergency preparedness drills and exercises. 10. Requirements for private contract transit providers that engage in continuous or recurring transportation services for compensation as a result of a contractual agreement with the bus transit system. 11.Procedures for SPP maintenance and distribution. (b)Each bus transit system shall implement and comply with the SPP during the operation of the system. (c)Bus transit systems that engage in a contract with a private contract transit provider shall: 1.Establish minimum security requirements which apply to private contract transit providers. 2.Monitor and assure that each private contract transit provider complies with established security requirements during the term of the contract. (d)Bus transit systems are prohibited by Section 119.071(3)(a),F.S.,from publicly disclosing the SPP or the security portion of the SSPP,as applicable,under any circumstance. (3) Bus transit systems shall establish criteria and procedures for the selection, qualification, and training of all drivers. The t . i { b, " ., criteria shall include the following: (a)Driver qualifications and background checks meeting minimum hiring standards. (b)Driving and criminal background checks for all new drivers. (c)Verification and documentation of valid driver licenses for all employees who drive buses. (d) Training and testing to demonstrate and ensure adequate skills and capabilities to safely operate each type of bus or bus combination before driving on a street or highway unsupervised. As a minimum requirement, drivers shall be given explicit instructional and procedural training and testing in the following areas: 1.Bus transit system safety and operational policies and procedures. 2. Operational bus and equipment inspections. 3.Bus equipment familiarization. 4.Basic operations and maneuvering. 5.Boarding and alighting passengers. 6.Operation of wheelchair lifts and other special equipment. 7.Defensive driving. 8.Passenger assistance and securement. 9.Handling of emergencies and security threats. 10. Security and threat awareness. 11.Driving conditions. (e) Bus transit systems shall provide written operational and safety procedures to all bus drivers before driving on streets or highways unsupervised.At a minimum,these procedures and instructions shall address the following: 1. Communication and handling of unsafe conditions,security threats,and emergencies. 2.Familiarization and operation of safety and emergency equipment,wheelchair lift equipment,and restraining devices. 3.Application and compliance with all applicable federal and state laws,rules,and regulations. (f) The provisions in paragraphs (d) and (e), above, shall not apply to personnel licensed and authorized by the bus transit system to drive,move, or road test a bus in order to perform repairs or maintenance services when it has been determined that such temporary operation does not create unsafe operating conditions or create a hazard to public safety. (g)Bus transit systems shall maintain the following records for at least four years: 1. Records of bus driver background checks and qualifications. 2.Detailed descriptions of training administered and completed by each bus driver. 3. A record of each bus driver's duty status which shall include total days worked, on-duty hours, driving hours, and time of reporting on and off duty each day. (h) Each bus transit system shall establish a drug-free workplace policy statement in accordance with 49 C.F.R. Part 32 and a substance abuse management and testing program in accordance with 49 C.F.R. Parts 40 and 655, October 1, 2009, hereby incorporated by reference. (i) Bus transit systems shall require that drivers write and submit a daily bus inspection report pursuant to Rule 14-90.006, F.A.C. (4)Bus transit systems shall establish a maintenance plan and procedures for preventative and routine maintenance for all buses operated.The maintenance plan and procedures shall assure that: (a) All buses operated,and all parts and accessories on such buses,including those specified in Rule 14-90.007,F.A.C.,and any additional parts and accessories which may affect safety of operation, including frame and frame assemblies, suspension systems, axles and attaching parts, wheels and rims, and steering systems, are regularly and systematically inspected, maintained, and lubricated to standards that meet or exceed the bus manufacturer's recommendations and requirements. (b) A recording and tracking system is established for the types of inspections, maintenance, and lubrication intervals documenting the date or mileage when these services are due.Required maintenance inspections shall be more comprehensive than daily inspections performed by the driver. (c) Proper preventive maintenance is performed when a bus is assigned away from the system's regular maintenance facility or when maintenance services are performed under contract. (d) Records are maintained and provide written documentation of preventive maintenance, regular maintenance, inspections, lubrication,and repairs performed for each bus under their control. Such records shall be maintained by the bus transit system for at 16Al2 least four years and,at a minimum,provide the following information: 1. Identification of the bus,the make,model,and license number,or other means of positive identification and ownership. 2.Date,mileage,description,and each type of inspection,maintenance,lubrication,or repair performed. 3.If not owned by the bus transit system,the name of any person furnishing a bus. 4.The name and address of any entity or contractor performing an inspection,maintenance,lubrication,or repair. (5)Each bus transit system shall investigate,or cause to be investigated,any event involving a bus or taking place on bus transit system controlled property resulting in a fatality,injury,or property damage as follows: (a)A fatality,where an individual is confirmed dead within 30 days of a bus transit system related event,excluding suicides and deaths from illnesses. (b)Injuries requiring immediate medical attention away from the scene for two or more individuals. (c) Property damage to bus transit system buses, non-bus transit system vehicles,other bus system property or facilities,or any other property.The bus transit system shall have the discretion to investigate events resulting in property damage less than$1,000. (d) Evacuation of a bus due to a life safety event where there is imminent danger to passengers on the bus, excluding evacuations due to operational issues. (6) Each investigation shall be documented in a final report that includes a description of investigation activities, identified causal factors,and any identified corrective action plan. (a) Each corrective action plan shall identify the action to be taken by the bus transit system and the schedule for its implementation. (b)The bus transit system shall monitor and track the implementation of each corrective action plan. (7) Investigation reports, corrective action plans, and related supporting documentation shall be maintained by the bus transit system for a minimum of four years from the date of completion of the investigation. Rulemaking Authority 334.044(2), 341.061(1)(a) FS. Law Implemented 119.071, 341.041(3), 341.061(1)(b), 341.061(2)(a)FS. History—New 9-7- 87,Amended 11-10-92,8-7-05,6-24-08,9-16-10. 14-90.0041 Medical Examinations for Bus Transit System Drivers. (1) Bus transit systems shall establish medical examination requirements for all applicants to driver positions and for existing drivers. The medical examination requirements shall include a pre-employment examination for applicants, an examination at least once every two years for existing drivers,and a return to duty examination for any driver prior to returning to duty after having been off duty for 30 or more days due to an illness,medical condition,or injury. (2) Medical examinations shall be performed and recorded according to qualification standards adopted by the bus transit system, provided the medical examination qualification standards adopted by the bus transit system meet or exceed those provided in Department Form Number 725-030-11, Medical Examination Report for Bus Transit System Driver, Rev. 05/09, hereby incorporated by reference. Copies of Form Number 725-030-11 are available from the Florida Department of Transportation,Public Transit Office,605 Suwannee Street,Mail Station 26,Tallahassee,Florida 32399-0450 or on-line at www.dot.state.fl.us/transit. (3) Medical examinations shall be performed by a Doctor of Medicine or Osteopathy, Physician Assistant, or Advanced Registered Nurse Practitioner licensed or certified by the State of Florida. If medical examinations are performed by a Physician Assistant or Advanced Registered Nurse Practitioner, they must be performed under the supervision or review of a Doctor of Medicine or Osteopathy. (a) An ophthalmologist or optometrist licensed by the State of Florida may perform as much of the medical examination as pertains to visual acuity,field of vision,and color recognition. (b) Upon completion of the medical examination,the medical examiner shall complete, sign,and date the medical examination form and maintain the original at his or her office. (c) Upon completion of the medical examination, the examiner shall complete, sign, and date the medical examination certificate and provide a copy to the driver's employer.If the transit agency decides to adopt qualification standards other than those listed in Department form 725-030-11, the adopted standard's medical examination certificate or a signed letter from the medical examiner attesting to the completion of a medical examination shall be given to the transit agency in lieu of the Department's medical examination certificate.The adopted standards medical certification or letter must provide all of the information required on the Department's medical examination certificate. • f. (d)Upon completion of the medical examination the driver shall provide their driver license number, signature, and date on the medical examination certificate. (4) Bus transit systems shall have on file a completed and signed medical examination certificate or a signed letter from the medical examiner attesting to the completion of a medical examination for each bus driver,dated within the past 24 months (a) Medical examination certificates or a signed letter from the medical examiner attesting to the completion of a medical examination of the employee bus drivers shall be maintained by the bus transit system for a minimum of four years from the date of the examination. (b)Bus Transit Systems shall not allow a driver to operate a transit bus without having on file a completed medical examination certificate or a signed letter from the medical examiner attesting to the completion of a medical examination dated within the past 24 months. Rulemaking Authority 334.044(2), 341.061(1)(a)FS. Law Implemented 334.044(12), 341.041(3), 341.061(1)(a), (b), (2)FS. History—New 11-10- 92,Amended 8-7-05,6-24-08,9-16-10. 14-90.006 Operational and Driving Requirements. (1) Bus transit systems shall not permit a driver to drive a bus when such driver's license has been suspended, cancelled, or revoked. Bus transit systems shall require a driver who receives a notice that his or her license to operate a motor vehicle has been suspended,cancelled,or revoked to notify his or her employer of the contents of the notice immediately,no later than the end of the business day following the day he or she received the notice. (2)Buses shall be operated at all times in compliance with applicable traffic regulations,ordinances,and laws of the jurisdiction in which they are being operated. (3) A driver shall not be permitted or required to drive more than 12 hours in a 24-hour period, or drive after having been on duty for 16 hours in a 24-hour period.A driver shall not be permitted to drive until the requirement of a minimum eight consecutive hours of off-duty time has been fulfilled. A driver's work period shall begin from the time he or she first reports for duty to his or her employer. A driver is permitted to exceed his or her regulated hours in order to reach a regularly established relief or dispatch point,provided the additional driving time does not exceed one hour. (4) To ensure uniform interpretation of subsections 14-90.002(10),(11),(22),and 14-90.006(3),F.A.C.,the following practical applications are provided: (a)A driver is required to drive from 4 a.m.—8 a.m.,off-duty from 8 a.m.—3 p.m.,then required to drive from 3 p.m.— 11 p.m. Driving hours and on-duty hours are the same. 4 hours + 8 hours = 12 hours driving. This driver has met the maximum allowed driving hours within a 24-hour period and cannot be permitted or required to drive until a minimum eight consecutive hours off-duty has been fulfilled.This driver cannot be permitted or allowed to drive before 7 a.m. (b) A driver is required to drive from 4 a.m. —8 a.m., off-duty from 8 a.m. — 11 a.m.,then required to be on-duty, not driving, from 11 a.m.— 11 p.m.Driving hours=4 hours and on-duty not driving hours= 12 hours for a total of 16 hours on-duty.This driver has met the maximum allowed on-duty hours within a 24-hour period and cannot be permitted or required to drive until a minimum eight consecutive hours off-duty has been fulfilled.This driver cannot be permitted or allowed to drive before 7 a.m. (c) A driver is required to be on-duty, not driving, from 4 a.m. — 8 a.m., off-duty from 8 a.m. — 11 a.m., then on-duty, not driving from 11 a.m.— 11 p.m. On-duty not driving hours=4 hours+ 12 hours for a total of 16 hours on-duty. This driver has met the maximum allowed on-duty hours within a 24-hour period and cannot be permitted or required to drive until a minimum eight consecutive hours off-duty has been fulfilled.The driver cannot be permitted or allowed to drive before 7 a.m. (d) A driver is required to be on-duty, not driving, from 4 a.m. — 8 a.m., then off-duty from 8 a.m. — 11 a.m., then on-duty, driving from 11 a.m.— 11 p.m.On-duty,not driving hours=4 hours and on-duty driving hours= 12 hours for a total of 16 hours on- duty. This driver has met the maximum allowed driving and on-duty hours within a 24-hour period and cannot be permitted or required to drive until a minimum eight consecutive hours off-duty has been fulfilled. This driver cannot be permitted or allowed to drive before 7 a.m. (5) A driver shall not be permitted or required to be on duty more than 72 hours in any period of seven consecutive days; however, any 24 consecutive hours of off duty time shall constitute the end of any such period of seven consecutive days. A driver who has reached the maximum 72 hours of on duty time during the seven consecutive days shall be required to have a minimum of 24 consecutive hours off duty prior to returning to on duty status. (6) A driver is permitted to drive for more than the regulated hours for the safety and protection of the public when conditions 16Al2 such as adverse weather,disaster,security threat,a road or traffic condition,medical emergency,or an accident occur. (7) Bus transit systems shall not permit or require any driver to drive a bus when his or her ability is impaired, or likely to be impaired,by fatigue,illness,or other causes,likely to create an unsafe condition. (8) Bus transit systems shall require pre-operational or daily inspection and reporting of all defects and deficiencies likely to affect safe operation or cause mechanical malfunctions. (a)An inspection or test shall be made of the following parts and devices to ascertain that they are in safe condition and in good working order: 1. Service brakes. 2.Parking brakes. 3.Tires and wheels. 4. Steering. 5.Horn. 6.Lighting devices. 7. Windshield wipers. 8.Rear vision mirrors. 9.Passenger doors. 10.Exhaust system. 11.Equipment for transporting wheelchairs. 12. Safety,security,and emergency equipment. (b) Bus transit systems shall review daily inspection reports and document corrective actions taken as a result of any deficiencies identified by daily inspections. (c) Bus transit systems shall retain records of daily bus inspections and any corrective action documentation a minimum of two weeks. (9) A bus with any passenger door in the open position shall not be operated with passengers aboard. The doors shall not be opened until the bus is stopped. A bus with any inoperable passenger door shall not be operated with passengers aboard, except to move a bus to a safe location. (10) During darkness, interior lighting and lighting in stepwells on buses shall be sufficient for passengers to enter and exit safely. (11)Passengers shall not be permitted in the stepwells of any bus while the bus is in motion,or to occupy an area forward of the standee line. (12)Passengers shall not be permitted to stand on buses not designed and constructed for that purpose. (13)Buses shall not be refueled in a closed building.The fueling of buses when passengers are being carried shall be reduced to the minimum number of times necessary during such transportation. (14) Bus transit systems shall require the driver to be properly secured to the driver's seat with a restraining belt at all times while the bus is in motion. (15) Buses shall not be left unattended with passengers aboard for longer than 15 minutes.The parking or holding brake device shall be properly set at any time the bus is left unattended. (16)Buses shall not be left unattended in an unsafe condition with passengers aboard at any time. Rulemaking Authority 334.044(2),341.041(3), 341.061(2)(a)FS.Law Implemented 341.061(2)FS.History—New 9-7-87,Amended 5-31-89, 11-10- 92,8-7-05, 6-24-08,9-16-10. 14-90.007 Vehicle Equipment Standards and Procurement Criteria. (1)Every bus transit system shall ensure that buses procured and operated meet the following minimum standards: (a) The capability and strength to carry the maximum allowed load and not exceed the manufacturer's gross vehicle weight rating(GVWR),gross axle weighting,or tire rating. (b) Structural integrity that mitigates or minimizes the adverse effects of collisions. (c) Federal Motor Vehicle Safety Standards (FMVSS), 49 C.F.R. Part 571, Sections 102, 103, 104, 105, 108, 207, 209, 210, 217,302,403,and 404,Rev. 10/09,hereby incorporated by reference. (2) Proof of strength and structural integrity tests on new buses procured shall be submitted by manufacturers or bus transit y. k aM systems to the Department. (3)In addition to the above,every bus operated in this state shall be equipped as follows: (a) Mirrors. There shall be two exterior rear vision mirrors,one at each side. The mirrors shall be firmly attached to the outside of the bus and located as to reflect to the driver a view of the highway to the rear along both sides of the vehicle.Each exterior rear vision mirror, on Type I buses, shall have a minimum reflective surface of 50 square inches. Neither the mirror nor the mounting shall protrude farther than the widest part of the vehicle body except to the extent necessary to produce a field of view meeting or exceeding the requirements of this section. All Type I buses shall,in addition to the above requirements,be equipped with an inside rear vision mirror capable of giving the driver a clear view of seated and standing passengers. Buses having a passenger exit door that is located inconveniently for the driver's visual control shall be equipped with additional interior mirrors to enable the driver to view the passenger exit door.In lieu of interior mirrors,trailer buses and articulated buses may be equipped with closed circuit video systems or adult monitors in voice control with the driver. - (b) Wiring and Batteries.Electrical wiring shall be maintained so as not to come in contact with moving parts,heated surfaces, or be subject to chafing or abrasion which may cause insulation to become worn. Every Type I bus manufactured on or after February 7, 1988, shall be equipped with a storage battery electrical power main disconnect switch. The disconnect switch shall be practicably located in an accessible location adjacent to or near to the battery and be legibly and permanently marked for identification.Every storage battery on a public-sector bus shall be mounted with proper retainment devices in a compartment which provides adequate ventilation and drainage. (c)Brake Interlock Systems. All Type I buses having a rear exit door shall be equipped with a rear exit door/brake interlock that automatically applies the brake upon driver activation of the rear exit door to the open position. Brake interlock application shall remain activated until deactivated by the driver and the rear exit door returns to the closed position. The rear exit door brake interlock on such buses shall be equipped with an identified override switch enabling emergency release of the brake interlock function. The override switch shall not be located within reach of the seated driver. Air pressure application to the brake during brake interlock operation, on buses equipped with rear exit door/brake interlock, shall be regulated at the equipment's original manufacturer's specifications. (4) Standee Line and Warning. Every bus designed and constructed to allow standees shall be plainly marked with a line of contrasting color at least two inches wide,or be equipped with some other means to indicate that all passengers are prohibited from occupying a space forward of a perpendicular plane drawn through the rear of the driver's seat and perpendicular to the longitudinal axis of the bus. A sign shall be posted at or near the front of the bus stating that it is a violation for a bus to be operated with passengers occupying an area forward of the line. (5) Handrails and Stanchions. Every bus designed and constructed to allow standees shall be equipped with overhead handrails for standee passengers. Overhead handrails shall be continuous, except for a gap at the rear exit door, and terminate into vertical stanchions or turn up into a ceiling fastener. Every Type I and Type II bus designed for carrying more than 16 passengers shall be equipped with handrails, stanchions, or bars at least 10 inches long and installed to permit safe on-board circulation, seating and standing assistance,and boarding and alighting by elderly and handicapped persons.Type I buses shall be equipped with a safety bar and panel directly behind each entry and exit stepwell. (6) Flooring, Steps, and Thresholds. Flooring, steps, and thresholds on all buses shall have slip resistant surfaces without protruding or sharp edges, lips,or overhangs, in order to prevent tripping hazards. All step edges and thresholds shall have a band of color(s)running the full width of the step or edge which contrasts with the step tread and riser,either light-on-dark or dark-on-light. (7)Doors.Power activated doors on all buses shall be equipped with a manual device designed to release door closing pressure. (8)Emergency Exits. All buses shall have an emergency exit door,or in lieu thereof, shall be provided with emergency escape push-out windows. Each emergency escape window shall be in the form of a parallelogram with dimensions of not less than 18"by 24", and each shall contain an area of not less than 432 square inches. There shall be a sufficient number of push-out or kick-out windows in each vehicle to provide a total escape area equivalent to 67 square inches per seat, including the driver's seat.No less than 40% of the total escape area shall be on one side of the vehicle. Emergency escape kick-out or push-out windows and emergency exit doors shall be conspicuously marked with a sign or light and shall always be kept in good working order so that they may be readily opened in an emergency.All such windows and doors shall not be obstructed,either inside or outside,so as to hinder escape.Buses equipped with an auxiliary door for emergency exit shall be equipped with an audible alarm and light indicating to the driver when a door is ajar or opened while the engine is running. Supplemental security locks operable by a key are prohibited on emergency exit doors unless these security locks are equipped and connected with an ignition interlock system or an audio visual 16A1 2 alarm located in the driver's compartment.Any supplemental security lock system used on emergency exits shall be kept unlocked whenever a bus is in operation. (9)Tires and Wheels.Tires shall be properly inflated in accordance with manufacturer's recommendations. (a)No bus shall be operated with a tread groove pattern depth: 1. Less than 4/32 (1/8)of an inch,measured at any point on a major tread groove for tires on the steering axle of all buses. The measurements shall not be made where tie bars,humps,or fillets are located. 2. Less than 2/32 (1/16) of an inch, measured at any point on a major tread groove for all other tires of all buses. The measurements shall not be made where tie bars,humps,or fillets are located. (b)No bus shall be operated with recapped,regrooved,or retreaded tires on the steering axle. (c)Wheels shall be visibly free from cracks and distortions and shall not have missing,cracked,or broken mounting lugs. (10) Suspension. The suspension system of all buses, including springs, air bags, and all other suspension parts shall be free from cracks,leaks,or any other defect which may cause its impairment or failure to function properly. (11) Steering and Front Axle. The steering system of all buses shall have no indication of leaks which would or may cause its impairment to function properly,and shall be free from cracks and excessive wear of components that may cause excessive free play or loose motion in the steering system or above normal effort in steering control. (12) Seat Belts. Every bus shall be equipped with an adjustable driver's restraining belt in compliance with the requirements of FMVSS 209,"Seat Belt Assemblies"49 C.F.R. 571.209,Rev. 10/09,and FMVSS 210,"Seat Belt Assembly Anchorages"49 C.F.R. 571.210,Rev. 10/09,hereby incorporated by reference. (13) Safety Equipment. Every bus shall be equipped with one fully charged dry chemical or carbon dioxide fire extinguisher, having at least a 1A:BC rating, and bearing the label of Underwriter's Laboratory,Inc. The fire extinguishers shall be maintained as follows: (a) Each fire extinguisher shall be securely mounted on the bus in a conspicuous place or in a clearly marked compartment and be readily accessible. (b)Each fire extinguisher shall be maintained in efficient operating condition and be equipped with some means of determining if it is fully charged. (c)Every Type I bus shall be equipped with portable red reflector warning devices in compliance with Section 316.300,F.S.. (14) Persons with Disabilities. Buses used for the purpose of transporting individuals with disabilities shall meet the requirements set forth in 49 C.F.R.Part 38,Rev. 10/09 hereby incorporated by reference,as well as the following: (a) Installation of a wheelchair lift or ramp shall not cause the manufacturer's GVWR,gross axle weight rating,or tire rating to be exceeded. (b) Except in locations within 3 1/2 inches of the bus floor, all readily accessible exposed edges or other hazardous protrusions of parts of wheelchair lift assemblies or ramps that are located in the passenger compartment shall be padded with energy absorbing material to mitigate injury in normal use and in case of a collision. This requirement shall also apply to parts of the bus associated with the operation of the lift or ramp. (c) The controls for operating the lift shall be at a location where the bus driver or lift attendant has a full view, unobstructed by passengers, of the lift platform, its entrance and exit, and the wheelchair passenger, either directly or with partial assistance of mirrors. Lifts located entirely to the rear of the driver's seat shall not be operable from the driver's seat, but shall have an override control at the driver's position that can be activated to prevent the lift from being operated by the other controls (except for emergency manual operation upon power failure). (d) The installation of the wheelchair lift or ramp and its controls and the method of attachment in the bus body or chassis shall not diminish the structural integrity of the bus nor cause a hazardous imbalance of the bus. No part of the assembly,when installed and stowed, shall extend laterally beyond the normal side contour of the bus, nor vertically beyond the lowest part of the rim of the wheel closest to the lift. (e) Each wheelchair lift or ramp assembly shall be legibly and permanently marked by the manufacturer or installer with the following information: 1.The manufacturer's name and address. 2.The month and year of manufacture. 3. A certificate that the wheelchair lift or ramp securement devices, and their installation, conform to State of Florida requirements applicable to accessible buses. C A L '1 (15) Wheelchairs.Wheelchair lifts,ramps,securement devices,and restraints shall be inspected and maintained as required by this rule chapter.Instructions for normal and emergency operation of the lift or ramp shall be carried or displayed in every bus. Rulemaking Authority 334.044(2), 341.041(3), 341.061(2)(a)FS.Law Implemented 341.061(2)(a)FS.History—New 9-7-87,Amended 11-10-92,8- 2-94,8-7-05,6-24-08,9-16-10. 14-90.009 Bus Safety Inspections. (1)Each bus transit system shall require that all buses operated by such bus transit system,and all buses operated by a private contract transit provider,be inspected at least annually in accordance with bus inspection procedures set forth in this rule. (2) It shall be the bus transit system's responsibility to ensure that each individual performing a bus safety inspection is qualified as follows: (a)Understands the requirements set forth in this rule chapter and can identify defective components. (b)Is knowledgeable of and has mastered the methods,procedures,tools,and equipment used when performing an inspection. (c) Has at least one year of training and/or experience as a mechanic or inspector in a vehicle maintenance program, and has sufficient general knowledge of buses owned and operated by the bus transit system to recognize deficiencies or mechanical defects. (3) Each bus receiving a safety inspection shall be checked for compliance with the requirements for safety devices and equipment, as referenced or specified herein. Specific operable equipment and devices as required by this rule chapter, include the following as applicable to Type I and II buses: (a)Horn. (b) Windshield wipers. (c)Mirrors. (d) Wiring and batteries. (e) Service and parking brakes. (f)Warning devices. (g)Directional signals. (h)Hazard warning signals. (i)Lighting systems and signaling devices. (j)Handrails and stanchions. (k) Standee line and warning. (1)Doors and brake interlock devices. (m)Stepwells and flooring. (n)Emergency exits (o)Tires and wheels. (p) Suspension system. (q) Steering system. (r)Exhaust system. (s) Seat belts. (t)Safety equipment. (u)Equipment for transporting wheelchairs. (v)Working speedometer. (4)A safety inspection report shall be prepared by the individual(s)performing the inspection and shall include the following: (a)Identification of the individual(s)performing the inspection. (b)Identification of the bus transit system operating the bus. (c)The date of the inspection. (d)Identification of the bus inspected. (e) Identification of the equipment and devices inspected including the identification of equipment and devices found deficient or defective. (f) Identification of corrective action(s) for any deficient or defective items found and date(s) of completion of corrective action(s). (5) Records of annual safety inspections and documentation of any required corrective actions shall be retained a minimum of 16Al2 four years by the bus transit system for compliance review. Rulemaking Authority 334.044(2), 341.041(3), 341.061(2)(a)FS.Law Implemented 341.061(2)FS.History-New 9-7-87,Amended 11-10-92, 8-7- 05,9-16-10. 14-90.010 Certification. (1)Each bus transit system shall annually submit a safety and security certification to the Department.The certification shall be submitted no later than February 15,for the prior calendar year period.The certification shall attest to the following: (a)The adoption of an SSPP and an SPP in accordance with established standards set forth in this rule chapter. (b)Compliance with its adopted SSPP and SPP. (c)Performance of safety inspections on all buses operated by the system in accordance with this rule chapter. (d)Reviews of the SSPP and SPP have been conducted to ensure they are up to date. (2)The certification shall include: (a) The name and address of the bus transit system, and the name and address of the entity(ies) who performed bus safety inspections and security assessments during the prior calendar year,if different from that of the bus transit system. (b) A statement signed by an officer or person directly responsible for management of the bus transit system attesting to compliance with this rule chapter. Rulemaking Authority 334.044(2), 341.041(3), 341.061(1)(a)FS.Law Implemented 334.044(28), 341.061(1), 341.061(2)FS. History-New 9-7-87, Amended 8-7-05,9-16-10. 14-90.012 Safety and Security Inspections and Reviews. (1) The Department, or its contractor, shall conduct inspections of bus transit systems to ascertain compliance with the provisions of this rule chapter. (2) The Department, or its contractor, shall conduct safety and security reviews of any bus transit system the Department believes to be in noncompliance with its SSPP or SPP,or providing passenger service operations in an unsafe manner,or if there is evidence of an immediate danger to public safety. The Department shall prepare and submit a report of the review to the affected bus transit system. The report shall be submitted to the bus transit system within three business days of completion of the review and shall contain the following: (a)Identification of the findings,including a detailed description of any deficiency. (b)Required corrective action and a schedule for implementation of the corrective action to be taken for each deficiency. (c) Any required suspension of bus transit system service, should the Department determine the continued operation of the service,or a portion thereof,poses an immediate danger to public safety. (3) The Department shall initiate the following actions to suspend the affected bus transit system service if any deficiency or unsafe condition exists, to the extent that the continued operation of the system,or a portion thereof, poses an immediate danger or threat to public safety. (a) Immediately notify the affected bus transit system of the unsafe condition, followed by a certified letter describing the deficiency or unsafe condition.The notification shall include the following: 1.The required corrective action for the deficiency or unsafe condition. 2. The requirement for the bus transit system to certify, in writing to the Department,the completion of the required corrective action in accordance with an established implementation schedule. (b)Conduct an on-site review of the bus transit system to verify the correction of the deficiency in accordance with this rule and the established implementation schedule. (c) Suspend affected passenger service operations if the bus transit system fails to correct the deficiency in accordance with this rule and the established implementation schedule. Rulemaking Authority 334.044(2), 341.041(3), 341.061(2)(a) FS. Law Implemented 334.044(28), 341.041(3), 341.061(1)(d), 341.061(2)(c) FS. History-New 11-10-92,Amended 8-7-05,9-16-10. System Safety Program Plan (SSPP) Appendix B Qualification Policy 16 A 1 2 MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide general guidance to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the General Counsel for interpretation. In the event a policy conflicts with the law, regulation or the terms of a contract with a customer, the policy will be subordinate to such law,regulation or contract term. SUBJECT QUALIFICATIONS POLICY MV Transportation has an Equal Opportunity Employment (EEO) policy to not discriminate against any employee or applicant for employment because of age, race, religion, color, sex, disability, national origin or any other characteristic protected by the law. Qualification's is centralized through the Elk Horn, IA support center. New hires, rehires, transfers, and return to work applicant/employee will need processed through Qualifications in Elk Horn, IA. NEW HIRE It is the policy of MV Transportation that employment decisions shall be reviewed and assessed based on the EEOC and other applicable agency guidelines, applicable statutes, and MV and contractual requirements. Applicants are required to complete the following documents: • Application for Employment in HireExpress • MV's Disclosure and Authorization Forms • FTA DOT Disclosure and Authorization (FTA divisions only) • FMCSA DOT Disclosure and Authorization (FMCSA divisions only) • California Pull Notice Authorization Form (CA divisions only) • WA MVR Authorization Form (WA divisions only) • Massachusetts CORI Acknowledgment Form (MA divisions only) • NV State Release (certain NV divisions only) • IL Neglect Release (certain IL divisions only) • TX Employee Acknowledgement of Workers Compensation (only certain TX divisions) • 1-9 Express All required releases must be signed within 30 days of their hire date. Applicants must be hired within 30 days of qualifications. If the applicant was not hired within the 30 days of the Qual date, the applicant must come back through the qualification process. Page 1 of 2 7/19/17 All applicants depending on position may be required to either pass a DOT or Non DOT Physical. See MV Physical Policy All applicants are required to pass a drug test. See Drug and Alcohol Policy in Handbook for new hires and rehires. REHIRE All applicants who have been out for 30+ days will be considered a New Hire. Qualifications will also be required to obtain a copy of the ESEP (Employee Separation Form). All applicants who have been out less than 30 days will be required to complete the MV Background Check Disclosure and Authorization Release. Qualifications will order a new MVR and review entire Qualification file to verify that the rehire applicant meets MV and contractual requirements. RETURN TO WORK Any employee, who has been on any type of leave for 90+ days, must complete the MV Background Check Disclosure and Authorization Release. Qualifications will order new criminal reports, MVR, and require a new physical depending on the position. Any safety-sensitive employee that was out on LOA for any medical reason must have a new medical and cleared by Qualifications before returning to work. TRANSFER Qualifications will need to be notified on all Transfers. • Transfers who have no lapse in service and have been through centralized qualifications will be reviewed by Qualifications to verify employee meets contractual requirements at new division location. • Transfers who have no lapse in service and have not been through centralized qualifications will be treated as a New Hire; however, a new application or 1-9 will not be required. We do request a copy of the original application. Page 2 of 3 7/19/17 16 A 1 2 CONTINUING QUALIFICATIONS (Non CA divisions only) All divisions are required to notify qualifications when necessary to complete background reports per contractual requirement.The divisions are required to complete the appropriate template. All driving positions are enrolled in SambaSafety for ongoing driver violation alert/monitoring program. In the event of an employee receiving a moving violation, Qualification may require the employee to attend a "defensive/driver improvement" course and/or MV's safety training due to the seriousness of the conviction and/or no longer meeting contractual requirements. In some circumstances, new action on the DMV report may result in employee termination. Page 3 of 3 7/19/17 System Safety Program Plan (SSPP) Appendix C Qualification Process Flow - Fully Qualified Model 16Al2 FULLY-QUALIFIED MODEL: QUALIFICATION PROCESS WORKFLOW Summary of Key Process Changes: 1. Fully Qualified Model-Applicants do NOT start in any capacity until the"Qualified"email comes from Quals STARTING THE QUALIFICATION PROCESS FOR NEW HIRES - DIVISION 1. Applicant completes the online application in HireXpress. 2. Applicant completes WOTC application (form 8850) online. Participation is optional, so while we cannot compel an employee to complete this form, they must be provided with the opportunity to complete it. All WOTC applications must be completed at the time the employment application is completed. WOTC applications submitted after the date of application are not eligible for the program. 3. Interview with the applicant to review the application and accept the applicant in HireXpress. 4. Provide applicant with the Qualifications New Hire Packet (all forms should indicate a revision date of 8/8/18). o Previous employment DOT release (FTA or FMCSA depending on division) o CA divisions only: CA pull notice authorization release o Employment gaps: any gaps in HireXpress over 30 days in the last 3 years o Copy of your driver's license FASTEST OPTION- IF utilizing the Candidate Portal through EBI, the below forms will be electronically signed, if you are not utilizing the candidate portal, we will need them in paper work. — Will roll out mid-February o Background Check Disclosure Document o Background Check Authorization Document o Summary of Rights Under 15 U.S.C. §1681m(a) o State Notice Regarding Background Checks Document (MA, MN, NJ, NY or WA only) o Summary of Rights— FCRA • o California Disclosure Regarding Background Checks Document o Article 23-A, New York State Corrective Law (NY only) o San Francisco Fair Chance Ordinance (San Francisco divisions only) o WA or AK MVR release forms (AK & WA divisions) o MA divisions only: iCORI release 5. Hiring Manager schedules the drug test and physical online at myescreen.com and send the applicant down the same day. If available at your location, please utilize the eCCF , ePhysical, and OHH tool as it can result in faster result times. 6. Scan all applicable signed release documents (outlined in Item 4) to the Qualifications department at mvqualifications@mvtransit.com To make this fully qualified model a success the division needs to ensure all of these steps are followed correctly and efficiently, please complete steps at least 3-6 the same day. STARTING THE QUALIFICATION PROCESS FOR NEW HIRES- QUALIFICATIONS DEPT 1. The Qualifications department will review the applicant new hire information provided by the division, if and once all required items are received outlined above in 3 & 4, the quals team will start the process. o The qualification process cannot begin if Qualifications has indicated that critical information necessary to begin the process is still missing such as: • The correct releases are not received and/or signed. • Signatures on the releases are older than 30 days. • The application has not been 'Completed' and 'Accepted' into the Qualifications "Approved - Awaiting Qualification" queue in HireXpress. 2. Qualifications will send out daily emails that include: o Items that are still missing or require clarification to complete the Qualifications process. It is critical to provide timely responses to Qualifications on all missing items to. o A status update on all releases received that day until 2pm CST from the division. Please notify the Qualifications team immediately if any submitted candidates are missing from this list. 3. As results from the MVR, pre-employment drug screen, physical and background check are received over the next several days, the Qualifications team will communicate directly with the division regarding any employee and what information is still missing required. 4. Once all required documents are received, the Qualifications team will finalize their file review and issue a final determination. 5. Applicants can NOT start in any capacity until they are fully qualified, and the "qualified email" has been received from Qualifications. ADVERSE ACTION If the applicant has criminal history (or any other type of history) on their background reports that could lead to their disqualification,they will receive a copy of their report along with a pre-adverse letter advising them of their rights as well as next steps. General Managers will be advised at this time that a pre-adverse letter has been issued for that applicant. Typically, the applicant has seven (7) business days to provide information or documentation to dispute the reports, but some jurisdictions may allow up to ten (10) days. The Qualifications team will provide additional guidance at this time, but as a general rule: Notify the applicant Their start date will be postponed pending final disposition of their file. If no response is provided by the If the applicant/employee has failed to respond within the seven applicant/employee within the business days (ten where applicable), then a final 'disqualified' allowable pre-adverse period: disposition will be provided and a post-adverse letter will be mailed to the employee. 16AI2 If a response is provided by the If a response is provided by the applicant/employee, the review applicant/employee within the panel (consisting of Legal and HR) will review the file and provide allowable pre-adverse period: an individualized assessment and final disposition For any questions, please contact: Valerie Otten Cristina Pereira Manager, Qualifications and D&A Compliance Sr. Director of Human Resources and DAPM 712-764-3705 972-391-4819 System Safety Program Plan (SSPP) Appendix D FMCSA DOT Disclosure and Authorization 16Al2 PREVIOUS EMPLOYER DRUG &ALCOHOL RELEASE FORM • EBI: Company Name: MV Transportation JOne Account#: MVTRPR MV TRANSPORTATION,INC FEDERAL MOTOR CARRIER INDUSTRY (FMCSA): DOT D/A Disclosure and Authorization Send to MV TRANSPORTATION Fax#410-486-0731 DISCLOSURE AND AUTHORIZATION FOR RELEASE OF INFORMATION FOR EMPLOYMENT PURPOSES—49 CFR PART 391.23 and 382.413 DOT DRUG AND ALCOHOL TESTING By signing below, I acknowledge and authorize the release of the following information for the purpose of investigation to EBI for MV Transportation as required by Section 391.23 and allowed by Section 383.35 of the Federal Motor Carrier Safety Regulations. I fully understand and do hereby give my consent to obtain the information required by 49 CFR 382.413. IMPORTANT: Only list DOT-Regulated Employer you have worked for in a safety-sensitive function during the previous three (3)years. If necessary, an additional authorization will be completed for each employer for the previous three (3)years. Previous DOT Regulated Employer City State Phone Number (—) - Was previous employer subject to DOT regulated testing? n YES n NO Check DOT mode previous employer was subject to: ❑FTA ❑FMCSA ❑FRA El FAA PHMSA DUSCG ['NONE Were you required to have a Commercial Driver's License? (Class A or B) n YES n NO I hereby authorize release of information from my Department of Transportation regulated drug and alcohol testing records by my previous employer, listed above, to MV Transportation, Inc. This release is in accordance with DOT Regulation 49 CFR Part 40, Section 40.25. Print Applicant Name: Social Security#: Applicant Signature: Date: NOTE: Failure to furnish DOT information as required by 49 CFR 382.413(a)will result in the above-named individual being removed from any CDL driving position.You are required to release this information per 49 CFR 382.405(f).Fines and penalties for not releasing this information is found in 49 CFR 382507 under USC 521(b).We reserve the right to notify the US DOT Federal Motor Carrier Safety Administration if the above information is not received in a timely manner. IFOR MVT USE ONLY Date VERIFIED BY TITLE Revised 08/08/18 IS PREVIOUS EMPLOYER DOT REGULATED? El YES El NO System Safety Program Plan (SSPP) Appendix E FTA DOT Disclosure and Authorization 16 A PREVIOUS EMPLOYER DRUG &ALCOHOL RELEASE FORM EBI: Company Name: MV Transportation JOne Account#: MVTRPR MV TRANSPORTATION,INC FEDERALTRANSIT INDUSTRY (FTA): POT D/A Disclosure and Authorization Send to MV TRANSPORTATION Fax#410-486-0731 DISCLOSURE AND AUTHORIZATION FOR RELEASE OF INFORMATION FOR EMPLOYMENT PURPOSES—49 CFR PART 40.25 DOT DRUG AND ALCOHOL TESTING In accordance with DOT Regulation 49 CFR Part 40.25, I hereby authorize release of my DOT-regulated drug and alcohol testing records by the DOT-regulated employer(s) listed below to EBI, Inc. for the purpose of EBI transmitting such records to the EBI customer listed above. I understand that information/documents released pursuant to this Part I is limited to the following DOT-regulated testing items, including pre-employment testing results occurring during the previous two(2)years: (i)alcohol tests with a result of 0.04 or higher; (ii)verified positive drug tests; (iii) refusals to be tested(including adulterated and/or substituted tests); (iv)other violations of DOT drug and alcohol testing regulations; (v) information obtained from previous employers of a drug and alcohol rule violation; and (vi) any documentation of completion of the return-to-duty process following a rule violation. IMPORTANT:Only list DOT-Regulated Employers you have worked for in a safety-sensitive function during the previous two (2)years. If necessary, an additional authorization will be completed for each employer for the previous two(2)years. Previous DOT Regulated Employer City State Phone Number (_) - Was previous employer subject to DOT regulated testing? 17 YES n NO Check DOT mode previous employer was subject to: ❑FTA ❑FMCSA ❑FRA ❑FAA ❑PHMSA ❑USCG ❑NONE Were you required to have a Commercial Driver's License?(Class A or B) n YES n NO I hereby authorize release of information from my Department of Transportation regulated drug and alcohol testing records by my previous employer, listed above, to MV Transportation, Inc. This release is in accordance with DOT Regulation 49 CFR Part 40,Section 40.25. Print Applicant Name: Social Security#: Applicant Signature: Date: IFOR MVT USE ONLY Date VERIFIED BY TITLE IS PREVIOUS EMPLOYER DOT REGULATED? ❑ YES ❑ NO Revised 08/08/18 System Safety Program Plan (SSPP) Appendix F MV Transportation Disclosure and Authorization form 16Al2 BACKGROUND CHECK DISCLOSURE DOCUMENT MV Transportation, Inc. and its subsidiaries, parents, successors and affiliates (the "Company") may order a "consumer report" (commonly known as "background report" or "background check") on you in connection with your employment application, and if you are hired,or if you already work for the Company, may order additional background reports on you for employment purposes. To the extent allowed by law, the background report may contain information concerning your character, general reputation, personal characteristics, mode of living, drug and alcohol test results, and criminal history. To the extent allowed by law, information may be obtained from private and public record sources, including but not limited to, sanctions databases, court records, driving records, verification of employment and education history, licensing and credentials,military records, and police records. Received by: Name: Signature: THE REMAINDER OF THIS DOCUMENT IS INTENTIONALLY LEFT BLANK PLEASE PROCEED TO THE NEXT DOCUMENT -PAGE 1 of 1- Initials: Revised: 8/8/18 MV Transportation, Inc. lM BACKGROUND CHECK AUTHORIZATION DOCUMENT I authorize MV Transportation, Inc. and its subsidiaries, parents, successors and affiliates ("the Company") to order my consumer report(background check). I understand that, as allowed by law,the Company may rely on this authorization to order additional reports without asking me for my authorization again (1) during my employment, and (2) from the consumer reporting agency ("CRA") Employment Background Investigations, Inc. (EBI). A copy of this original in hard copy, electronic,faxed,or electronically signed form shall be as valid as the original. Except as otherwise prohibited by state law, I consent to and authorize the Company to share this information with Company's current or prospective clients, customers, others with a need to know, and/or their agents (including but not limited to staffing/placement company clients and vendor credentialing companies) for business reasons (e.g.,to place me in certain employment positions,jobs,work sites, etc.). For the purpose of preparing a consumer report (background check) for the Company, and only for that purpose, and subject to all laws protecting my informational privacy, I also authorize the following to disclose to the consumer reporting agency the information needed to compile the report: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; all courts;the military; testing facilities; and all motor vehicle records agencies. I acknowledge the information that can be disclosed to the consumer reporting agency, as allowed by law, includes information concerning my employment and earnings history, education,motor vehicle history, criminal history,military service,and professional credentials and licenses. Additional information about your rights has been provided to you with this Background Check Authorization Document. Please review it BEFORE you sign. Print Name Print any Other Names Used Social Security Number(for identification purposes only) Date of Birth (for identification purposes only) Driver's License(s)Number(s)and State(s) Address,And Any Other States in Which You Have Lived in the Past 7 Years: / / Signature Today's Date: (Month/Day/Year) If you live or work for the Company in California, Minnesota or Oklahoma: Check this box if you would like a free copy of your background report: r -PAGE 1 of 1- Initials: Revised: 8/8/18 MV Transportation,Inc. 16Al2 SUMMARY OF RIGHTS UNDER 15 U.S.C. 4 1681m(a) You are hereby provided a summary of the following provisions of the Fair Credit Reporting Act, 15 U.S.C. § 1681m(a): The CRA,Employment Background Investigations,Inc. ("EBI"),will prepare the background report for the Company. EBI is located at and can be contacted at P.O. Box 629, Owings Mills,MD 21117,telephone number (410)486-0730. The privacy policies for EBI can be found at its web site at https://www.ebiinc.com/privacy- policy. No consumer reporting agency utilized by the Company makes adverse decisions relating to your employment, and no consumer reporting agency utilized by the Company is able to provide any specific reasons to you why an adverse decision relating to your employment may be taken or was taken based on a consumer report. 15 U.S.C. § 1681j provides for the right to obtain a free copy of a consumer report on you from the consumer reporting agency which prepared your background report, under various circumstances, including but not limited to where you receive notice that an adverse action has been taken toward you based on the consumer report. In that instance, Section 1681j provides a right to a free copy of the report provided that you make the request within 60 days of the date that you received notice of the adverse action. 15 U.S.C. § 1681i provides for the right to dispute,with a consumer reporting agency the accuracy or completeness of any information in a consumer report furnished by the agency. THE REMAINDER OF THIS DOCUMENT IS INTENTIONALLY LEFT BLANK PLEASE PROCEED TO THE NEXT DOCUMENT -PAGE 1 of 1- Initials: Revised: 8/8/18 MV Transportation, Inc. t STATE NOTICE REGARDING BACKGROUND CHECKS DOCUMENT If you live or work for MV Transportation, Inc. and its subsidiaries, parents, successors and affiliates ("the Company") in any of the states listed below,please note the following: The CRA is EBI. Their address and telephone number are as follows: P.O. Box 629, Owings Mills, MD 21117, telephone number(410)486-0730. MASSACHUSETTS: If you contact the Company's Human Resources department, you have the right to know whether the Company ordered an investigative consumer report about you. You also have the right to ask EBI for a copy of any such report. NEW YORK: If you contact the Company's Human Resources department, you have the right to know whether the Company ordered a consumer report or investigative consumer report about you. Shown above is the EBI's address and telephone number. You have the right to contact the CRA to inspect or receive a copy of any such report. A copy of Article 23-A of the Correction Law is provided below. THE REMAINDER OF THIS DOCUMENT IS INTENTIONALLY LEFT BLANK PLEASE PROCEED TO THE NEXT DOCUMENT Initials: -PAGE 1 of 1- MV Transportation,Inc. Revised 8/8/18 16Al2 Para informacion en espanol, visite www.consumerfinance.Rov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington,D.C. 20552. A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act(FCRA)promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories,medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W.,Washington,DC 20552. You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment— or to take another adverse action against you—must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency(your"file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: a person has taken adverse action against you because of information in your credit report; you are the victim of identity theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance; you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information. You have the right to ask for a credit score. Credit scores are numerical summaries of your credit- worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency,the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures. Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. Access to your file is limited.A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore. -PAGE 1 of 2- Initials: Revised: 8/8/18 MV Transportation,Inc 1 : You may limit"prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited"prescreened"offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt out with the nationwide credit bureaus at 1-888-5-OPTOUT(1-888-567-8688). You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. Identity theft victims and active duty military personnel have additional rights. For more information,visit www.consumerfinance.gov/learnmore. States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases,you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights,contact: TYPE OF BUSINESS CONTACT l.a.Banks,savings associations,and credit unions with total assets of over$10 a.Consumer Financial Protection Bureau billion and their affiliates. 1700 G Street,N.W. Washington,DC 20552 b.Such affiliates that are not banks,savings associations,or credit unions also b.Federal Trade Commission:Consumer Response Center-FCRA should list,in addition to the CFPB: Washington,DC 20580 (877)382-4357 2.To the extent not included in item 1 above: a. National banks,federal savings associations,and federal branches and federal a. Office of the Comptroller of the Currency agencies of foreign banks Customer Assistance Group 1301 McKinney Street,Suite 3450, Houston,TX 77010-9050 b.State member banks,branches and agencies of foreign banks(other than b.Federal Reserve Consumer Help Center federal branches,federal agencies,and Insured State Branches of Foreign P.O.Box 1200 Banks),commercial lending companies owned or controlled by foreign banks, Minneapolis,MN 55480 and organizations operating under section 25 or 25A of the Federal Reserve Act c. Nonmember Insured Banks,Insured State Branches of Foreign Banks,and c. FDIC Consumer Response Center insured state savings associations 1100 Walnut Street,Box#11 Kansas City,MO 64106 d.Federal Credit Unions d.National Credit Union Administration Office of Consumer Protection(OCP) Division of Consumer Compliance and Outreach(DCCO) 1775 Duke Street,Alexandria,VA 22314 3. Air Carriers Asst.General Counsel for Aviation Enforcement&Proceedings Aviation Consumer Protection Division Department of Transportation 1200 New Jersey Avenue,S.E. Washington,DC 20590 4. Creditors Subject to the Surface Transportation Board Office of Proceedings,Surface Transportation Board Department of Transportation 395 E.Street,S.W. Washington,DC 20423 5. Creditors Subject to the Packers and Stockyards Act,1921 Nearest Packers and Stockyards Administration area supervisor 6. Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration 409 Third Street,SW,8th Floor Washington,DC 20416 7.Brokers and Dealers Securities and Exchange Commission 100 F St.,N.E. Washington,DC 20549 8. Federal Land Banks,Federal Land Bank Associations,Federal Intermediate Farm Credit Administration Credit Banks,and Production Credit Associations 1501 Farm Credit Drive McLean,VA 22102-5090 9. Retailers,Finance Companies,and All Other Creditors Not Listed Above FTC Regional Office for region in which the creditor operates or Federal Trade Commission:Consumer Response Center—FCRA Washington,DC 20580 (877)382-4357 -PAGE 2 of 2- Initials Revised: 8/8/18 MV Transportation,Inc. 16Al2 CALIFORNIA DISCLOSURE REGARDING BACKGROUND CHECKS DOCUMENT MV Transportation, Inc. and its subsidiaries, parents, successors and affiliates ("the Company") may order a consumer report or investigative consumer report on you in connection with your employment application, and if you are hired, or if you already work for the Company, may order additional such reports on you for employment purposes. Such reports may contain information about your character, general reputation, personal characteristics, and mode of living. The CRA, Employment Background Investigations, Inc. ("EBI"), will prepare the background report for the Company. EBI is located at and can be contacted at P.O. Box 629, Owings Mills, MD 21117, telephone number (410) 486-0730. The privacy policies for EBI can be found at its web site at https://www.ebiinc.com/privacy-policy. SUMMARY OF RIGHTS UNDER CIVIL CODE SECTION 1786.22 (a) An investigative consumer reporting agency shall supply files and information required under Section 1786.10 during normal business hours and on reasonable notice. (b) Files maintained on a consumer shall be made available for the consumer's visual inspection, as follows: (1) In person, if he or she appears in person and furnishes proper identification.A copy of his or her file shall also be available to the consumer for a fee not to exceed the actual costs of duplication services provided. (2) By certified mail, if he or she makes a written request, with proper identification, for copies to be sent to a specified addressee. Investigative consumer reporting agencies complying with requests for certified mailings under this section shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the investigative consumer reporting agencies. (3) A summary of all information contained in files on a consumer and required to be provided by Section 1786.10 shall be provided by telephone, if the consumer has made a written request, with proper identification for telephone disclosure,and the toll charge,if any,for the telephone call is prepaid by or charged directly to the consumer. (c) The term"proper identification"as used in subdivision(b) shall mean that information generally deemed sufficient to identify a person. Such information includes documents such as a valid driver's license, social security account number, military identification card, and credit cards. Only if the consumer is unable to reasonably identify himself or herself with the information described above, may an investigative consumer reporting agency require additional information concerning the consumer's employment and personal or family history in order to verify his or her identity. (d) The investigative consumer reporting agency shall provide trained personnel to explain to the consumer any information furnished him or her pursuant to Section 1786.10. (e) The investigative consumer reporting agency shall provide a written explanation of any coded information contained in files maintained on a consumer. This written explanation shall be distributed whenever a file is provided to a consumer for visual inspection as required under Section 1786.22. (f) The consumer shall be permitted to be accompanied by one other person of his or her choosing, who shall furnish reasonable identification. An investigative consumer reporting agency may require the consumer to furnish a written statement granting permission to the consumer reporting agency to discuss the consumer's file in such person's presence. THE REMAINDER OF THIS DOCUMENT IS INTENTIONALLY LEFT BLANK PLEASE PROCEED TO THE NEXT DOCUMENT -PAGE 1 of 1- Initials: Revised: 8/8/18 MV Transportation,Inc. c' (NEW YORK APPLICANTS ONLY) ARTICLE 23-A,NEW YORK STATE CORRECTION LAW § 750.Definitions.For the purposes of this article,the (1)there is a direct relationship between one or more of following terms shall have the following meanings: the previous criminal offenses and the specific license or (1)"Public agency"means the state or any local subdivision employment sought or held by the individual;or thereof,or any state or local department,agency,board or (2)the issuance or continuation of the license or the granting or commission. continuation of the employment would involve an unreasonable (2)"Private employer"means any person,company, risk to property or to the safety or welfare of specific individuals corporation,labor organization or association which or the general public. employs ten or more persons. §753.Factors to be considered concerning a previous (3)"Direct relationship"means that the nature of criminal criminal conviction;presumption. conduct for which the person was convicted has a direct 1.In making a determination pursuant to section seven hundred bearing on his fitness or ability to perform one or more of fifty-two of this chapter,the public agency or private employer the duties or responsibilities necessarily related to the shall consider the following factors: license,opportunity,or job in question. (a)The public policy of this state,as expressed in this act,to (4)"License"means any certificate,license,permit or grant of encourage the licensure and employment of persons previously permission required by the laws of this state,its political convicted of one or more criminal offenses. subdivisions or instrumentalities as a condition for the lawful (b)The specific duties and responsibilities necessarily related to practice of any occupation,employment,trade,vocation, the license or employment sought or held by the person. business,or profession.Provided,however,that"license"shall (c)The bearing,if any,the criminal offense or offenses for not,for the purposes of this article,include any license or which the person was previously convicted will have on his permit to own,possess,carry,or fire any explosive,pistol, fitness or ability to perform one or more such duties or handgun,rifle,shotgun,or other firearm. responsibilities. (5)"Employment"means any occupation,vocation or (d)The time which has elapsed since the occurrence of the employment,or any form of vocational or educational training. criminal offense or offenses. Provided,however,that"employment"shall not,for (e)The age of the person at the time of occurrence of the the purposes of this article,include membership in any criminal offense or offenses. law enforcement agency. (f)The seriousness of the offense or offenses. § 751.Applicability.The provisions of this article shall apply (g)Any information produced by the person,or produced on his to any application by any person for a license or employment at behalf,in regard to his rehabilitation and good conduct. any public or private employer,who has previously been (h)The legitimate interest of the public agency or private convicted of one or more criminal offenses in this state or in employer in protecting property,and the safety and welfare of any other jurisdiction,and to any license or employment held by specific individuals or the general public. any person whose conviction of one or more criminal offenses 2.In making a determination pursuant to section seven hundred in this state or in any other jurisdiction preceded such fifty-two of this chapter,the public agency or private employer employment or granting of a license,except where a mandatory shall also give consideration to a certificate of relief from forfeiture,disability or bar to employment is imposed by law, disabilities or a certificate of good conduct issued to the and has not been removed by an executive pardon,certificate of applicant,which certificate shall create a presumption of relief from disabilities or certificate of good conduct.Nothing in rehabilitation in regard to the offense or offenses specified this article shall be construed to affect any right an employer therein. may have with respect to an intentional misrepresentation in §754.Written statement upon denial of license or connection with an application for employment made by a employment.At the request of any person previously convicted prospective employee or previously made by a current of one or more criminal offenses who has been denied a license employee. or employment,a public agency or private employer shall § 752.Unfair discrimination against persons previously provide,within thirty days of a request,a written statement convicted of one or more criminal offenses prohibited.No setting forth the reasons for such denial. application for any license or employment,and no employment §755.Enforcement. or license held by an individual,to which the provisions of this 1.In relation to actions by public agencies,the provisions of article are applicable,shall be denied or acted upon adversely this article shall be enforceable by a proceeding brought by reason of the individual's having been previously convicted pursuant to article seventy-eight of the civil practice law and of one or more criminal offenses,or by reason of a finding of rules. lack of"good moral character"when such finding is based upon 2.In relation to actions by private employers,the provisions of the fact that the individual has previously been convicted of one this article shall be enforceable by the division of human rights or more criminal offenses,unless: pursuant to the powers and procedures set forth in article fifteen of the executive law,and,concurrently,by the New York city commission on human rights. -PAGE 1 of 1- Initials: Revised: 8/8/18 MV Transportation,Inc. 16Al2 OFFICIAL NOTICE San Francisco Fair Chance Ordinance Starting August 13,2014,the Fair Chance Ordinance(San Francisco Police Code,Article 49)requires employers to follow strict rules regarding job applicants'and employees'criminal history.The ordinance covers jobs in San Francisco,and applies to employers doing business in San Francisco who have 20 or more employees(regardless of the employees' locations). Certain matters are off-limits.An employer may never ask about,require disclosure of,or consider:an arrest not leading to a conviction(other than an unresolved arrest that is still undergoing criminal investigation or trial);participation in a diversion or deferral of judgment program;a conviction that has been expunged or made inoperative;any determination in the juvenile justice system;a conviction more than 7 years old;and a criminal offense other than a felony/misdemeanor.Matters that are off-limits cannot be used by the employer for any reason at any stage of the hiring process. An employer cannot ask about an individual's conviction history or unresolved arrests at the start of the hiring process. This includes through a job application form,informal conversation,or otherwise. A mandatory interactive process for matters not off-limits. Only after a live interview has been conducted, or a conditional offer of employment made,is the employer allowed to ask about an individual's conviction history(except as to matters that are off-limits) and unresolved arrests. Only those convictions and unresolved arrests that directly relate to the individual's ability to do the job may be considered in making an employment decision. Before the employer may take an adverse action such as failing/refusing to hire,discharging,or not promoting an individual based on a conviction history or unresolved arrest,the employer must give the individual an opportunity to present evidence that the information is inaccurate,the individual has been rehabilitated,or other mitigating factors.The individual has seven days to respond, at which point the employer must delay any adverse action for a reasonable time and reconsider the adverse action.The employer must notify the individual of any final adverse action. Evidence of rehabilitation include satisfying parole/probation;receiving education/training;participating in alcohol/drug treatment programs;letters of recommendation;and age at which the individual was convicted.Mitigating factors include coercion,physical or emotional abuse,and untreated substance abuse/mental illness,that contributed to the conviction. Preemption.Where federal or state law imposes a criminal history requirement that conflicts with a requirement of the Fair Chance Ordinance,the federal or state law will apply. No Retaliation.An employer may not take an adverse action against an applicant or employee for exercising their rights under the ordinance or cooperating with the Office of Labor Standards Enforcement. If you need more information,or wish to report an employer that you believe has violated this ordinance,please contact the OLSE at 415-554-5192 or email FCE(a,sfgov.org. -PAGE 1 of 1- Initials: Revised: 8/8/18 MV Transportation, Inc. System Safety Program Plan (SSPP) Appendix G Naples Current Paratransit Syllabus 16Al2 MVT Paratransit Syllabus DAY ONE 7.75 CLS 40 1. Welcome to MV Transportation CLS 15 2.The Katherine McClary Story CLS 60 Employee Handbook CLS 20 3.The MV Transportation Professional CLS 20 4. Hazards Communication CLS 60 5. Drugs &Alcohol Policies & Procedures CLS 25 6. Fatigue Management CLS 15 7. Wellness CLS 15 8. Whistle Blower CLS 25 9. Sexual Harassment CLS 20 10. Blood borne Pathogens CLS 25 11. NTI-Warning Signs CLS 30 NTI-The Mark DVD CLS 30 12. Map Reading CLS 30 13. On The Road DAY TWO 7.35 CLS 45 14.The Basics of Safety CLS 30 15. LLLC-Defensive Driving CLS 30 16. Introduction to the Bus CLS 60 17. Pre-Trip, Post-Trip Inspections CLS 30 18. Mirrors and Reference Points CLS 15 19. DriveCam CLS 30 20. Following Distance CLS 20 21. Backing Basics CLS 20 22. Intersections CLS 30 23. Changing Lanes, Merging and Passing CLS 20 24. Railroad Crossings CLS 25 25. Pedestrians CLS 45 26.Special Conditions, CLS 30 27. Accident and Emergency Procedures CLS 30 28. ADA Federal Regulations CLS 30 DVD- Public Transportation: A Route to Freedom DAY THREE 9.0 CLS 15 29. ADA Intro to Special Needs Passengers CLS 30 30.ADA Sensitivity CLS 45 31.ADA Lift Operations/Securement CLS 240 START Customer Service/ACE OBS 30 Vehicle Familiarization CLS 30 Vehicle Familiarization I OBS 20 Seat Positioning/Signaling/Braking CLS 20 Seat Positioning/Signaling/Braking OBS 10 Vehicle Start-Up Procedures CLS 10 Vehicle Start-Up Procedures CLS 20 Two Way Radio Protocol/Automated Devices OBS 20 Two Way Radio Protocol/Automated Devices CLS 30 MDT OBS 30 MDT DAY FOUR 8.25 CLS 30 DVD-Fraudulant Claims CLS 15 Uniforms CLS 30 ID's/Fingerprint Instructions CLS 30 Transit Centers CLS 30 Proper Radio Use/10 Codes CLS 30 Fare Policies CLS 45 Local, Policies, Procedures CLS 30 Lost Items CLS 30 GM Customer Serivce Intro PDS 60 Pre-Trip and Post-Trip Inspections OBS 60 Pre-Trip and Post-Trip Inspections PDS 60 Lift Operations PDS 60 Securement Systems DAY FIVE 7.0 CLS 60 FL-14:90 Review CLS 90 SSPP Handout and Review CLS 240 14-90 Module 1-11 Class Review and Test CLS 30 14-90 Module 1 on-line Test &Certification DAY SIX 7.0 CLS 60 Commercial Driver's Liscense Review CLS 120 CDL General Knowledge Tests CLS 120 CDL Passenger Test CLS 120 CDL Air Break Test DAY SEVEN 8.0 CLS 480 Adult and Juvenile CPR, 1st Aid, Medical Waste DAY Eight 7.0 PDS 15 Pre-Trip and Post-Trip Inspections PDS 15 Mirrors and Reference Points OBS 15 Pre-Trip and Post-Trip Inspections OBS 15 Mirrors and Reference Points BTW 180 Closed Course 16Al2 OBS 180 Closed Course DAY Nine 8.0 PDS 45 Pre-Trip and Post-Trip Inspections PDS 15 Mirrors and Reference Points OBS 45 Pre-Trip and Post-Trip Inspections OBS 15 Mirrors and Reference Points BTW 150 Closed Course OBS 150 Closed Course DAY Ten 8.0 BTW 420 On-the-road, safe driving skills OBS 60 On-the-road, safe driving skills DAY Eleven 8.0 BTW 420 On-the-road, safe driving skills OBS 60 On-the-road, safe driving skills DAY TWELVE 8.0 BTW 420 On-the-road, safe driving skills OBS 60 On-the-road, safe driving skills BTW 60 On-the-road, Final Assessment DAY THIRTEEN 8.0 CADET 420 On-the-road, Safe Driving& Routes OBS 60 On-the-road,Safe Driving& Routes DAY FOURTEEN 8.0 CADET 420 On-the-road, safe driving skills OBS 60 On-the-road, safe driving skills DAY FIFTEEN 8.0 CADET 420 On-the-road,Safe Driving& Routes CADET 60 On-the-road, Final Assessment Key TOTAL HOURS CLS CLASSROOM 23.40 PDS PRE-DRIVING SKILLS 4.5 OBS OBSERVATION 15.50 BTW BEHIND THE WHEEL 21.0 CDT CADETTING 21.0 85.40 CLS CLIENT REQUIREMENT 29.45 GRAND TOTAL 114.85 System Safety Program Plan (SSPP) Appendix H Naples Current Fixed Route Syllabus 16Al2 MVT Fixed Route Syllabus DAY One 7.75 CLS 40 1. Welcome to MV Transportation CLS 15 2. The Katherine McClary Story CLS 60 Employee Handbook CLS 20 3. The MV Transportation Professional CLS 20 4. Hazards Communication CLS 60 5. Drugs &Alcohol Policies & Procedures CLS 25 6. Fatigue Management CLS 15 7. Wellness CLS 15 8. Whistle Blower CLS 25 9. Sexual Harassment CLS 20 10. Bloodborne Pathogens CLS 25 11. NTI -Warning Signs CLS 30 NTI-The Mark DVD CLS 30 12. Map Reading CLS 30 13. On The Road DAY Two 7.35 CLS 45 14.The Basics of Safety CLS 30 15. LLLC-Defensive Driving CLS 30 16. Introduction to the Bus CLS 60 17. Pre-Trip, Post-Trip Inspections CLS 30 18. Mirrors and Reference Points CLS 15 19. DriveCam CLS 30 20. Following Distance CLS 20 21. Backing Basics CLS 20 22. Intersections CLS 30 23. Changing Lanes, Merging and Passing CLS 20 24. Railroad Crossings CLS 25 25. Pedestrians CLS 45 26. Special Conditions, CLS 30 27. Accident and Emergency Procedures CLS 30 28.ADA Federal Regulations CLS 30 DVD- Public Transportation:A Route to Freedom DAY Three 9.0 CLS 15 29.ADA Intro to Special Needs Passengers CLS 30 30. ADA Sensitivity CLS 45 31.ADA Lift Operations/Securement CLS 240 START Customer Service/ACE OBS 30 Vehicle Familiarization CLS 30 Vehicle Familiarization OBS 20 Seat Positioning/Signaling/Braking CLS 20 Seat Positioning/Signaling/Braking OBS 10 Vehicle Start-Up Procedures CLS 10 Vehicle Start-Up Procedures CLS 20 Two Way Radio Protocol/Automated Devices OBS 20 Two Way Radio Protocol/Automated Devices CLS 30 MDT OBS 30 MDT DAY Four 8.25 CLS 30 DVD-Fraudulant Claims CLS 15 Uniforms CLS 30 ID's/Fingerprint Instructions CLS 30 Transit Centers CLS 30 Proper Radio Use/10 Codes CLS 45 Local, Policies, Procedures CLS 30 Fare Policies CLS 30 Lost Items CLS 30 GM Customer Serivce Intro PDS 60 Pre-Trip and Post-Trip Inspections OBS 60 Pre-Trip and Post-Trip Inspections PDS 60 Lift Operations PDS 60 Securement Systems PDS 30 FARE Collection DAY Five 9.0 CLS 60 FL-14:90 Review CLS 90 SSPP Handout and Review CLS 240 14-90 Module 1-11 Class Review and Test CLS 30 14-90 Module 1 on-line Test & Certification CLS 120 Turn for Turn, Paddle Reading, Radio Communications DAY Six 8.0 CLS 60 Commercial Driver's Liscense Review CLS 120 CDL General Knowledge Tests CLS 120 CDL Passenger Test CLS 120 CDL Air Break Test PDS 60 Ramp Operations DAY Seven 8.0 CLS 480 Adult and Juvenile CPR, 1st Aid, Medical Waste DAY Eight 8.0 PDS 60 Securement Systems 16A1 2 PDS 15 Pre-Trip and Post-Trip Inspections PDS 15 Mirrors and Reference Points OBS 15 Pre-Trip and Post-Trip Inspections OBS 15 Mirrors and Reference Points BTW 180 Closed Course OBS 180 Closed Course DAY Nine 8.0 PDS 45 Pre-Trip and Post-Trip Inspections PDS 15 Mirrors and Reference Points OBS 45 Pre-Trip and Post-Trip Inspections OBS 15 Mirrors and Reference Points BTW 150 Closed Course OBS 150 Closed Course DAY Ten 9.0 PDS 45 Pre-Trip and Post-Trip Inspections PDS 15 Mirrors and Reference Points OBS 45 Pre-Trip and Post-Trip Inspections OBS 15 Mirrors and Reference Points BTW 150 Closed Course OBS 150 Closed Course PDS 120 Wheel Chair Securement Certification DAY Eleven 9.0 BTW 480 Route Training with Paddle OBS 60 Route Training with Paddle DAY Twelve 9.0 BTW 480 Route Training with Paddle OBS 60 Route Training with Paddle DAY Thirteen 9.0 BTW 480 Route Training with Paddle OBS 60 Route Training with Paddle DAY Fourteen 9.0 BTW 450 Route Training with Paddle OBS 60 Route Training with Paddle BTW 90 On-the-road, Final Assessment DAY Fifteen 8.0 CADET 420 On-the-road,Safe Driving& Routes OBS 60 On-the-road,Safe Driving& Routes DAY Sixteen 8.0 CADET 420 On-the-road, safe driving skills OBS 60 On-the-road, safe driving skills DAY Seventeen 8.0 CADET 420 On-the-road,safe driving skills OBS 60 On-the-road, safe driving skills DAY Eighteen 8.0 CADET 420 On-the-road, safe driving skills OBS 60 On-the-road, safe driving skills DAY Nineteen 9.0 CADET 420 On-the-road, Safe Driving& Routes CADET 120 On-the-road, Final Assessment Key TOTAL HOURS CLS CLASSROOM 27.40 PDS PRE-DRIVING SKILLS 9.5 OBS OBSERVATION 21.50 BTW BEHIND THE WHEEL 42.0 CDT CADETTING 36.0 137.6 CLS CLIENT REQUIREMENT 29.45 GRAND TOTAL 167.05 1bAl2 System Safety Program Plan (SSPP) Appendix Naples Staff Training Syllabus 13 Ztit k74!) NA ow. L o 0 0 0 0 Ln 0 0 L F cY) C N anm m = v v co T V 4 I v tac a) V) on i.7) - `� «. c a M" � it s . t.'$ U _U 0N \ rn 5 Ce c9 4' ''',. -cs a c > Q V .� 0 c is Fl p - , xbA 0 0 o �-- F a c y ° '� a ice. $ W . v, W r�ra ` r+ 5 p v) -� '> a) 0 o rt 0 ' v o a Q c-i cn 0. to . ' Z Ca v) Q Q Q F- [z. 5 0.. 5' "' 0 0 0 0 0 v) o 0 C M c N M M co X v a)v) rn @ E Ca z f6 cn v) v) Cl) z r-a r- r- .--7 \ J J J ,-.� \ C , V V V V c/) U U U c..) c/) a Cl.) a -0c V V H- 16Al2 System Safety Program Plan (SSPP) Appendix J New Driver Hires Assessment MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide direction to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the General Counsel for interpretation. In the event a policy conflicts with the law, regulation or the terms of a contract with a customer, the policy will be subordinate to such law, regulation or contract term. Policies are only effective on the approval of the Chief Executive Officer, and the endorsement of the Bridges Committee. Policy # Safety Policy S-37 SUBJECT New Driver Assessment/ Validation POLICY SCOPE: This policy applies to all employees of MV Transportation, Inc. who operate buses or other revenue vehicles. PURPOSE: To ensure new drivers are operating their vehicles in accordance with MV's standards of safe driving performance POLICY: It is the policy of the Company that all new driver hires shall receive a formal and thorough evaluation of their driving skills and a safety performance review/assessment at 45 days and 75 days from their date of hire. PROCEDURES: 1. Complete a SF-3 (Driver Safety Profile and Record Summary) Form for each new driver in advance of the meeting with the driver. 2. Review DriveCam history/trends and overall safety record, in detail, with driver. Identify areas of"need improvement" or "good performance". 3. Conduct a thorough "Road Test" on each new driver and document on Form SF-1. Road Test shall be conducted by a certified BTW or other qualified individual (BTW is preferred). 4. The intent of the road test is to verify that the driver is operating the vehicle in accordance with our safe-driving performance standards (the standards taught in the driver training school and outlined in both the Student Guide and BTW manual). 5. Should the record review or the Road Test indicate areas of weakness and the need for additional training, the driver shall be scheduled for a full refresher training session addressing these areas within 10 days of this 45/75 day review. 6. Should a driver "fail" his/her "75-day" assessment, the Division General Manager, in coordination with the Area Safety Director, shall make a decision whether to retain and retrain the driver or take other administrative actions, up to and including separation from the Company. These formal driver skills assessments shall be performed at the 45 day and 75 day timeframe. Note: It is critical that this final "75 day" assessment be completed before the end of the driver's "90 day probationary" period. 4 ii i The intent of the process is to ensure all new drivers properly apply and execute the defensive driving standards they were taught in their Driver Training School courses and apply them properly during the course of their work. Any exception to this policy must be approved by both the Regional Vice President and the VP of Safety for the division. The Sr. VP of Safety shall be the final decision maker in cases of non-concurrence. Effective Date July 1, 2010 Review Date RELATED TOPICS FORMS BRIDGES Jack Hempstead Date:5/7/10 ENDORSEMENT APPROVED BY Kevin Klika Date: 6/23/10 System Safety Program Plan (SSPP) Appendix K Radio Operating Procedures 16Al2 1. Purpose To describe the procedure for the operation of and communication on a bus radio 2. Scope This procedure applies to Bus Drivers and the Transportation Dispatchers 3. Responsibilities Bus Drivers—Responsible for the polite and professional use of the bus radio to communicate essential information to the base and the other SLCS bus drivers. Transportation Dispatchers—Communicate with and assist the bus drivers through the radio system. 4. Procedure 4.1 Bus Drivers shall: 4.1.1 Think before speaking;transmit only essential information and be brief, accurate and to the point 4.1.2 Speak in a calm, clear manner 4.1.3 Identify the bus number/Route in every transmission and request permission to transmit(e.g. "3 to base"). Wait for dispatch to reply before continuing your transmission 4.1.4 Clear the air when the conversation is complete (e.g. "3 clear") 4.1.5 Not break into other conversations unless an emergency situation arises. Wait until the air is clear before transmitting. (Note: On some frequencies, you will not be able to monitor all calls so wait until you hear"base clear") 4.1.6 Use only the assigned frequency 4.1.7 Not lay the microphone down. Replace it in its holder after use 4.1.8 Use the radio for operation related business only. 4.1.9 Be polite and professional; never transmit a message that could bring liability or embarrassment to the transit system or yourself IY al 4.1.10 Keep the language clean. 4.1.11 Get the message acknowledged and make sure to acknowledge messages (Do not assume dispatch heard your message—get confirmation) 4.1.12 Follow the "10" codes whenever possible 4.1.13 Obey FCC Rules and Regulations 4.1.14 When transmissions are weak or unclear, try moving the vehicle to a better location. Spell out the words that the recipient is having a problem understanding 4.1.15 Monitor the frequency before making a transmission. If there is any radio traffic,wait until it is clear before proceeding. The radio can be put in a monitor position by pushing the monitor button on the control head 4.1.16 When leaving the lot to begin the run, radio the Transportation Dispatcher with your route number and code "10-8" (letting him/her know the bus is in service)—Both a.m. and p.m. 4.2 Transportation Dispatcher 4.2.1 Follow the same rules for bus radio operations as in 4.1 above 4.2.2 Assist bus drivers with necessary information. 4.2.3 Reoccurring Safety Message 4.2.4 Sign on and off daily 16Al2 vot*, RADIO OPERATING CODES 10-1 Unable to copy, receiving poorly 10-2 Receiving loud and clear 10-4 Message acknowledged 10-5 Angry or irate passenger 10-6 Standing by at 10-7 Break/restroonnllunch stop, out of service 10-8 Clear, in service/ back in service 10-9 Repeat message 10-10 Status report on last client activity 10-11 No show 10-17 Assisting passengers 10-18 Fuel vehicle/require fuel 10-19 Return to base/nothing for you 10-20 Location, what's your location 10-21 Telephone the office 10-33 Clear the air-emergency radio traffic only! 10-36 Time check 10-45 Backing up at 10-49 Vehicle broken down at 10-50 Backing completed 10-98 Assignment completed/end of route 10-200 ! System Safety Program Plan (SSPP) Appendix L Driver Refresher Training 1 6 A 1 2 MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide general guidance to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the General Counsel for interpretation. In the event a policy conflicts with the law, regulation or the terms of a contract with a customer, the policy will be subordinate to such law, regulation or contract term. Policies are only effective on the written approval of the Chief Executive Officer,and the endorsement of the Bridges Committee. Policy # Safety Policy S-12 SUBJECT Driver Refresher Training POLICY All MV operators will receive refresher or remedial training, as necessary, throughout their employment with the Company. This training will be conducted as outlined below and documented in local personnel files and training records using the Driver Refresher Training Report Form. Only qualified personnel (General Managers, Operations Supervisors, Safety Managers, or Driver Instructors/BTWs)will administer driver refresher training courses. Under no circumstances will any driver be allowed to return to driving duties unless they demonstrate full proficiency in all applicable driving performance tasks I. Refresher or Remedial training is mandatory under the following conditions: A. Return To Work(from inactive status)— Required when a driver/operator returns from "inactive" status (from a period of 30 days or more). In these cases, the driver must receive a one-day/8 hours "general purpose" refresher training designed to remind the driver of the general standards and defensive driving guidelines in effect at MVT and to ensure his/her proficiency. B. Post Accident/For cause—Required after every"preventable" accident, or whenever mandated by management for retraining / corrective purposes. c. Seasonal—Required annually at all divisions operating in seasonal adverse weather environments (i.e.: Winter driving, onset of adverse weather, etc.). D. Biannually—At a minimum of every two years, each driver/operator shall receive a "general purpose" refresher training designed to remind the driver's of MVT driving standards and validate the driver's proficiency with MVT defensive driving requirements. ii. Course content: A. Return To Work: This refresher is mandatory for any driver who has been away from work for 30 days or more (sick leave, family leave, furlough, worker's compensation, etc.). Reviewing the most up-to- date videos and the behind-the-wheel assessment are important components of this type of refresher. This training will consist of 2 hours in the classroom and 2 hours behind the wheel. At Minimum, the content shall include the following: 1. Safety standards review(Classroom): This training will include a thorough general review of our safety standards and defensive driving guidelines. This will be accomplished by viewing the following Avatar driver training videos and the successful completion of each quiz following each topic: a) LLLC—Defensive Driving b) Mirrors and Reference Points c) Following Distance d) Intersections e) Pedestrians 2. "Behind The Wheel" (BTW) Road Check: The Road-Check portion of the Return-to-Work Refresher is probably the most critical part of the refresher, as it offers the driver the hands-on opportunity to re-establish his or her familiarity with our standards, and with the maneuverability and dimensions of the bus. If the driver has developed any unsafe driving behaviors/habits, the instructor will also be able to identify what driving deficiencies are present, and correct them before certifying the refresher as"satisfactory." The BTW portion will be documented on the SF-1 form and will include a minimum of 30 miles or two hours, and cover city (urban), secondary, and freeway driving environments, with emphasis on city and freeway driving. The time involved for completion of this refresher is variable. The driver must demonstrate his ability to perform all of the required tasks to standard. Particular attention will be given to the following areas: a) Pre/Post trip inspections b) Brake release procedures(Air brake vehicles) c) Gear selection&transmission use d) Proper Scanning Habits 16Al2 e) Turns& Intersections f) Merging &Lane changes g) Backing h) Speed Control i) Following Distance j) Use of Brakes k) Railroad Crossings I) Lift Operations m) Wheelchair Securement Individual Divisions are free to also include any topics/material pertinent to local driving conditions (for example, driving in heavy traffic, mountain terrain, etc.). B. Post-Accident I For Cause Remedial Training: This training is mandatory for any driver who has received a"preventable" rating for an accident/incident. Because(by definition)the driver could have avoided the accident/incident, but failed to do so, it is imperative that the driver receives this remedial training as soon as possible, in order to prevent another similar occurrence. Therefore, the post-accident remedial training must be scheduled and given within 10 days following the formal accident rating. Before the refresher commences, the investigating supervisor will review the accident report with the individual who will conduct the training (i.e.: a driver instructor or BTW instructor), discuss the accident's cause(s) and contributing factors, and what specific driving standards were not applied correctly. They should then tailor the remedial training to correct the driving deficiencies and standards that contributed to the accident. This training will include a review of the appropriate materials/ videos, and behind-the-wheel training. The amount of time needed for a post-accident refresher is variable, and it will depend on the driver's ability to perform the appropriate tasks to standard. The driver must demonstrate his 1 her ability to perform all of the required tasks to standard before being allowed back to driving duties. For instance, if the supervisor has determined that the driver did not perform a right turn correctly, the appropriate videos and quizzes might include material on effective seeing habits, proper positioning of the vehicle, reference points, lane choice. The items highlighted on the refresher report would include"Positioning of the bus for turn," "Use of Mirrors," "Speed," "Proper Use of Signals," "Ability to Judge Bus Size," "Use of Horns," "Aggressive in Traffic," "Aware of Hazards." The driver instructor would then proceed with the behind- the-wheel training with a clear understanding of what driving deficiencies may need correcting, and ensure that the driver is able to perform the appropriate tasks to standard. Currently, under normal circumstances, it is our practice to keep the driver in-service pending the outcome of the accident investigation. However, if Division or Regional management feels the driver involved in the accident poses an imminent danger or threat to the safe operation of a bus(due to a serious driving deficiency or, possibly, a physical or mental impairment), do not hesitate to place the driver out-of-service until it has been determined that the driver is qualified to drive safely. C. Seasonal Refreshers: These refreshers are conducted in preparation of operations during certain periods of the year. At a minimum, this refresher will be given in the fall, before the beginning of winter season, to all division's drivers, and includes refresher topics appropriate for the region, imminent weather, environmental, and traffic conditions. The training will include topics/material appropriate for the season in question, using existing safety videos and lesson modules from the standard Driver Training School. D. Bi-Annual Refresher: This is a mandatory bi-annual (every two years) general defensive driving refresher. All in-service drivers will attend this refresher every two years to ensure they are using appropriate defensive driving habits/techniques (have not become complacent) and will follow the same content requirements of the "Return To Work" refresher listed in "A" above. Effective Date 6/2/09 Review Date 2/10/15 RELATED TOPICS FORMS BRIDGES Jack Hempstead Date: 6/2/09 ENDORSEMENT APPROVED BY Bridges Committee Date: 6/2/09 16Al2 System Safety Program Plan (SSPP) Appendix M Safety Calendar o aC_) aa)) r c C7 c a) O c c c c In a c 3 >' Q _ in C o r > ° > ° w a •u pm N 0 � a 4+VI -° 'CD '0 M 0 -0 ap a a U rn O C a C a! co `mom C N a C E C N m m N a CD in a v7 in U a Q m O 0 p ro C 4 LL _CO c0 a c0 N ro C (n N 75 o r a _0 U ~ O to > N '' N E U C C N 7 O) C C 0 `p O) lT ` ° co 0) N o > 3 4 a cN cE c3 cf0Q c cU co c3z cE — c c c3 • O 0) O O o f 0) O o U) O 'Y o a) O w N Y 0 0 O a) Y a NE c .C. .4� Z N 'Y U .0 '> C .0 C # -p U U U > .— F a) < a U) a) a) n a) 7 ••5 L a) a) -_ - a) 0 a) = C a) - U 7 a) o a) 0 7 p_S aQ a Q QU) a er C a a w a'` a o U)a C a 'o 1 a a a Q C V) C C p C -0 O CC ° tal CV) La J O p- a) J C N a) N Q _ �M 0 ?—' T N +_, CY a=, Q O �' (o U N M = •- In Q � am L w LL O 11 O w O - 11 LPL V) Li_ C LL 0 0 LL D LL Li. w O $ in ro co ro CD U O > C c N ° a3i N 0 C c) O C (0 C CO5 10 E a)aaZ Zcc 03 U U) _ c� ac C U(5) E a ++ a) CD tF FO- Ii _ N r 0 ca C0) •1 (` o0N c CD aJ otS o �° O °� a a~ ( to c aa) V! 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( 2 CD p / j \ / \ 0 w \ — ° Ow 5 a / / 7 ±/ / § \ \ \ & 7 a) 0 % / 3 \ 2 / E2 « _ § C ( c \ / \ t / y / 2 a \ < # E \ ee = Ot > \ / \ # \ — J 0 \ c \ N (nu _ a b a « 4 # / 2 E 9 Z R z ill Era • $ _ > 2 ® 2 \ R c I $ 2 II t Ehi I o k ; z 0 L System Safety Program Plan (SSPP) Appendix N General Safety Guidelines 16Al2 SAFETY GUIDELINES AT MV TRANSPORTATION, INC. SCOPE: The guidelines in this manual apply to all employees and contractors of MV Transportation, Inc. The general procedures in this section do not address specific situations or programs in any depth. Other sections of this manual are more specific. POLICY: It is the policy of MV Transportation, Inc. to make every reasonable effort to provide employees with a workplace that is free from safety and health hazards. These guidelines establish standards of conduct and specify work conditions that are necessary to help achieve an injury-free workplace. RESPONSIBILITIES: Senior Vice President of Safety: The Senior Vice President of Safety is responsible for the Company's safety programs, and the development of appropriate safety procedures, programs and protocols. Vice President of Safety: The Vice President of Safety is responsible for the implementation and execution of the Company's safety programs in his/her area of operations and assists the Sr. VP of Safety in the development of appropriate safety programs, policies and procedures. Area Director of Safety: • Provide support and serve as resource for General Managers and others in their area of operations. • Conduct, review and document facility audits and assist in the correction of deficiencies • Schedule and present training programs. General Manager: General Managers have a critically important role in implementing safety programs. They are primarily responsible for ensuring that day-to-day activities in their work areas are conducted safely. The General Manager is responsible for maintaining environmental and safety related records. They schedule training, coordinate with contractors on environmental and safety matters, and serve as the facility liaison with OSHA, fire departments, and other entities concerned with environmental and safely practices. Training will be provided by management at least monthly on a variety of relevant topics. All will be documented in writing and kept on file at the Division. Safety programs at each facility consist of but are not limited to: • Promote safety awareness and injury/incident prevention with their supervisors and employees. • Ensure all Division employees conduct their day-to-day activities in a safe manner in accordance with company safe-work practices and policies. • Perform appropriate inspections of equipment, storage and work practices • Conduct safety audits and random facility operations inspections. • Maintain liaison with local agencies. • Cultivate a thorough knowledge of safety programs, as well as any applicable Federal, state, or local safety requirements. • Ensure that work safety records are correctly maintained. • Select company authorized physicians and clinics with assistance from the Human Resource and Safety Departments • Investigate collisions, injuries and follow-up on all incident reports, verifying the accuracy of filed reports, and determining appropriate corrective action. Supervisors: Supervisors must be constantly aware of acts and conditions capable of causing injury by: • Performing daily inspections of the work areas, ensuring that all are in order. • Frequently checking the tools of employees, both those provided by MV, and those furnished by the employee. • Checking all fire extinguishers to ensure they are properly located, charged, and accessible. • Observing the behavior of employees, and correcting any unsafe conditions or practices. • Ensuring that all posters, warning signs and bulletins in his or her area are properly posted. • Completing injury investigation forms. Supervisors must assure that both their report and that of the employee are of sufficient detail and clarity to explain the nature and cause as well as the outcome of the injury causing incident. • Answering all health and safety questions raised by employees, refer them to an appropriate source or find out the answer and get back to them. The supervisor should also be able to inform the employee of his rights under the Health and Safety Program and OSHA laws. • Being certain each employee attends and completes any scheduled training courses. They should also make certain that the employee is comfortable with any on-the-job training they have been given. • Document all training Employees in General: All MV employees are expected to comply with the provisions, requirements and recommendations of this Safety Manual. A copy of the manual will be available for review at all times in the Division offices. Employees are also expected to follow the instructions of their managers, and to exercise common sense and awareness in their daily activities. Any problems noted or encountered during work operations should be reported to the department supervisor or facility manager. SAFETY VIOLATIONS: Supervisors shall treat each incident fairly and completely so everyone understands the safety rule violated. The employee must understand the corrective action. Employees shall be counseled and made aware of the consequences of continued noncompliance with company or other safety rules. Emphasis must be stressed that the Company will not tolerate unsafe work habits. This counseling session should be documented and a record kept in the employee's file. Supervisors will be certain that all employees are treated equitably and that patterns of unsafe practices dictate a need to remove the employee from service, in accordance with the provision of the Employee Handbook. 16Al2 GENERAL RULES: Aisles and Passageways: • Where mechanical handling equipment is used, sufficient safe clearance must be allowed for turning or passing. • Aisles and passageways will be kept clear of obstructions, and in good repair. • Permanent aisles and passageways will be clearly marked. • Covers or guardrails will be installed to protect personnel from the hazards of open pits, tanks, vats, ditches, etc. Boilers: • Boilers should be inspected on an annual basis. • A valid boiler inspection certificate bearing the signature of inspector and date of inspection should be posted. • Boilers should be equipped with approved-type water column, gauges and glass indicators. • An emergency shutdown procedure recommended by the boiler manufacturer or insurance underwriter will be implemented when such shutdown is required. Chipguards: Effective chip guarding shall be provided in operations involving compressed air, to protect employees against flying chips and other such hazards. Dockboards: Dockboards shall be strong enough to carry the load imposed on them, and be firmly anchored to prevent slipping and shifting. Drinking Water: • Potable drinking water will be provided in all MV facilities. • Drinking dispensers shall be kept clean and sanitary and will be serviced regularly. Eye and Face Protection: • Protective eye and face equipment, when required, shall be used and maintained in a sanitary and reliable condition. • Safety glasses are mandatory in all MV Maintenance facilities • Such equipment shall meet the requirements of ANSI Z89.1 1989, Practice for Occupational and Educational Eye and Face Protection. Fire Doors: Fire doors will be clearly labeled as such and will not be blocked or tied in an open or closed position. Floors: • All floor surfaces will be kept clean, dry, and free from protruding nails, splinters, loose boards, holes, or projections. • Where wet processes are used, drainage shall be adequately maintained. False floors, platforms, mats, or other dry standing places shall be provided where appropriate. Floor Loading Limits (Especially over offices and secondary deck storage): Floors will be posted to show maximum safe floor loads. Floor Openings and Open Sides: . A6i • Every stairway and ladder way floor opening must be guarded by a standard railing toe board on all exposed sides except the entrance. Entrances will be guarded to prevent a person from walking directly into the opening. • All hatchways, floor holes, pits and chute floor openings must be guarded with covers/netting or standard railings to leave only one entrance. • Regardless of height, open-sided floors, walkways, platforms, or runways above or adjacent to dangerous equipment shall be guarded with a standard railing toe board. Foot Protection: Foot protection should be worn whenever there is a reasonable probability that it can prevent injuries. Hand Tools: • Management is responsible for monitoring the safe condition of tools and equipment used by employees, including tools which employees may furnish themselves. • Employees will use their own tools for general assignments after they are approved by the department supervisor. • Hand tools must be kept in a safe condition (e.g. mushroomed top strikes on chisels, etc. not permitted). • Wrenches will not be used when sprung to the point that slippage occurs. • The frames of portable electric tools will be properly grounded, unless they are double- insulated. • Any equipment showing excessive deterioration, frayed wiring, or other dangerous conditions will be removed from service until repaired. Head Protection: • Head protection (hard hats) will be worn when there is a possibility of head injuries from impact, falling or flying objects, electrical shock, or burns. • Helmets for protection against impact and penetration of falling objects shall meet the requirements of ANSI Z89.1 1989, or an equally effective standard. • Helmets for protection against electrical shock must meet the requirements of ANSI Z89.2 1971. Lighting: Adequate lighting will be provided at all times. Personal Protective Equipment: MV shall furnish employees with proper personal protective equipment as necessary except safety shoes. All equipment will be maintained in a sanitary and reliable condition. Railings: • A standard railing will consist of a top rail, intermediate rail and posts, and will have a vertical height of 42 inches from the upper surface to the top rail. Railing will be equipped with toeboards, and be capable of withstanding a load of at least 200 pounds in any direction. • Stair railings are similar, but are 30-34 inches in height. Scaffolds: • All scaffolds and supports used by MV facilities must be capable of supporting the load they are designed to carry. • All planking shall be of scaffold grade, 2"x 9" or wider. • Scaffold planks shall extend over their end supports not less than 6 inches nor more than 16Al2 18 inches. • Railings and toeboards will be installed on all open sides and ends of platforms more than 10 feet above the floor. • If persons must pass or work under the scaffold, a screen with openings no greater than 1/2 inch must be placed between the guardrail and toeboard. Fixed Industrial Stairs: • Every flight of stairs having four or more risers shall be provided with a standard railing on all open sides. Handrails shall be provided on at least one side of closed stairways, preferably on the right side descending. • Risers must be of uniform height and tread. • Fixed stairs must be at least 22 inches wide. • Spiral stairs are not permitted except for special situations which would prohibit the use or installation of conventional stairs. Storage: • All stored materials in tiers must be stacked, blocked, interlocked, and limited in height, to secure against sliding or collapse. • Storage areas will be kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pest infestation. Smoking Policy: • NO SMOKING signs will be posted in areas where smoking presents a hazard. • Smoking shall not be permitted within 50 feet of fueling facilities, tanks and compressed gasses • Smoking is not allowed in any MV vehicle Sprinkler Systems: • Automatic systems must be checked annually for proper water flow through the test valve. This action must be documented. • Pipes must be protected against freezing or rupture. • Sprinkler heads must not be arranged so as to throw water on electrical boards and equipment. They must be protected by paper bags where subject to paint and other elements. NOTE: The Maintenance Department's "Shop Safety Manual" and "Maintenance Procedures Manual" contain additional safety guidelines and requirements applicable to maintenance operations. INSPECTIONS: Inspections will be performed semi-annually, monthly, and daily on routine matters and as required on others. Problems identified will be corrected and documented. Types of Inspections: A. Daily Safety "Walk-Throuqhs": The Division's General Manager conducts these daily "safety walk-through" of the facility for the purpose of pro-actively identifying work hazards and unsafe conditions. These are NOT formal inspections, but just an informal safety observation of the facility in order to be aware of unsafe conditions that could cause injury/mishaps. B. Monthly Self-Inspections: The Division's General Manager conducts the monthly self- inspection and documents it on the Facility Inspection Form. The purpose of this inspection is to conduct a general facility safety assessment and to ensure the safe working conditions of the facility. If the monthly safety audit indicates the need to repair or address an item, the General Manager will take steps to do so as soon as possible. C. Semi-Annual General Safety Audit: The General Safety Audit (GSA) is a comprehensive safety review of all facility operations. These audits are performed twice each year. The Area Safety Director conducts the GSA, in coordination with the General Manager. This process ensures that the General Manager is absolutely certain of the results of the inspection, and to highlight areas where supervisors may need additional training or advice. D. "Spot Inspections" concentrate on a particular program or area such as hoists, respirators, fire extinguishers, tools, etc. They should be performed as often as deemed necessary, daily in some instances. The General Manager should perform random spot inspections for quality assurance, as he deems necessary. Forms are available for inspection. Performing Inspections: The General Manager and Supervisors should make a strong effort not to allow inspections to be a negative experience. It should be stressed that the inspection is simply to document the overall safety status of the facility. The only objective is to gather information that can help make the work place safer and to take steps to repair/remediate as needed. Problems that are observed should be pointed out in a friendly, factual way. Safety has to involve all personnel at all levels to be effective. 16Al2 System Safety Program Plan (SSPP) Appendix 0 Record Retention MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide general guidance to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the Chief Executive Officer for interpretation. In the event a policy conflicts with the law,regulation or the terms of a contract with a customer,the policy will be subordinate to such law,regulation or contract term. Policies are only effective on the written approval of the Chief Executive Officer. SUBJECT Records Retention Policy # HR 112 POLICY General Policy The Company has a standard set of guidelines for the retention of normal business records and documents. The following is the guideline for typical business records retention both hard copy or soft copy electronic: Permanent • Items such as articles of incorporation, tax returns, contracts, leases, union contracts, insurance policies, CPA reports, board of directors meeting minutes, annual reports, etc. Most of these records are held corporately with internal or external counsel. Seven Years • Payroll, garnishments, cancelled checks, union dues, W-2 forms • Most legal, auto claims, workers compensation claims • Invoices from vendors, accounts payable, 1099 forms • Bank statements Three Years • Former employee files. Must retain three years after date of termination. Procedures 1. MV's repository for hard copy paper records storage is at the Elk Horn Support Center. When sending old files to Elk Horn, the following must be labeled on the outside end of the box: a. Contents of the box (example: Terminated personnel files for X division) b. Destroy date following the guidelines above 16Al2 2. For electronic files, the same retention guidelines apply and those files may be deleted at the proper destroy date. This policy becomes effective immediately. If you have any questions, please contact your Regional Vice President or Support Center Personnel. RELATED TOPICS FORMS APPROVED BY System Safety Program Plan (SSPP) Appendix P Substance Abuse Policy 16Al2 yio { h ,.. .,...t.,.. t.. ,...,,...,,,,,,... IP MV Transportation Substance Abuse Policy Issue Date: April 20, 2019 tt, # 16A22 Contents Drug and Alcohol Testing Core Values 1 1.0 Policy 2 2.0 Purpose 3 3.0 Applicability 3 3.1 Safety-Sensitive Employees 3 3.2 Contractors 4 3.3 Non-Safety Sensitive Positions 4 4.0 Opportunities for Rehabilitation (MVT Policy) 4 4.1 Voluntary Rehabilitation (MVT Policy) 4 4.2 While Undergoing Treatment (MVT Policy) 5 4.3 Cost of Rehabilitation (MVT Policy) 5 4.4 Returning to Work after Treatment (MVT Policy) 5 5.0 Prohibited Behavior and Conduct 5 5.1 Prohibited Drug Use 5 5.2 Prohibited Alcohol Use 5 5.3 Legal Drugs (MVT Policy) 6 6.0 Prohibited Conduct 6 6.1 Requirement to Submit to Drug and Alcohol Testing 7 6.2 Alcohol Use/Hours of Compliance 7 6.3 Compliance with Testing Requirements 7 6.4 Refusal to Submit to a DOT Alcohol or Controlled Substance Test 7 6.5 Compliance with Treatment Requirements 8 6.6 Notify MVT of Criminal Drug Conviction 9 6.7 Improper Application of the Policy 9 7.0 Testing for Prohibited Substances 9 7.1 General 9 7.2 Testing for Prohibited Drugs 10 7.3 Alcohol Testing 10 8.0 Types of Testing 11 8.1 Pre-employment, Transfer Testing or Return to Work Testing 11 8.1.1 Non-Safety-Sensitive Positions 11 8.1.2 Return to Work after 30 Days (DOT-FMCSA Policy) 11 8.1.3 Return to Work after 90 Days (DOT-FTA Policy) 11 8.1.4 Return to Work after 30 Days (Non-Regulated employees) 12 8.1.5 Previous Employer Request Requirement 12 8.1.6 Pre-employment Breath Alcohol Testing 13 8.2 Reasonable Suspicion Testing 13 8.3 Post-Accident Testing 13 8.4 Random Testing 15 9.0 Consequences 15 9.1 Positive Alcohol Test 15 9.2 Positive Drug Test 15 10.0 MRO Report of a Negative Dilute Specimen 15 11.0 Substance Abuse Professional (SAP) 16 12.0 Training and Education 16 13.0 Employee Assistance Community Service Hot-Line 17 14.0 Records, Confidentiality 17 15.0 System Contact 17 16.0 Local Authority 17 17.0 Revisions to the Policy and Program 18 18.0 Zero Tolerance Policy 18 EXHIBIT A—Testing and Cutoffs 19 Drug 19 Alcohol 19 EXHIBIT B—Safety Sensitive Positions 20 Testing Procedures 21 Pre-Employment Testing 21 Random Testing Procedures 22 Procedures for Random Test Notification 23 Collection Procedures for All Tests 24 Reasonable Suspicion Testing Procedures 26 Post-Accident Testing Procedures 26 Post—Accident Testing Criteria 27 Prohibited Drugs and Alcohol Misuse 28 Facts about Amphetamines 30 16Al2 Signs and Symptoms of Amphetamine Use 30 Effects on Person 30 Facts about Cocaine 31 Signs and Symptoms of Cocaine Use 31 Effects on Person 31 Facts about Marijuana 32 Signs and Symptoms of Marijuana Use 32 Signs to Look For 32 Facts about Opioids 33 Signs and Symptoms of Opioid Use 33 Effects on Person 33 Facts about Phencyclidine (PCP) 34 Signs and Symptoms of PCP Use 34 Effects on Person 34 Facts about Alcohol 35 Signs and Symptoms of Use 35 Health Effects 35 Workplace Issues 35 S P4 I'� 16Al2 Drug and Alcohol Testing Core Values Drug and alcohol abuse are the two most preventable behavioral disorders facing our society today. Drug abuse literally costs hundreds of billions of dollars alone in lost productivity, increased healthcare costs, accidents and theft. It is estimated that drug and alcohol abuse costs over a trillion dollars worldwide and growing. MV Transportation, Inc. and its Subsidiaries are dedicated to providing safe, dependable, and economical service to its clients. MV Transportation's employees are our most valuable resource. It is our policy(1) to take appropriate action to assure that employees are not impaired in their ability to perform assigned duties in a safe, productive, and healthy manner; (2) to foster and maintain a drug and alcohol -free environment for all employees and patrons; (3) to prohibit the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; and (4) to encourage employees to voluntarily seek professional assistance whenever personal problems, including alcohol or drug use, may adversely affect their ability to perform their assigned duties. Drug testing not only saves businesses money, but it also saves lives. This is the backdrop that MV Transportation's Drug and Alcohol Compliance Department works in to promote a safe and ethical drug testing program that will be the standard of the industry. MV Transportation's Compliance Department is always looking for ways to improve the everyday challenges by using state of the art software and easy to follow testing instructions and forms, and a comprehensive collection site inspection tutorial for supervisors. To achieve these goals and to comply with all applicable Federal regulations governing workplace anti-drug programs in the transit industry, MV Transportation incorporates three integrated components: • Prevention through education and training • Detection, deterrence and enforcement • Treatment and opportunities for rehabilitation MV's purpose is to assure worker fitness for duty and to protect our employees, passengers, and the public from the risks posed using alcohol and prohibited drugs. MV is surrounded by an extraordinary Board of Directors, Executive Committee and professional staff who support and promote a safe and drug free environment in which we all live and work. 1 In accordance with the U.S. Department of Transportation and the Federal Transit Administration Regulations (49 CFR Parts 40, 655, and 382) MV TRANSPORTATION, INC. SUBSTANCE ABUSE POLICY 1.0 Policy MV Transportation, Inc. and its Subsidiaries (MV Transportation) are dedicated to providing safe, dependable, and economical service to its clients. MV Transportation's employees are our most valuable resource. It is our policy (1) to take appropriate action to assure that employees are not impaired in their ability to perform assigned duties in a safe, productive, and healthy manner; (2) to foster and maintain a drug and alcohol - free environment for all employees and patrons; (3) to prohibit the unlawful manufacture, distribution, dispensation, possession, or use of controlled substances; and (4) to encourage employees to voluntarily seek professional assistance whenever personal problems, including alcohol or drug use, may adversely affect their ability to perform their assigned duties. To achieve the goal of a substance-free workplace, this policy incorporates three integrated components: Prevention through education and training: Education and training will communicate and clarify this policy to all employees, assist employees in recognizing substance abuse problems and in finding solutions to those problems. Detection, deterrence and enforcement: Federal regulations require that effective January 1, 1995, all safety - sensitive employees will be subject to reasonable suspicion, post-accident, random, return to duty and follow up drug and alcohol testing. Applicants for safety sensitive positions will not be eligible for those positions unless they pass a pre-employment drug test. As a "zero tolerance" employer, any positive drug or alcohol or refusal to tests will result in a termination of employment. Treatment and opportunities for rehabilitation: Alcohol and drug abuse are recognized as diseases that can be treated. MV Transportation promotes a voluntary rehabilitation program to encourage employees to seek professional assistance prior to testing positive for drugs or alcohol, without fear of discipline. 144,9 Tom Egan,CEO MV Transportation, Inc.and its Subsidiaries 2 16Al2 2.0 Purpose The purpose of this policy is to assure worker fitness for duty and to protect our employees, passengers, and the public from the risks posed by the use of alcohol and use of prohibited drugs (as defined below). This policy is also intended to comply with all applicable Federal regulations governing workplace anti-drug programs in the transportation industry. The Federal Transit Administration (FTA) and the Federal Motor Carrier Safety Administration (FMCSA) of the U.S. Department of Transportation have enacted 49 CFR (Code of Federal Regulations) Parts 655 and 382, which mandate urine drug testing and breath alcohol testing for employees performing safety-sensitive functions. These regulations also prevent performance of safety-sensitive functions when there is a positive test result or a test refusal. The U.S. Department of Transportation (DOT) has also adopted the revised version of 49 CFR Part 40 as amended, which outlines procedures for transportation workplace drug and alcohol testing programs. This Policy incorporates these federal requirements for employees performing safety-sensitive functions, as well as other provisions. In addition, DOT has published 49 CFR Part 29, implementing the Drug-Free Workplace Act of 1988, which requires the establishment of drug-free workplace policies and the reporting of certain drug-related offenses to the FTA. California passed a similar version of the federal law, the Drug-Free Workplace Act of 1990 (Gov't Code § 8350 et seq). This policy reiterates the requirements of the federal regulations; these requirements will be in Italics. Portions of this policy marked in bold are not necessarily FTA-mandated but reflect MV Transportation employment policy. If any provision of an existing MVT policy, rule or resolution is inconsistent or in conflict with any provision of this policy or the DOT/FTA rules, this policy and the DOT/ FTA rules shall take precedence; if any provision of this policy is inconsistent or in conflict with the DOT/ FTA rules the DOT/ FTA rules shall take precedence. 3.0 Applicability 3.1 Safety-Sensitive Employees This policy applies to all safety-sensitive MV Transportation employees, including paid part time employees who perform or could be called upon to perform any transportation related safety-sensitive function, and this includes off-site lunch periods or breaks when an employee is scheduled to return to work. A safety-sensitive function is any of the following duties: 1) The operation of a transportation revenue service vehicle even when the vehicle is not in revenue service. 2) The operation of a non-revenue service vehicle by an employee when the operation of such a vehicle requires the driver to hold a Commercial Drivers License (CDL). 3 3) Maintaining (including repairs, overhaul and rebuilding) a revenue service vehicle or equipment used in revenue service. 4) Controlling the movement of a revenue service vehicle and 5) Carrying a firearm for security purposes. (Not applicable to MVT) 6) Volunteers are considered a covered employee if; 1) they are required to hold a commercial driver's license to operate the vehicle; or 2) if the volunteer receives re- numeration in excess of their actual expenses incurred while engaged in the volunteer activity. (For a description of job categories - See Exhibit B) 3.2 Contractors Contractors who perform any of the safety-sensitive functions described in this policy for MVT will be subject to the same requirements as safety-sensitive MVT employees. 3.3 Non-Safety Sensitive Positions All MVT employees are subject to the provisions of the Drug-Free Workplace Act of 1998. Visitors, vendors and contracted employees on MVT premises will not be permitted to conduct transportation business if found to be in violation of this policy. 4.0 Opportunities for Rehabilitation (MVT Policy) To promote a drug and alcohol-free workplace, this policy includes a rehabilitation program that allows employees to voluntarily come forward to request rehabilitation. 4.1 Voluntary Rehabilitation (MVT Policy) Any employee who has a drug and/or alcohol abuse problem and has not been selected for reasonable cause, random or post-accident testing or has not refused a drug or alcohol test may voluntarily refer her or himself to the General Manager or the Human Resource Department, who will refer the individual to the company's Employee Assistance Program and/or a Substance Abuse Counselor for a Non-DOT evaluation and treatment. Voluntary self-referral commits the employee to a therapeutic process. Confidentiality of the employee will be protected. The Counselor will evaluate the employee and make a specific recommendation regarding the appropriate treatment. When an employee voluntarily refers her or himself for treatment,the employee may be eligible for sick leave and disability benefits. Employees will be allowed to take accumulated vacation time or may be eligible for unpaid time off to participate in any prescribed rehabilitation program. Employees are encouraged to voluntarily seek professional substance abuse assistance before any substance use or dependence affects job performance. 4 16Al2 4.2 While Undergoing Treatment(MVT Policy) Any covered employee who admits to a drug and/or alcohol problem will immediately be removed from his/her safety-sensitive function and will not be allowed to perform such function until successful completion of a prescribed rehabilitation program is completed. The employee will be placed on an unpaid leave of absence for maximum of 30/60 days to allow time for completion of the treatment/rehabilitation program. Proof of completion must be provided in writing by a valid professional. The employee will be required to pass a Non-DOT drug and alcohol test before he/she can perform a safety-sensitive function. *MV shall make every effort to place the employee back in his/her position upon returning to work. However, an employee's commitment to undergo rehabilitation treatment does not guarantee that the employee's job will be available upon return. 4.3 Cost of Rehabilitation (MVT Policy) All associated costs for treatment are the sole responsibility of the employee. 4.4 Returning to Work after Treatment(MVT Policy) All employees who successfully complete prescribed treatment and can return to work will be subject to unannounced Non-DOT follow-up testing as prescribed by doctor/counselor. 5.0 Prohibited Behavior and Conduct "Prohibited substances" addressed by this policy include the following: 5.1 Prohibited Drug Use FTA regulations specifically prohibit the use of the following illegal, prohibited substances and require testing for their presence under certain circumstances: Marijuana, Amphetamines, Opioids, Phencyclidine (PCP) and Cocaine ("Prohibited Drugs") - Safety- sensitive employees may be tested for prohibited drugs at any time while on duty or on MVT property. 5.2 Prohibited Alcohol Use The consumption of beverages containing alcohol, or substances including any medication such that alcohol is present in the body while performing safety sensitive duties or transportation business, are prohibited. "Alcohol" means the intoxicating agent in beverage alcohol, ethyl alcohol or other low molecular weight alcohols including methyl or isopropyl alcohol. (The concentration of alcohol is expressed in terms of grams of alcohol per 210 liters of breath as measured by an evidential breath testing device.) 5 5.3 Legal Drugs (MITT Policy) The appropriate use of legally prescribed drugs and non-prescription medications is not prohibited. However, the use of any substance which carries a warning label that indicates that mental functioning, motor skills, or judgment may be adversely affected MUST be reported to supervisory personnel. Medical advice should be sought, as appropriate,while taking such medication and before performing safety-sensitive duties. Any time an employee comes forward about a medication that he/she is taking the information must be forwarded to the Director of the Compliance Department for clarification and review. The Compliance department will then consult with the Medical Review Officer (MRO) to determine if the medication is appropriate to take while performing a safety-sensitive function. A legally prescribed drug means that the employee has a prescription or other written approval (in his/her name) from a physician for the use of a drug during medical treatment. The misuse of legal drugs while performing a safety-sensitive function is prohibited at all times. If the MRO determines that the medication being taken is not appropriate to take while performing a safety-sensitive function the employee will remain off duty until the issue is cleared by the MRO. To continue performing a safety-sensitive function the employee taking the medication will be required to provide the following: A written letter from the prescribing physician stating the patient's name, the name of the substance, the period of authorization and a statement that the medication will not adversely affect the employee's performance to drive or perform his/her safety sensitive function and that the employee may continue to perform his/her safety-sensitive function while taking such medication. The letter must be signed and dated by the physician and the letter will be provided to the MRO for final approval. 6.0 Prohibited Conduct Manufacture, Trafficking, Possession, and Use of Controlled Substances The manufacture, distribution, dispensation, possession, or use of controlled substances in the workplace is prohibited. A "controlled substance" is any illegal drug or any substance identified in Schedules I through V of Section 202 of the Controlled Substances Act (21 U.S.C. § 812), and as further defined by 21 CFR 1300.11-1300.15. Any employee engaging in the manufacture, distribution, dispensation, possession or use of a controlled substance on MVT premises will be subject to disciplinary action, up to and including termination and/or will be required to complete a drug abuse assistance or rehabilitation program. Law enforcement shall be notified, as appropriate, where criminal activity is suspected. 6 16Al2 6.1 Requirement to Submit to Drug and Alcohol Testing MVT shall require every covered employee who performs a safety-sensitive function as described in the FTA regulations Part 655 and the FMCSA regulations Part 382 to submit to post-accident, random, and reasonable suspicion drug and alcohol test-and to a pre- employment drug test- as described in this policy. MVT shall not permit any employee who refuses to submit to such tests to perform or continue to perform any safety-sensitive functions. 6.2 Alcohol Use/Hours of Compliance No safety-sensitive employee should report for duty or remain on duty when his or her ability to perform assigned functions is adversely affected by alcohol or when his or her breath alcohol concentration is 0.04 or greater. No employee shall use alcohol while on duty or while performing safety-sensitive functions. No employee shall have used alcohol within four hours prior to reporting for duty. After an accident, employees shall refrain from alcohol use for eight (8) hours or until an alcohol test has been administered, whichever occurs first. No safety-sensitive employee shall use alcohol during the hours that they are on call. On call employees can acknowledge the use of alcohol at the time he/she is called to report to duty and the inability to perform his/her safety sensitive function. 6.3 Compliance with Testing Requirements Any safety-sensitive employee who refuses to comply with a request for testing, who fails to remain readily available for post-accident testing, who provides false information in connection with a test, or who attempts to falsify test results through tampering, contamination, adulteration, or substitution, shall be removed from duty immediately. Refusal can include an inability to provide a specimen or breath alcohol sample without a valid medical explanation, as well as a verbal declaration, obstructive behavior, or physical absence resulting in the inability to conduct the test. 6.4 Refusal to Submit to a DOT Alcohol or Controlled Substance Test As an employee, you have refused to take a drug or alcohol test if you: (1) Fail to appear for any test (excluding pre-employment) within a reasonable time, as determined by the employer, after being directed to do so by the employer. (2) Fail to remain at the testing site until the testing process is complete; Provided, that an employee who leaves the testing site before the testing process commences, for a pre-employment test it is not deemed to have refused to test; unless the testing cup was handed to the donor. (3) Fail to provide a urine or breath specimen for any drug or alcohol test required by Part 40 or DOT agency regulations. 7 (4) In the case of a directly observed or monitored collection in a drug test, fail to permit the observation or monitoring of your provision of a specimen. (5) Fail to provide a sufficient amount of urine or breath when directed, and it has been determined, through a required medical evaluation, that there was no adequate medical explanation for the failure. It is MVT's policy that any employee that does not provide a valid specimen during a collection for a test will remain off duty until the employee is cleared by the MRO that the employee had a valid medical reason. (6) Fail or declines to take a second test the employer or collector has directed you to take. (7) Fail to undergo a medical examination or evaluation, as directed by the MRO as part of the verification process, or as directed by the DER as part of the ' shy bladder" or "shy lung" procedures. (8) Fail to cooperate with any part of the testing process (e.g., refuse to empty pockets or wash hands when so directed by the collector, behave in a confrontational way that disrupts the collection process). (9) If the MRO reports that there is verified adulterated or substituted test result. (10) Failure or refusal to sign Step 2 of the alcohol testing form. (11) Failure to follow the observer's instructions during an observed collection including instructions to raise your clothing above the waist, lower clothing and underpants, and to turn around to permit the observer to determine if you have any type of prosthetic or other device that could be used to interfere with the collection process. (12) Possess or wear a prosthetic or other device that could be used to interfere with the collection process. (13) Admit to the collector or MRO that you adulterated or substituted the specimen. As an employee, if you refuse to take a drug and/or alcohol test, you incur the same consequences as testing positive and will be immediately removed from performing any safety- sensitive functions and referred to the Substance Abuse Professional. 6.5 Compliance with Treatment Requirements All employees are encouraged to make use of the available resources for treatment for alcohol and substance abuse problems. 8 16Al2 6.6 Notify MVT of Criminal Drug Conviction Every employee must notify MVT of any criminal drug statute conviction for a violation occurring in the workplace within five days after such conviction. Failure to do so shall subject said employee to disciplinary action up to and including termination, or satisfactory participation in a rehabilitation program, at the employee's expense. 6.7 Improper Application of the Policy MVT is dedicated to assuring fair and equitable application of this "Zero Tolerance" substance abuse policy. Therefore, supervisors and managers are required to use and apply all aspects of this policy in an unbiased and impartial manner. 7.0 Testing for Prohibited Substances 7.1 General Testing shall be conducted in a manner to assure a high degree of accuracy and reliability and using techniques, equipment, and laboratory facilities which have been approved by the U.S. Department of Health and Human Services (DHHS). Testing for prohibited drugs and alcohol on safety-sensitive employees shall be conducted in accordance with the procedures set forth in 49 CFR Part 40 as amended. See attached Testing Procedures for detailed procedures on all required types of drug and alcohol testing. Medical Review Officer (MRO)- All drug testing results shall be interpreted and evaluated by an MRO who meets all applicable requirements of Part 40, who shall be responsible for receiving laboratory results generated by an employer's drug testing program and has appropriate medical training to interpret and evaluate an individual confirmed positive test result. The MRO shall comply with the drug testing procedures set forth in 49 CFR Part 40. The MRO will not review alcohol test results. When a confirmed positive test is reported from the testing laboratory, it is the responsibility of the MRO to: (a) contact the employee and afford the employee the opportunity to discuss the test results with him/her; (b) review the individual's medical history, including any medical records and biomedical information provided; (c) determine whether there is a legitimate medical explanation for the result, including legally prescribed medication. The MRO shall not convey test results to MVT until the MRO has made a definite decision that the test result was positive or negative, or refusal to test. If the employee provides an adequate explanation, the MRO verifies the test as negative and no further action is taken. When the MRO reports the results of the verified positive test to MVT, the MRO will disclose the drug(s) for which there was a positive test. If the MRO declares a drug test to be invalid for any reason, the test is considered canceled, and neither positive nor negative. However, a re-collection under direct observation may be ordered by the MRO. The Medical Review Officer conducting MRO services for MVT is Dr. Stephen Kracht, M.D., D.O. in Kansas City, MO. 9 • 7.2 Testing for Prohibited Drugs MVT shall collect or have collected urine samples from safety-sensitive employees to test for Prohibited Drugs. An assigned Collection Site will split each urine sample collected into a primary and a split sample. (See testing procedures) The urine samples will be sent under seal, with required chain of custody forms, to a laboratory certified by the DHHS. Currently MV Transportation is under contract with Alere Toxicology in Gretna, LA for its initial testing and confirmation testing. An initial drug screen will be conducted on each primary specimen. For those specimens that are not negative, a confirmatory Gas Chromatography/Mass Spectrometry (GS/MS) test will be performed. The test will be considered positive if the amounts present are at or above the minimum thresholds established in 49 CFR Part 40 as amended, as set forth in the attached Exhibit A (Threshold Levels). Split Specimen Testing- If the test result of the primary specimen is positive or a refusal to test due to adulteration or substitution, the employee may request the MRO to direct his/her split specimen be tested in a different DHHS-certified laboratory. The MRO shall honor such a request if it is made within 72 hours of the employee having been notified of a verified positive or refusal to test result. This does not delay MVT from taking any action consistent with this policy for positive tests and the employee will be removed immediately from any safety-sensitive functions regardless if he/she is having his/her split specimen tested by a different laboratory. However, if the split specimen (bottle B) produces a negative result, or for any reason the second portion is not available, the test is considered cancelled and no sanctions are imposed. However, a re-collection under direct observation may be ordered by the MRO. Cancelled Test - A drug or alcohol test that has a problem identified that cannot be or has not been corrected, or which this part otherwise requires to be cancelled. A cancelled test is neither a positive nor a negative test. 7.3 Alcohol Testing Tests for alcohol concentration on safety-sensitive employees will be conducted with a National Highway Traffic Safety Administration (NHTSA) -approved evidential breath testing device (EBT) operated by a trained breath alcohol technician (BAT). In order to maintain quality assurance, EBT's must be externally calibrated in accordance with the plan developed by the manufacturer of the device. If the initial test on an employee indicates an alcohol concentration of 0.02 or greater, a second test will be performed to confirm the results of the initial test. For summary of applicable alcohol threshold levels, see Exhibit A. 10 16Al2 8.0 Types of Testing 49 CFR Parts 655 and 382 require the following types of testing for Prohibited Substances for safety-sensitive employees: Pre-employment or transfer, reasonable suspicion, post-accident, random. 8.1 Pre-employment, Transfer Testing or Return to Work Testing All applicants for safety sensitive positions shall undergo urine drug testing prior to employment. Receipt by MVT of a verified negative test result from the MRO is required prior to performing ANY safety sensitive functions for the first time. If an applicant or employee's drug test is cancelled or negative-dilute the employee or applicant shall be required to immediately take another pre-employment drug test. Existing employees who are being considered for transfer to a safety-sensitive position from a NON-safety-sensitive position will be required to undergo a DOT pre-employment drug test. Any existing safety-sensitive employee who is simply transferring to a different division for another safety-sensitive position is NOT required to undergo another DOT pre- employment drug test. 8.1.1 Non-Safety-Sensitive Positions All applicants applying for non-safety-sensitive positions will have to take and pass a pre-employment NON-DOT urine drug test prior to being hired. 8.1.2 Return to Work after 30 Days (DOT-FMCSA Policy) MVT has some contracts that are subject to the Federal Motor Carrier Safety Regulations and NOT FTA regulations. Therefore, if the employee has a commercial license and has been out for 30 days or more AND the employee has been taken out of the random testing pool, the covered employee will be required to take a DOT pre- employment drug test before he/she can perform his/her safety-sensitive position. 8.1.3 Return to Work after 90 Days (DOT-FTA Policy) If a covered employee has not performed a safety-sensitive function for 90 consecutive calendar days regardless of the reason, AND the employee has been removed from random pool, the employee must take and pass a DOT Pre-Employment drug test (NOT a return-to-duty) before he/she can perform a safety-sensitive function. 11 8.1.4 Return to Work after 30 Days (Non-Regulated employees) For Non-Regulated employees not subject to federal guidelines but perform driving duties that is considered sensitive work(MVT Policy) It is MVT's policy that all non-covered drivers who drive an MV vehicle and has not performed his/her driving functions for 30 or more consecutive days (regardless of reason)the non-covered employee will be required to take and pass another Non-DOT Pre-Employment drug test before he/she can return to his/her driving position. **For confirmation of regulation authority contact Drug & Alcohol Compliance Department** 8.1.5 Previous Employer Request Requirement As an employer we are required to verify previous violations of DOT drug and alcohol regulations within the last two years of employment with a DOT regulated agency or employer. An employer must obtain and review the information listed below from any DOT- regulated employer the employee performed safety-sensitive functions for in the previous two years. The information must be obtained and reviewed prior to the first time an employee performs safety-sensitive functions. If not feasible, the information should be obtained no later than thirty (30) days after the first time an employee performs safety-sensitive functions.The information obtained must include: 1. Information on the employee's alcohol test in which a breath alcohol concentration of 0.04 or greater was indicated. 2. Information on the employee's-controlled substance test in which a positive result was indicated. 3. Any refusal to submit to a required alcohol or controlled substance test. (including verified adulterated or substituted drug test results) 4. Other violations of DOT agency drug and alcohol testing regulations As the applicant or employee if you have violated any of the DOT drug and alcohol regulations, you must also obtain documentation of your successful completion of the DOT return-to-duty requirements (including proof of follow-up tests administered). Furthermore, all applicants will be asked whether he or she has tested positive, or refused to test, on any pre-employment drug or alcohol test administered by an employer to which the employee applied for but did not obtain safety-sensitive transportation work covered by DOT agency drug and alcohol testing rules during the past two years. 12 16Al2 8.1.6 Pre-employment Breath Alcohol Testing Although it is not MV Transportation's policy to test for alcohol on a pre-employment test, MVT does have contracts that require a breath alcohol test be conducted in addition to the required drug test. Divisions that are subject to this requirement will have to take a pre-employment breath alcohol test. Breath alcohol testing will be in accordance with DOT Part 40 and 655.42. 8.2 Reasonable Suspicion Testing All safety-sensitive employees shall be subject to reasonable suspicion testing, to include appropriate urine and/or breath alcohol testing when there is reasonable suspicion to believe that a covered employee has used a prohibited drug and/or engaged in alcohol misuse. A reasonable suspicion referral for testing will be made based on specific, contemporaneous, articulable observations concerning the appearance, behavior, speech, or body odors of the covered employee. Reasonable suspicion tests for the presence of alcohol shall be authorized by observations made just prior, during or immediately after the period of the day in which the employee is required to be in compliance with the requirements of Part 655; and those alcohol tests shall only be conducted just before, during, or just after the performance of a safety-sensitive function. If an alcohol test is not administered within two hours following the determination to test the employee, the employer shall prepare and maintain on file a record stating the reasons the alcohol test was not promptly administered. If the alcohol test is not administered within eight hours following the determination, MVT shall cease attempts to administer an alcohol test and shall state in the record the reasons for not administering the test. Reasonable suspicion determination will be made by a supervisor, or other company official who has had the required Reasonable Suspicion training to detect and document the signs and symptoms of probable drug use and alcohol use and who reasonably concludes that an employee may be impaired by of a prohibited substance. Any employee who is required to take a Reasonable Suspicion test will remain off duty until a negative alcohol and drug test is received. 8.3 Post-Accident Testing Fatal Accidents As soon as practicable following an accident involving the loss of human life, MV Transportation will conduct drug and alcohol tests on each surviving covered employee operating the public transportation vehicle at the time of the accident. Post-accident drug and alcohol testing of the operator is not required under this section if the covered employee is tested under the fatal accident testing requirements of the Federal Motor Carrier Safety Administration rule 49 CFR 382.303 (a)(1) or (b)(1). MV Transportation shall also test any other covered employee whose performance could have contributed to the accident as determined by investigating staff using the best information available at the time of the decision. 13 Non-Fatal Injury Accidents As soon as practicable following an accident not involving the loss of human life in which a public transportation vehicle is involved, MV Transportation will drug and alcohol test each covered employee operating the public transportation vehicle at the time of the accident unless investigating staff determine, using the best information available at the time of the decision,that the covered employee's performance can be completely discounted as a contributing factor to the accident. Accident means an occurrence associated with the operation of a vehicle, if as a result: (1) An individual dies; or (2) An individual suffers bodily injury and immediately receives medical treatment away from the scene of the accident; or (3) With respect to an occurrence in which the transit vehicle involved is a bus, electric bus, van, or automobile, one or more vehicles (including non-FTA funded vehicles) incurs disabling damage as the result of the occurrence and such vehicle or vehicles are transported away from the scene by a tow truck or other vehicle; or (4) With respect to an occurrence in which the public transportation vehicle involved is a rail car, trolley car, trolley bus, or vessel, the public transportation vehicle is removed from operation. (For exact testing criteria -see Post Accident Testing Procedures) MV Transportation shall also test any other covered employee whose performance could have contributed to the accident as determined by investigating staff using the best information available at the time of the decision. MV Policy:When to conduct a NON-DOT Post accident/incident test If the accident does not meet the FTA/FMCSA testing criteria, MVT will reserve the right to test any safety-sensitive employee after any accident/incident regardless of the severity of the accident/incident. Additionally, MVT will test any other safety-sensitive employee whose performance MVT determines could have contributed to the accident. Under these circumstances it must be explained to the employee that the drug and alcohol tests will be done under M.V. Transportation authority and should be done on NON-DOT drug and alcohol chain of custody forms. Any employee who takes a post-accident test will remain off duty until a negative drug test and alcohol test result is received. 14 16Al2 8.4 Random Testing Employees performing safety-sensitive functions will be subject to unannounced, random drug and alcohol testing in accordance with FTA regulations. The random drug and alcohol testing rates will be, at a minimum, based on the current FTA and FMCSA requirements at all times. Each such employee shall have an equal chance at selection and shall remain in the pool even after being tested. The basis for random selection shall be by a scientifically valid random number generation method initiated by computer. The dates for administering unannounced testing of randomly-selected covered employees shall be spread reasonably throughout the calendar year, month, week, and all hours that safety- sensitive functions are performed. This ensures that employees would have a reasonable expectation that they might be called for a test on any day they are at work. A covered employee shall only be randomly tested for alcohol misuse while the employee is performing safety-sensitive functions; just before the employee is to perform safety- sensitive functions; or just after the employee has ceased performing such functions. A covered employee may be randomly tested for prohibited drug use anytime while on duty. The employee must proceed to the test site immediately after being notified that he or she has been selected for testing in the allotted time given. 9.0 Consequences 9.1 Positive Alcohol Test (a) A safety-sensitive employee who has a confirmed alcohol concentration of 0.02 or greater but less than 0.04 will be removed from his or her duties for eight hours unless a confirmation test results in a concentration measure of less than 0.02. (For a test result which is less than 0.04 no other action will be taken except that which is described in this paragraph.) (b) An alcohol concentration of 0.04 or greater or a test refusal will be considered a positive alcohol test. The employee will be immediately removed from duty and referred to a Substance Abuse Professional (SAP) and terminated from employment. 9.2 Positive Drug Test The consequences of a positive drug test or a test refusal are as follows: the employee will immediately be removed from safety sensitive duties, referred to a Substance Abuse Professional and terminated from employment. 10.0 MRO Report of a Negative Dilute Specimen If the MRO informs MVT that a negative drug test was dilute, the employee will be directed to take another test immediately. In some cases, the MRO may require the retest to be performed under "Direct Observation." Each employee directed to take another test, will be given the minimum possible advance notice that he or she must go to the collection site to take another test. 15 For any employee that is directed to take another test, the result of the second test — not that of the original test — becomes the test of record which MVT will rely on for purposes of this policy. Any employee who is directed to take another test and the employee declines to do so, shall be considered as a refusal to test for purposes of this policy and DOT agency regulations. Dilute Specimen- A specimen with creatinine and specific gravity values that are lower than expected for human urine. 11.0 Substance Abuse Professional (SAP) A SAP must meet all the credential, basic knowledge, qualification training, continuing education, and documentation requirements of 49 CFR Part 40, Subpart 0, §40.281 (a-e). The SAP will evaluate the employee to determine what assistance the employee needs in resolving problems associated with prohibited substance abuse or alcohol misuse. The SAP will also determine whether an employee has successfully completed a program of rehabilitation. MV Transportation uses: American Substance Abuse Professionals, Inc. (ASAP) Nationwide Network www.go2asap.com 1421 Clarkview Road,Suite 130, Baltimore, Maryland 21209 Contact: Nicole Hanratty, CEAP, SAP, C-DERT 888-792-2727 x177 Mention MV Transportation This firm is a national company that contains a large network of qualified SAPs throughout the United States. Employees simply call the toll-free number and provide the SAP their city and zip code and the SAP will find them the qualified SAPs closest to their area. 12.0 Training and Education All employees shall participate in a minimum one-hour training session designed to meet FTA requirements by learning about the effects and consequences of drug use on personal health, safety and the work environment. For those supervisors participating in reasonable suspicion determination testing, there will be at least two hours of training to explain the criteria for reasonable cause testing, including at least an hour on the physical, behavioral and performance indicators of probable drug use and another hour on the physical, behavioral, speech and performance indicators of probable alcohol misuse. Initial training sessions will be re-enforced with educational materials and meetings. Further, employees shall be provided with a community hot-line telephone number. 16 16Al2 13.0 Employee Assistance Community Service Hot-Line The Center for Substance Abuse Treatment maintains a toll-free Referral Helpline 800-662-HELP National Mental Health Association 800-969-NMHA (6642) National Domestic Violence Hotline 800-799-SAFE National Suicide Hotline 800-SUICIDE (784-2433) National Child Abuse Hotline 800-422-4453 14.0 Records, Confidentiality A safety-sensitive employee is entitled, upon written request, to review and obtain copies of any records relating to the employee's drug and alcohol testing. MVT must maintain records of its substance abuse program in a secure location with controlled access. 15.0 System Contact Any questions regarding this policy or any other aspect of MVT's Substance Abuse Management Program should be directed to the office of the following: Name: Cristina Pereira, Sr. Director of Human Resources and Drug & Alcohol Compliance Address: 2711 N. Haskell Ave., Ste. 1500, LB-2 I Dallas, TX 75204 Phone Number: 469-502-8384 16.0 Local Authority Local Division General Managers and Safety Managers are the Designated Employer Representatives (DERs) and are authorized to receive test information from the MRO as well as confirmation test results from the qualified B.A.T. 17 17.0 Revisions to the Policy and Program This policy and program are subject to revision in accordance with the Department of Transportation regulations, as amended. 18.0 Zero Tolerance Policy MV Transportation's "Zero Tolerance" Policy means any covered employee that has a verified positive drug or alcohol test, or test refusal, will be immediately removed from his/her safety- sensitive position, referred to a Substance Abuse Professional (SAP), and will be terminated. 18 16Al2 EXHIBIT A—Testing and Cutoffs Drug Pursuant to the Federal Department of Transportation regulations, the following are the drugs to be tested for, and the threshold levels of each test which MV Transportation is required to accept: Confirmatory Test Initial Test Analyte Initial Test Cutoff 1 Confirmatory Test Analyte Cutoff Concentration Marijuana metabolites(THCA)2 50 ng/mL3 THCA 15 ng/mL. Cocaine metabolite(Benzoylecgonine) 150 ng/mL 3 Benzoylecgonine 100 ng/mL. Codeine/ 2000 ng/mL Codeine 2000 ng/mL. Morphine Morphine 2000 ng/mL. Hydrocodone/ 300 ng/mL Hydrocodone 100 ng/mL. Hydromorphone Hydromorphone 100 ng/mL. Oxycodone/ 100 ng/mL Oxycodone 100 ng/mL. Oxymorphone Oxymorphone 100 ng/mL. 6-Acetylmorphine 10 ng/mL 6-Acetylmorphine 10 ng/mL. Phencyclidine 25 ng/mL Phencyclidine 25 ng/mL. Amphetamine/ 500 ng/mL Amphetamine 250 ng/mL. Methamphetamine Methamphetamine 250 ng/mL. MDMA 4/MDA 5 500 ng/mL MDMA 250 ng/mL. MDA 250 /mL. *(ng/mL)nanograms per milliliter Alcohol (Includes ethanol, methanol, isopropanol) Breath Alcohol Concentration (expressed in terms of grams of alcohol per 210 liters of breath) Initial Screen Confirmatory (Given if 0.02 or greater on initial screen) Under 0.02 0.02 to less than .04 employee may not perform safety- sensitive function 19 hµ EXHIBIT B—Safety Sensitive Positions The following is a general list of safety-sensitive functions and the job categories of employees who are subject to the provisions of 49 CFR Par 655 and 382 at MV Transportation: NOTE:This list is subject to change and revision. 49 Maintenance Training 340 Lead Dispatcher 416 Safety Manager 550 Mechanic Manager 87 Safety Assistant 345 Dispatcher 420 BTW Trainer 561 Mechanic A 112 Floating Mechanic A 346 Window Dispatcher 425 BTW Instructor 562 Mechanic B 113 Body Repairman 349 Scheduling Manager 450 Classroom Instructor 563 Mechanic C 300 General Manager 350 Scheduler 451 Classroom Trainer 564 Technician A Mechanic 301 General Manager 1 352 Scheduling Coordinator 470 Parts Manager 565 Technician B Mechanic 302 General Manager 2 353 VA Coordinator 471 Asst.Parts Manager 566 Technical C Mechanic 303 General Manager 3 354 Operations Supervisor 475 Parts Clerk 567 Technician Apprentice 304 General Manager 4 355 Road Supervisor 500 Maintenance Manager 568 Technician 310 Division Manager 357 Where's My Ride 510 Asst.Maintenance 569 Mechanic Helper Supervisor Manager 315 Asst.Division Manager 359 Lead Supervisor 512 Maintenance Technician 570 Cleaners 320 Operations Manager 379 Lead Scheduler/Dispatcher 514 Bus Stop Maintenance 571 Mechanic Helper 321 Shift Supervisor 399 Call Center Manager 515 Maintenance Clerk 572 Body Shop Technician 322 Asst.Ops Manager 400 Safety and Training 516 Maintenance Supervisor 575 Service Worker Manager 323 Operations Supervisor 405 Training Manager 517 Service Employee 580 Utility Crew 330 Dispatch Manager 406 Training Supervisor 518 Advanced Service 584 Station Supervisor Employee 332 Reservations Manager 410 Safety Trainer 519 Entry-Level Mechanic 590 Bus Aid 335 Dispatch Supervisor 411 Safety Training Supervisor 520 Shop Foreman 600 Driver Trainer 336 Drive Cam Supervisor 415 Asst.Safety Manager 530 Lead Mechanic 610 Driver Any MVT employee who has a non-safety-sensitive position, but who may perform a safety sensitive function at any time while they are working will be subject to random testing and will be included in the DOT random testing pool. 20 16Al2 Testing Procedures Note: Testing and collection procedures will be conducted as set forth by 49 CFR Parts 40 (as amended) & 655 & 382. The information on the following pages is meant for general information only for MV Transportation employees. Any questions regarding reference to the regulations should be directed to the policy section of this handbook. A copy of 49 CFR Part 40 is available for review to each employee upon request to their local manager. This is a "Zero Tolerance" policy and any reference to return to work after a positive test result does not apply to employees affected by this policy. The FTA does not mandate "Second Chance". Pre-Employment Testing 1. The FTA regulations require that all applicants for employment in safety-sensitive positions or individuals being transferred to safety-sensitive positions from NON-safety- sensitive positions must be given a pre-employment drug test. Applicants may not be assigned to safety-sensitive functions unless they pass the drug test. 2. Applicants must be informed in writing of the testing requirements prior to conducting the test. MVT will require applicant to sign a form acknowledging that they know that their urine will be tested for Cocaine, PCP,Amphetamines, Marijuana, and Opioids. 3. Appropriate personnel at each location will schedule appointments for collection. The employee must be made aware that their placement into a safety sensitive position is contingent upon a negative test result. 4. It is the responsibility of the applicant to report to the collection site at the time and day scheduled. 5. Positive test results must be reviewed by the MRO. 6. Applicants are notified by the MRO of the laboratory results and are given an opportunity to discuss the results. 7. Applicants who test positive will not be hired into a safety-sensitive position. 8. An applicant whose pre-employment test results are negative will continue through the safety-sensitive hiring process. 9. Applicants will be asked whether he or she has tested positive or refused to test on a pre-employment drug or alcohol test while trying to obtain safety sensitive transportation work from an employer covered by DOT agency during the past two years. If applicant admits that he or she had a positive test or a refusal to test, MV will not allow the applicant to perform safety sensitive duties unless and until applicant provides documents showing the successful completion and release from a SAP. 21 Random Testing Procedures The FTA regulations require random testing for prohibited drugs and alcohol for all safety- sensitive employees. Random testing identifies those who are using drugs or misusing alcohol but can use the predictability of other testing methods to escape detection. More importantly, it is widely believed that random testing serves as a strong deterrent against employees beginning or continuing prohibited drug use and misuse of alcohol at MVT. MV Transportation has developed procedures for notification and collection to best implement the requirements of the federal rules. These procedures answer common questions regarding random testing: Who is tested? Why are only some individuals tested? When and how do the tests occur? 1. Random drug and alcohol testing applies only to safety-sensitive employees. Identification numbers for all safety-sensitive employees will be included in a selection pool. 2. Random drug and alcohol testing is accomplished by a scientifically valid, tamper-proof, computer-generated selection process. A random list for testing of employee numbers will be generated every month. 3. Employees are chosen in an unannounced, unpredictable manner. No employee will be removed from the random pool following the next selection, and every employee will continue to be subject to random selection throughout the year. Every employee in the random pool has an equal chance of being selected every time. Employees are only removed from the random pool when they are in rehabilitation programs, terminated or permanently transferred to a non-safety-sensitive position, or expected to be out for at least 90 days or more. 4. Random testing will be conducted on all shifts, all times of day, and all days of the week throughout the calendar year. No shift is exempt from testing. 5. Random drug testing may be conducted concurrently with random alcohol testing or at any time during an employee's shift. Random alcohol testing will be conducted just before the employee is scheduled to perform a safety-sensitive function, while the employee is performing safety-sensitive functions or just after the employee performs a safety-sensitive function. The employee must proceed to the test site immediately after being notified that he or she has been selected for testing in the allotted time given. 6. For both Maintenance and Operations (Drivers) the Divisional Manager in each location will be notified which employees have been selected for testing. Once an employee is notified of his/her selection, he/she must report immediately for the test. Failure to report after notification constitutes a refusal to test. (see procedures for random test notification) 7. Employees will be notified where to report for collection, when to stop work and report to the collection site and who will relieve them, if necessary. 22 16A1 2 8. The employee must submit to a drug and/or alcohol test. Failure to cooperate with the collection procedure in any way constitutes a refusal to test which has the same consequences as a positive test result. 9. The employee is in a paid status throughout the random testing procedure. Employees will be removed from duty if the results are positive and employee will be terminated. 10. If both alcohol and drug tests are being given, the breath alcohol test will be performed first. Immediately thereafter, the urine sample will be collected for the drug test. 11. If there is a confirmed breath alcohol test of between .02% and .039% (inclusive), the employee will be relieved from duty immediately for a minimum of eight (8) hours. 12. If there is a confirmed positive breath alcohol test (.04% or above), the employee will be given the name of a Substance Abuse Professional (SAP) and terminated. Procedures for Random Test Notification 1. The Human Resource Department triggers the selection list of the month's safety- sensitive employees to be scheduled for testing. 2. The local manager will review work schedules, including planned absences when known, to develop a best available time to perform the tests. The local manager will coordinate the testing schedule with the collector. 3. In developing testing times, the goal will be to minimize the impact in service. Testing will be conducted using the following priority periods: • Before work, • During split time, • After work/shift is completed • During work, with standby personnel relief. 4. During work, without relief(if no other time is possible). 5. Notification of Employees- The Human Resources Department triggers notification to each location's designated employer representative (DER) via electronic mail. 6. The DER will notify each safety-sensitive employee selected and thus notified. Each employee who is selected is to report to the test site immediately 7. The employee cannot "go off sick" or on vacation or leave of absence after notification 8. Collection site personnel shall report "unreasonable delays" to the local DER as employees are required to immediately report to the collection site following 23 notification. Failing to report to the collection site within a reasonable allotted time constitutes a refusal to test. 9. The DER shall confirm with the Regional, Divisional, or Operations Manager that the employee was notified. 10.The DER shall notify the proper management official if an employee fails to report for testing after notification. 11. An employee who fails to report for testing shall be removed from duty immediately. If employee is determined to have "refused to test" he/she face the same consequences as testing "positive" for drugs/alcohol and will be given the name and number of a SAP and terminated from employment. Collection Procedures for All Tests All collection procedures shall be performed in accordance with Part 40. Upon notification of a test under this policy; 1. The employee must report to the collection site immediately after notification. 2. The employee shall provide photo identification to collection site personnel. Supervisors will verify the identification of employees without photo identification and may photograph the employee if necessary. 3. The employee must comply with all collection procedures. 4. The employee must follow the directions of the collection staff to ensure that an unadulterated urine specimen is collected, and/or the breath alcohol test is completed. 5. The employee will be in a private enclosure and unobserved unless a direct observed collection is determined to be needed by the MRO,the local DER, or the collector. 6. The employee must supply at least 45 ml of urine (approx. 1 % oz). If the employee gives an inadequate amount of urine or if the employee is unable to give a sufficient urine sample collection site staff shall provide the individual with no more than 40oz of fluid to drink during a period of up to 3 hours. The employee will attempt to provide a complete sample using a fresh container. If the required amount is provided, the collection staff will continue with collection process. If the employee is still unable to provide an adequate specimen within three hours of the first unsuccessful attempt to provide the specimen, the collection staff must discontinue the collection, note the facts on the "remarks" line of the CCF, and immediately notify the DER. Shy Bladder -The term "shy bladder" refers to a situation when the employee does not provide a sufficient amount of urine (45 ml) for a DOT required drug test. If an employee tells the collector, upon arrival at the collection site, that he or she cannot provide a specimen, the collector must still begin the collection procedure regardless of the reason given and direct the employee to make the attempt to provide the specimen. 24 16Al2 The employee must be monitored during this time. If the employee leaves the collection site or refuses to make the attempt to provide a sufficient urine specimen, this is considered a refusal to submit to a test. Failure to produce a sample of urine will result in an immediate referral for an evaluation from a licensed physician within 5 days who can determine in his or her reasonable judgment the safety-sensitive employee's inability to provide an adequate amount of urine. If no medical reason is found substantiating an inadequate sample, the incident will be treated as a "refusal to test" and will carry the same consequences as a positive test result. It is MVT's policy that any employee who does not provide a valid specimen during a collection for a test will remain off duty until the employee is cleared from the MRO that the employee had a valid medical reason. 7. If the employee fails to provide an adequate amount of breath for the breath alcohol test, a second attempt will be made. If the Employee, after multiple attempts, fails to produce a sample, the Breath Alcohol Technician (BAT) shall so note in the "Remarks" section of the breath alcohol testing form and immediately inform the DER. The DER will instruct the employee to obtain, as soon as possible but within 5 days after the attempted provision of breath, an evaluation from a licensed physician who is acceptable to the employer concerning the employee's medical ability to provide an adequate amount of breath. 8. Whenever there is reason to believe that an individual has altered or substituted the urine specimen, a second specimen shall be obtained as soon as possible under direct observation of a same gender observer. Reasons may include; temperature of the specimen out of normal range, bluing agent in the specimen. Substituted Specimen- A specimen with creatinine and specific gravity values that are so diminished that they are not consistent with human urine. Adulterated Specimen-A specimen that contains a substance that is not expected to be present in human urine, or contains a substance expected to be present but is at a concentration so high that it is not consistent with human urine. 9. If the breath alcohol screening is 0.02 or greater, the breath alcohol technician will wait at least 15 minutes and a maximum of 30 minutes before administering the confirmation test. Even if more than 30 minutes have passed the BAT will still conduct the confirmation test. 10. To ensure that the test results are attributed to the correct covered employee; both specimen bottles must be sealed and labeled in the presence of the donor. The labels must be printed with the same specimen identification number as the custody control form and are attached to the specimen bottles. The donor initials the labels on the vials verifying that the specimen is his or hers. 25 f.� Reasonable Suspicion Testing Procedures 1. Supervisors and managers receive training to identify behaviors that might be indicators of drug use and/or alcohol misuse. Training includes the procedures for how to deal with employees suspected of drug use and/or alcohol misuse. 2. If a supervisor observes an appearance, behavior, speech pattern, or body odor of the covered employee that might be indicative of drug use and/or alcohol misuse, he/she directs the employee to stop work and escorts the employee to an area to be questioned and observed in private. 3. The supervisor completes the Reasonable Suspicion Incident Report. The supervisor must ensure that the employee does not continue to operate in a safety-sensitive function after identified for reasonable suspicion testing. 4. If there is a decision to test based on observable symptoms, the employee is ordered to submit to a drug and alcohol test and is escorted to the collection site. 5. The employee is on paid status until the test collection is completed. Employee will remain off duty until a negative drug and alcohol test is received. To the greatest extent possible, arrangements shall be made to have him/her transported home and employee should not be allowed to leave on his/her own recognizance. 6. If there is a confirmed breath alcohol test of between .02% and .039% (inclusive), the employee will be relieved from safety-sensitive duty immediately for a minimum of eight (8) hours. If there is a confirmed positive breath alcohol test (.04% or greater) and/or confirmed positive drug test, or refusal to test, the employee shall be provided the name and number of a SAP and the employee will be terminated. 7. If the employee's drug test is confirmed negative by the MRO and/or the BAT test is below 0.02 the employee will be allowed to return to work and will be paid for any time missed. Post Accident Testing Procedures The FTA regulations require testing for prohibited drugs and alcohol in the case of certain public transportation accidents. Post-accident testing is mandatory for accidents where there is a loss of life and for other non-fatal accidents. 1. The supervisor ensures that all injured people receive proper medical care. Nothing in this section shall be construed to require the delay of necessary medical attention for the injured following an accident or to prohibit a covered employee from leaving the scene of an accident for the period necessary to obtain assistance in responding to the accident or to obtain necessary emergency medical care. 2. The supervisor determines whether the accident meets FTA criteria using MVT's "Post Accident Decision Checklist Form". 26 16Al2 3. If the accident meets the FTA/DOT criteria a DOT post-accident drug and alcohol test will be conducted immediately. The employee will be taken to the collection site and tested as soon as practicable following the accident. The employee should remain readily available for alcohol testing up to 8 hours and for drug testing up to 32 hours after the accident, including notifying his/her supervisor of his/her location or he/she may be deemed to have refused to submit to testing if he/she does not make him/herself readily available for testing. 4. Once the tests have been completed the employee will remain off duty until a negative drug and alcohol test is received. 5. If the employee is not tested within two hours for alcohol,the supervisor must document the reason for the delay, and if test is not conducted in 8 hours, the DER shall cease all further attempts and update the records as to the reason(s) why the test was not completed. If the 32 hours have passed the DER shall cease all further attempts to complete the drug test. 6. If the employee refuses to be tested, or the breath alcohol test is .04 or greater, or if the drug test is confirmed positive, the employee is immediately removed from duty, the Sap will find them the qualified SAPs closest to their area and will be terminated. Post—Accident Testing Criteria It should be noted that a post-accident test is given because the incident meets the criteria listed below. It is NOT a probable cause or reasonable suspicion test. An accident (§ 655.4) is defined as an occurrence associated with the operation of a vehicle in which: 1. An individual dies. 2. An individual suffers a bodily injury and immediately receives medical treatment away from the scene of the accident. 3. With respect to an occurrence in which the public transportation vehicle involved is a bus, van or automobile, one or more vehicles incurs disabling damage as the result of the occurrence and is transported away from the scene by a tow truck or other vehicle. For purposes of this definition, "disabling damage" means damage which precludes departure of any vehicle from the scene of the occurrence in its usual manner in daylight after simple repairs. (Inclusions) Disabling damage includes damage to vehicles that could have been operated but would have been further damaged if so operated. (Exclusions) damage which can be remedied temporarily at the scene of the occurrence without special tools or parts, tire disablement without other damage even if no spare tire is available, or damage to headlights, tail-lights, turn signals, horn, or windshield wipers that makes them inoperative. 27 4. With respect to an occurrence in which the public transportation vehicle involved is a rail car, trolley car, trolley bus, or vessel, the public transportation vehicle is removed from operation. 5. The FTA has determined that "LIFTS" constitute equipment used in revenue service and their operation is essential to the operation of the vehicle and protection of public safety, their operation shall now be included in the accident definition. To determine if a test should be administered under this section, always use MV Transportation's "Post Accident Decision Checklist". This form should be used for all accidents in determining whether a test will be done under DOT authority. Prohibited Drugs and Alcohol Misuse MVT is required to ensure that all covered employees receive at least 60 minutes of training and discussion on the effects and consequences of prohibited drug use on personal health, safety, and the work environment, and on the signs and symptoms that may indicate prohibited drug use. The information below shall assist in providing statistics and examples of substance abuse in the work force and the signs and symptoms of such use. A study conducted showed 75 percent of illicit drug users 18 and older are employed, which amounts to about 10 million U.S. workers. On a daily basis, based on 250 work days in a year, at least 42,000 Americans are coming to work stoned or are getting "high" while on the job. Studies and statistics show that: 1. Every 23 minutes a death occurs as a result of a drug or alcohol related accident. 2. A typical abuser is: a. Late to work 3 times more often b. Requests twice as much time off c. Is absent 2 1/2 times more than average d. Uses 3 times as many sick benefits e. Collects 5 times as much worker's comp f. Has 300% higher medical costs/benefits If these statistics haven't convinced you that the problem is serious, let's look at a few more. A national survey once reported that: 1. 19%of all children over the age of 12 had used some type of illegal drug 2. 65%of 18 to 25-year olds had used some type of illegal drug 3. 30 to 40 million Americans stated they had used cocaine 4. By age 17, 70%of American teenagers had tried alcohol 28 16Al2 As you can see, drug and alcohol abuse is a serious problem, having a major effect on all our lives. Even though you may not be abusing drugs or alcohol, you are affected by the results of drug and alcohol abuse in our society. You pay higher medical costs to help cover the costs for abusers who cannot afford the cost of treatment. You pay higher insurance costs to help fund the drug and alcohol abuse programs paid for by insurance companies. The material and services you buy cost more because of decreased worker productivity, as well as increased cost to employers. This section is designed to provide you with a brief overview of the seriousness of using controlled substances and alcohol. It also provides education on the signs, symptoms and effects of the illicit drugs that you will be tested for. Your employer has taken great measures to assure you of a safe working environment. Please review this booklet in its entirety to educate yourself on drug and alcohol in the workplace. When you have completed reading this material, you will better understand the need for a drug-free workplace. The drugs for which you will be subject to testing include: • Amphetamine • Marijuana • Phencyclidine (PCP) • Cocaine • Opioids • Alcohol (by evidential breath testing device only) 29 Facts about Amphetamines Amphetamines (methamphetamine, MDMA-ecstasy) are central nervous system stimulants. They tend to make people "hyper" and `jumpy". They can be taken either orally or injected. They are often used by people to stay awake and to counteract the effects of drowsiness. They are especially dangerous to take while performing safety-sensitive tasks or driving. Ecstasy, MDMA (3,4 methylenedioxymethamphetamine), is a synthetic, psychoactive drug that is chemically similar to the stimulant methamphetamine and the hallucinogen mescaline. MDMA causes an increase in serotonin which plays an important role in the regulation of mood, sleep, pain, appetite, and other behaviors. Some heavy MDMA users experience long lasting confusion, depression, and selective impairment of working memory and attention processes. Ecstasy users make extremely dangerous drivers.They can exhibit the same impairments as amphetamine, heroin, cocaine, and hallucinogen users. Signs and Symptoms of Amphetamine Use • Hypersensitivity • Exhaustion • Dilated Pupils • Grinding Teeth • Loss of appetite and immediate weight loss • Dry mouth • Excessive talking Effects on Person • More likely to take risks • Impaired judgement 30 16Al2 Facts about Cocaine Cocaine also stimulates the central nervous system. It gives the user an intense feeling of well-being, or euphoria, known as a "high". The "high" will last for 10 to 60 minutes. A more potent form of the drug called "crack" cocaine is especially addicting and dangerous. Although it's "high" lasts only about 5 to 8 minutes, "crack" cocaine can be addicting after only one use, and cause death the first time it is used. Cocaine can be injected, snorted, or free-based. Snorting is sniffing the drug up the nose, and free-basing is done by heating the drug and inhaling the vapors. Signs and Symptoms of Cocaine Use • Mood swings • Weight Loss • Restlessness: Difficulty sitting or standing in one place • Depression • Nose bleeds • Irritable, angry, nervous, angers easily • Bad breath • Euphoric feeling • Running nose, uncontrollable sniffing Effects on Person • Slowed reaction time • Distorted vision and depth perception • Slow to make decisions • Unable to correctly measure time and distance 31 Facts about Marijuana Marijuana is a depressant and mind-altering drug. Marijuana does not depress the central nervous system's reaction, it works on the brain. Mind altering means it causes hallucinations. It can be eaten or smoked. Street names for marijuana are "dope", "grass", "joint", "hash", or "hooch". Tests have shown that people's reflexes and thought processes are slower under the influence of marijuana. The effects of this drug are longer lasting than first thought. In fact, impairment can last more than 24 hours after using marijuana. The body actually stores the drug for days, weeks, and in some cases, months, depending on the frequency of use. Signs and Symptoms of Marijuana Use • Dilated pupils • Slowed reflexes Giddiness • Slowed thinking Moodiness • Trance-like state • Impaired vision • Reduced feeling of pain • Odor of burning • Short-term memory loss • Loss of concentration • Unable to sleep after prolonged use Signs to Look For • Cigarette rolling paper • Dried plant material, either crumbled or pressed • Roach clip (device to hold joint) • Hash pipe (very small pipe) 32 16Al2 Facts about Opioids Opioids are classified as a narcotic analgesic.They tend to have a sedating, calming effect, and act as a depressant to the central nervous system. Opioids are more commonly known as morphine, codeine, hydrocodone, hydromorphone, oxycodone, oxymorphone, and heroin. Street names for Opioids are "junk", "smack", "horse", and "brown sugar". Opioids are prescribed by doctors to relieve pain, they can either be taken orally, injected or smoked. Some common names for these semi-synthetic opioids include OxyContin®, Percodan®, Percocet®, Vicodin®, Lortab®, Norco®, Dilaudid®, Exalgo®. When the drug is injected, the user feels an immediate "rush", usually followed by a very relaxed and soothing feeling. However, some Opioids can cause very unpleasant side effects such as nervousness, nausea, and restlessness, and if taken in excess, may cause coma or death. Signs and Symptoms of Opioid Use • Mental confusion • Slurred speech • Unsteadiness • Hostility • Memory loss • Drowsiness • Excess talking • Euphoria • Depression • Short attention span • Cold, moist or bluish skin Reduced feeling of pain Effects on Person • Lack of concentration —Day dreaming • Distorted sense of time and distance • Distorted vision 33 Facts about Phencyclidine (PCP) Phencyclidine, commonly called "Angel Dust", is known as a dissociative anesthetic. Users of PCP may experience hallucinations and signs of intoxication. They may not be able to focus their attention or will experience confusion and lack of coordination. Although PCP has immediate short-term effects, it is also known for its long-term effect of causing psychotic behavior often associated with violent acts. Other street names for PCP include "hog", and "crystal". PCP may be smoked, snorted or injected. Signs and Symptoms of PCP Use • Delusions • Confusion • Panic • Increased blood pressure • Anxiety • Flashbacks Effects on Person • More likely to take risks • Impaired coordination • Aggressive actions 34 l6Al2 Facts about Alcohol Alcohol is a socially acceptable drug that has been consumed throughout the world for centuries. It is considered a recreational beverage when consumed in moderation for enjoyment and relaxation during social gatherings. However, when consumed primarily for its physical and mood-altering effects, it is a substance of abuse. As a depressant, it slows down physical responses and progressively impairs mental functions. Signs and Symptoms of Use • Dulled mental processes • Lack of coordination/slowed reaction rate • Odor of alcohol on breath • Possible constricted pupils • Sleepy or stuporous condition/slurred speech (Note: Except for the odor, these are general signs and symptoms of any depressant substance.) Health Effects • The chronic consumption of alcohol (average of three servings per day of beer [12oz], whiskey [1oz], or wine [6oz glass] over time may result in the following health hazards: • Decreased sexual functioning • Dependency (up to 10% of all people who drink alcohol become physically and/or mentally dependent on alcohol and can be termed "alcoholic") • Fatal liver diseases • Increased cancers of the mouth, tongue, pharynx, esophagus, rectum, breast, and malignant melanoma. • Kidney disease, Pancreatitis, Ulcers • Spontaneous abortion and neonatal mortality • Birth defects (up to 54%of all birth defects are alcohol related). Workplace Issues • It takes one hour for the average person (150 pounds) to process one serving of an alcoholic beverage from the body. • Impairment in coordination and judgment can be objectively measured with as little as two drinks in the body. • A person who is legally intoxicated is 6 times more likely to have an accident than a sober person 35 ACKNOWLEDGEMENT OF EMPLOYER'S DRUG AND ALCOHOL TESTING POLICY I, , the undersigned, hereby Print Full Name acknowledge that I have received a copy of the anti-drug and alcohol misuse program policy mandated by the U.S. Department of Transportation, Federal Transit Administration for all covered employees who perform a safety-sensitive function. I understand this policy is required by 49 CFR Part 655, as amended, and has been duly adopted by the governing board of the employer. Any provisions contained herein which are not required by 49 CFR Part 655, as amended, that have been imposed solely on the authority of the employer are designated as such in the policy document. I further understand that receipt of this policy constitutes a legal notification of the contents, and that it is my responsibility to become familiar with and adhere to all provisions contained therein. I will seek and get clarification for any compliance with all provisions contained in the policy. I also understand that compliance with all provisions contained in the policy is a condition of employment. I further understand that the information contained in the approved policy dated April 20, 2019 is subject to change, and that any such changes, or addendum, shall be disseminated in a manner consistent with the provision of 49 CFR Part 655, as amended. I hereby acknowledge that I have participated in and completed the required minimum 60 minutes of training on the effects and consequences of prohibited drug use on personal health, safety, and the work environment, and on the signs and symptoms that may indicate prohibited drug use in accordance with Part 655.14(b)(1) and in addition, to the training, this policy and handbook was reviewed. I further acknowledge that I have been advised of the consequences for safety sensitive employees who violate the testing requirements. Employee Signature Date Print Name 16Al2 System Safety Program Plan (SSPP) Appendix Q Maintenance Plan Collier Area Transit Fleet Maintenance Plan ,. t ,,,,, . ,,4 , ; ..„ . t .„. i,.- ;/ ) of Y a Y NTY:. Y r . t f \ ai -'s-* , :19111.'- ' 7 ' ,,z ;. tar. (,pa ' j-`�t ., .. , „ . . -.: i..,, .. , i , . ____ _- I l� Revised on 2/7/2020 16 A 1 2 Table of Contents Introduction 3 Maintenance Plan Goals 3 Fleet Summary 4 Vehicle History File 4 Fleet Maintenance 4 Annual Safety Inspections 6 Daily Pre-Trip/Post-Trip Inspections 7 Lift Maintenance 8 Road Calls 8 Cleaning 9 Accidents 9 Information Management 10 Material Handling 10 Parts Inventory 11 Warranty l 1 On-Site Fueling 11 Disposition 12 Exhibit A-Vehicle Fleet Inventory 13 Exhibit B-Fleet Management Organization Chart 15 Exhibit C-Maintenance Position Descriptions 16 Exhibit D-Fleet Maintenance Division Policies&Procedures 32 Exhibit E-FDOT Preventative Maintenance Standards 52 Exhibit F-Preventative Maintenance Inspection Checklists 63 Exhibit G-Zonar Zone&Component Data List 67 Exhibit H-Manual Pre-Tripp Inspection Form 78 Exhibit I-Accident Form 80 2 I t\ I Introduction Collier Area Transit (CAT) is the public transportation provider for Naples, Florida, located in Collier County. The mission of Collier Area Transit is to provide safe, accessible and courteous public transportation services to their customers. The purpose of the maintenance plan is to provide effective procedures, policies and standards to ensure the operational availability and safety of all county-owned CAT vehicles to meet the public transportation needs of Collier County. The maintenance plan provides a consistent systematic program that will enable CAT to properly maintain and service vehicles to meet or exceed the manufacturer's recommended maintenance schedule. It is designed to keep vehicle repair and maintenance costs to a minimum. Good preventative maintenance requires accountability for specific roles and is a result of all employees working together as a team. Maintenance Plan Goals It is the overall goal of the Collier Area Transit that all vehicles and equipment be maintained in a safe and operational condition. CAT works closely with the Fleet Management Division to operate an effective preventative maintenance program by ensuring the proper management of parts, equipment and fleet to reduce road calls and downtime. The following are goals and objectives set forth by CAT and Fleet Management Division to uphold the highest standards of passenger safety: • The Collier County Fleet Management Division will provide an efficient high-quality maintenance program for CAT vehicles, in accordance with Collier County Policy CMA 5204, Fleet Management System (Exhibit E)that ensures ready availability of dependable and safe vehicles necessary for a successful public transportation system. • Operator and passenger safety shall be the paramount factor when executing this plan. • The maintenance program shall comply fully with all Federal Transportation Administration (FTA) and Florida Department of Transportation (FDOT) policies and requirements, to include ADA requirements. • The maintenance program will complement the overall goals and objectives of Collier Area Transit. • The maintenance program shall be cost effective and designed to keep CAT vehicles in peak physical and operating condition to achieve maximum expected useful life cycles. • Scheduled Preventive Maintenance inspections and services shall be the cornerstone of the maintenance program to assure vehicle dependability, reduce the frequency of breakdowns, decrease the number of interruptions to CAT operations, and increase vehicle service life. The Preventive Maintenance Program shall be in accordance with CMA 5204. • The Fleet Management Division will sustain the necessary skilled personnel, equipment, tools, parts, supplies, reference and diagnostic subscriptions, and outside contracts to properly maintain and repair all CAT vehicles to manufacturer's specifications. 3 16Al2 Fleet Summary A physical inventory of equipment is kept on file and updated annually. The property number, year of manufacture, type of vehicle, vehicle identification, ADA information, total mileage, and mileage operated annually can be found on the list. The Vehicle Fleet Inventory is included as Exhibit A of this plan. The Collier Area Transit fleet inventory includes 25 fixed route buses and 28 paratransit vehicles. All vehicles are wheelchair accessible. In addition, there are 6 non-revenue vehicles. Of the 25 fixed route vehicles, 16 are utilized each day for peak revenue service. This allows a spare ratio of around 25%. Collier Area Transit monitors capital replacement needs by utilizing a replacement module on FASTER Fleet Management System that tracks life cycle cost on a 15-point scale. The calculation includes cost of maintenance, mileage and age. Every year CAT runs reports and reviews equipment suggested for replacement in the coming year to determine whether the vehicle can remain in service or needs to be replaced. Vehicle History File Each vehicle has a written record documenting preventive maintenance, regular maintenance, inspections, lubrication and repairs performed. Such records will be maintained for the life of the vehicle and include at a minimum the following information: • Identification of the vehicle, including make, model, license number or other means of positive identification and ownership; • Date, mileage, and description of each inspection, maintenance, repair or lubrication performed; • If not owned by the transit agency, the name of the person or company furnishing service with this vehicle • The name and address of any business firm performing a maintenance repair • Listing of repair order number for all repairs made Collier Area Transit stores the above information using the FASTER Fleet Management System by CCG Systems. It is a robust system and all the above information is tracked by equipment number and work orders. Fleet Maintenance Collier Area Transit uses the county maintenance facility, called the Fleet Management Division, where all preventative maintenance inspections and most maintenance repairs are performed. The county Fleet Management shop operates from 5:30 AM — 5:00 PM Monday thru Friday. The maintenance staff consists of one shop manager, referred to as a Principle Automotive 4 !� r Technician, and three technicians, and a parts supervisor. An organizational chart is included as Exhibit B. There is at least one technician on call 24/7, each day of the year. The Shop Manager primarily monitors all maintenance activities. The job descriptions and responsibilities for the Fleet maintenance positions are included as Exhibit C. Training is initiated for maintenance technicians when new vehicles are purchased. In-house training is provided for apprentice technicians only. Training certificates are stored in employee files. The daily workload is distributed by the Fleet Management Division shop manager depending on service needs. The first priority is to have enough vehicles available for roll out. The morning shift begins by checking the vehicles that are down. After vehicles begin service for the day, the afternoon maintenance is prioritized based on immediate needs and floor coverage. The maintenance shop is equipped with the necessary tools and equipment. The shop has four bays which include one drive on lift and three portable lifts. The shop is also equipped with everything needed to maintain the bus fleet, including a laptop for vehicle diagnostics and software for Cummins, Allison, Wabco, Bendix, and VMUX diagnostics. The shop manager uses an Outlook calendar to track maintenance needed for shop equipment. The Collier Area Transit identifies scheduled maintenance as preventive maintenance (PM) inspections and services that are scheduled using intervals that meet or surpass manufacturer standards so that item warranties remain intact, all wear and safety items are inspected regularly, and fluids and filters are changed as recommended. Scheduled maintenance allows for time, materials, tools, equipment, and labor to be managed easier than having unpredictable maintenance costs, workloads, and vehicle downtime. Scheduled maintenance includes repairs made due to defects identified during all types of inspections. Unscheduled maintenance is defined as repairs made to equipment due to unexpected failures, including breakdowns and other deficiencies. All of the preventive maintenance inspections are performed in-house and scheduled by mileage projections. The Collier Area Transit uses the FDOT recommended "A, B and C" level inspections using 6,000-mile intervals unless a different interval is required by the Original Equipment Manufacturer (OEM). The Preventative Maintenance Checklist for each service will include the requirement to check the OEM recommended services. The Fleet Management Division Shop Manager runs daily reports to track and schedule preventive maintenance (PM) services. Oil changes are performed on the PM schedule. Oil sampling is done at random or on suspect engines. Coolant is checked regularly by PH strip during PM inspections and services. Vehicle mileages are recorded each evening while the vehicle is being fueled by the Fleet Management Division and entered into the FASTER software system. The Shop Manager tracks the upcoming preventive maintenance inspections through the FASTER software program. When a vehicle is due for an inspection it is taken out of service until the inspection is completed and the necessary repairs have been made. All safety and operationally necessary items are repaired before returning to service. Most repairs are completed before the unit returns to service. Cosmetic items such as paint, trim or body moldings may be deferred. The Fleet Management Division Shop Manager or CAT Maintenance Supervisor determines if any repairs will be scheduled for a later date. 5 16Al2 The Fleet Management Division uses written safety and procedural guidelines and policies to assist with inspecting vehicles for CAT, included as Exhibit D. The Collier Area Transit also uses the FDOT Preventative Maintenance Standards Manual as written guidelines when performing maintenance inspections, included as Exhibit E. The maintenance inspection checklists used for preventative maintenance are consistent with the current operating fleet and with the minimum maintenance requirements for vehicles under warranty to ensure maximum vehicle longevity. The checklists are a combination of manufacturers recommendations, FDOT standards and shop experience. The list was created by CAT and the Fleet Management Division. The checklist is modified on a regular basis to meet FDOT, USDOT, ADA, Homeland Security, manufacturer requirements. The checklist is also adjusted as preventive or predictable maintenance items occur. When technical service bulletins are issued, CAT accesses the information and makes a determination whether the item should be added to the checklist or whether a procedure needs to be updated. The preventative maintenance checklists used by Collier Area Transit is included as Exhibit F. Most maintenance repairs are performed in-house. Collier Area Transit maintains a wear tolerance policy in place for tire replacements. Front tires and rear tires must be replaced when the tread depth reaches 4/32. Outsourcing is utilized for services that require tools and diagnostic equipment not available to the Fleet Management Division. The Maintenance Supervisor determines whether an item should be outsourced depending on service needs. CAT outsources towing, most body work and some major engine and transmission work when necessary. A variety of outsource shops are used for specialty repairs. These shops are chosen based on their knowledge and experience for the type of repair that is needed. Collier Area Transit currently uses electronic fareboxes. Fares are collected each night by the CAT Operations Supervisor and stored in a vault. The fareboxes are maintained during the vehicle's preventive maintenance inspection and is handled by the Fleet Management Division. Annual Safety Inspections Records of annual safety inspections and documentation of any required corrective actions are retained a minimum of four years by the Collier Area Transit. Annual safety inspections examine the following vehicle components: 1. Horn. 2. Windshield wipers. 3. Mirrors. 4. Wiring and battery (ies). 5. Service and parking brakes. 6. Warning devices. 7. Directional signals. 8. Hazard warning signals. 9. Lighting systems and signaling devices. 6 10. Handrails and stanchions. 11. Standee line and warning. 12. Doors and interlock devices. 13. Step wells and flooring. 14. Emergency exits 15. Tires and wheels. 16. Suspension system. 17. Steering system. 18. Exhaust system. 19. Seat belts. 20. Safety equipment. 21. Equipment for transporting wheelchairs. A safety inspection report shall be prepared by the individual(s)performing the inspection which shall include the following: 1. Identification of the individual(s)performing the inspection. 2. Identification of the bus transit system operating the bus. 3. The date of the inspection. 4. Identification of the bus inspected. 5. Identification of the equipment and devices inspected including the identification of equipment and devices found deficient or defective. 6. Identification of corrective action(s) for deficient or defective items and date(s) of completion of corrective action(s). Annual vehicle inspections are completed by the Fleet Management Division. Each inspection form is signed and dated by the technician performing the inspection. Annual inspections are completed during the first "B" level inspection each year. All annual safety inspections are recorded on a work order in the FASTER fleet management software. The fire suppression systems are also serviced and inspected twice a year. Daily Pre-Trip/Post-Trip Inspections The daily pre-trip/post-trip form establishes a procedure to identify items by operators prior to operating assigned vehicle, during routes, and after all route schedules are completed. The daily pre-trip/post-trip inspection forms are documented with the operator's signature and a check in each box to document that the items are "OK"or a defect is noted in the comments section. Pre-Trip Inspection The pre-trip inspection ensures the following parts and devices are in safe condition and in good working order at the beginning of the trip: 1. Service brakes. 2. Parking brakes. 3. Tires and wheels. 7 16Al2 4. Steering. 5. Horn. 6. Lighting devices. 7. Signals and signs devices. 8. Windshield wipers. 9. Rear vision mirrors. 10. Doors and windows. 11. Exhaust systems. 12. Equipment for transporting wheelchairs. 13. Safety, security, and emergency equipment. Collier Area Transit utilizes the electronic Zonar system to perform and document pre-trip and post-trip inspections. A complete list of the Zonar Zone and Component Data is provided in Exhibit G. The electronic reports generated by the Zonar system are reviewed each day by the Operations Vendor, MV Transportation. When safety defects are discovered, the vehicle is taken out of service and a defect sheet is completed by the Operations Supervisor and submitted to the Fleet Management Division. The Fleet Management Shop Manager makes determinations regarding when defects will be repaired, depending on the type of repair needed and the daily workload. Defects that are not safety related are sometimes scheduled for later repair. When a vehicle is taken out of service for repair, a spare vehicle is used to maintain service levels. The Fleet Management Division documents the corrective actions taken as a result of any deficiencies identified by the operator and records these actions in the FASTER software program and on the written defect sheet. The defect sheet is kept by the Operations Vendor, MV Transportation. Collier Area Transit is notified of the repair made when the vehicle is returned to CAT. In the rare circumstance that the Zonar System is not available, the driver will complete a manual pre-trip report. See Exhibit H. Post-Trip Report During the scheduled trips and at the end of the day the operator uses the Zonar system to record any defects and this information is submitted to the Maintenance Supervisor at the end of the day. When defects are discovered, they are scheduled for repair using the same procedures as the pre-trip process. Lift Maintenance As part of the preventative maintenance program regarding wheelchair lifts, a complete cycle of the lift is performed during the operator's pre-trip inspection. The operators report, by the most immediate means available, any lift failures. The lifts are also inspected and serviced on preventative maintenance inspections. Instructions for normal and emergency operations of the lift or ramp are carried or displayed in every accessible vehicle. 8 Road Calls The Collier Area Transit defines a road call, or a revenue vehicle system failure, as the failure of an in-service vehicle that causes the vehicle to be replaced en-route, or a mechanical system failure that results in a significant schedule delay. When failures occur, they are called in to dispatch, or the mechanic on call if the failure occurs after hours. A work order is generated that indicates a road call job type code. The CAT Operations Supervisor determines whether the vehicle can be driven back to the Fleet Management Division or should be towed. Road call repairs are completed as soon as possible by the Fleet Management Division to reduce the vehicle's downtime. A spare vehicle is used when necessary until the vehicle has been repaired. The Fleet Management Division shop manager uses the FASTER fleet management software program to analyze road call information. This practice allows the maintenance division to identify failure trends, determine the underlying cause of the problem, and assist in making modifications to the maintenance program as needed to minimize failures. Cleaning It is the responsibility of the driver to perform a walkthrough on the vehicle and ensure that any debris on the flooring or step wells that could result any falls or slips. Any unsafe conditions are corrected before any scheduled trips. The driver reports all graffiti/etchings, gum, spills, or any other issues in the interior that would warrant extra material and labor from normal clean-up, on their post-trip report. The CAT maintenance staff is responsible for cleaning the interior of the vehicle on a daily basis and the exterior of the vehicles is cleaned every other day. The county staff at the Fleet Management Division are responsible for maintaining a clean shop. Accidents All accidents are tracked by the frequency, type, and to determine which party was at fault within 24 hours of the accident's occurrence. If accidents are subject to Florida Highway Patrol (FHP) of Collier County Sheriff Office (CCSO) review, the determination of fault may take longer than 24 hours. In the event of an accident, drivers are to assist passengers to safety and determine if medical help is required. Collier Area Transit contracts their operational staff, including labor staff and drivers, with MV Transit America, Inc. The contracted company is responsible for insurance coverage and accident issues. The MV General Manager oversees the accident procedures for the contracted company. If Collier Area Transit is determined to be at fault for the accident, an investigation is conducted by the MV Safety Team. Vehicles will be inspected by Collier County Fleet Management for any mechanical defects that may have contributed to the accident. The most recent work order for the vehicle will be 9 16Al2 evaluated to verify the condition of the affected area prior to the accident. Findings will be documented on the accident work order. Vehicle repairs are performed by the Fleet Management Division or may be sublet. Repairs are performed as necessary and vehicles return to service after they are deemed safe for operation. The accident form used by MV Transportation, Inc. is attached as Exhibit I. If the post-accident maintenance inspection concluded that a mechanical defect contributed to the accident the maintenance supervisor will take appropriate action (retrain staff; tighten maintenance plan; coordinate remedy with the parts manufacturer; and/or any other action needed for the specific incident). Information Management The Collier Area Transit uses the FASTER fleet management software program to monitor maintenance activities. The FASTER software is a robust program used for tracking all maintenance repairs, maintenance costs, sublet repairs and other maintenance related issues. The data base can be searched via canned reports, ad-hoc reports, and via crystal reports 9 or better for advanced users. The Fleet Management Division shop manager analyzes work orders using this program on a daily basis. The Operations Superintendent and responsible for regularly monitoring and analyzing maintenance data to identify trends, repeat repairs and make adjustments to the preventative maintenance program based on this information. Material Handling Collier Area Transit and the Fleet Management Division provide their employees with instructions on safe handling, first aid treatment, emergency procedures, and proper clean up procedures of chemicals in the workplace. Knowing the potential flammability, explosion, and reactivity of chemicals in the workplace are the rights of the employees under the Right-To- Know-Law. Collier Area Transit conducts monthly safety meetings to review procedures. There are also clean up policies in the Fleet Management Division employee policy and procedures. Material Safety Data Sheets All chemicals, lubricants, cleaners etc., purchased accompany a Material Safety Data Sheet (MSDS). A MSDS binder is maintained and made available to the employee upon request. When a chemical is taken out of inventory the MSDS sheet is taken out of the binders and placed in a dead file. All MSDS sheets are kept on file for at least thirty years. 10 t. •. 47 When purchasing products for different functions careful consideration is taken as to the toxicity and flammability of chemicals used. Environmentally friendly products are taken into consideration when purchasing products. Parts Inventory The fleet parts division has one full-time employee. The parts inventory is located in the Fleet Management Division. All vehicle related parts are entered into the FASTER software program. Mechanics pull their own parts as needed and record them in the FASTER program which then updates the work order data automatically. The FASTER parts module tracks all parts issued to a unit and the technician who issued them via a technician ID number. The parts clerk and shop manager oversee and ensure correct billing appears on the work orders. The vehicle parts inventory consists of high demand parts, including tires, with a differential assembly for a Gillig low-floor bus being the most valuable component. Parts that are not found in the inventory are ordered through a bid process. These parts are monitored by the Parts Manager and Master Technician for balancing and restocking. Annual inventories are performed, where parts are expected to balance within 5%. Monthly 10% cyclical inventories are also conducted. The Intelligent Transportation System (ITS) component spare parts are stored in one of fleet's offices at the CAT facility. MV's Information Technology (IT) Data Analyst and Fleet's mechanics work together with the Public Transit & Neighborhood Enhancement (PTNE) Operations Analyst to ensure documentation is entered in CarteGraph of broken parts for better tracking when sent to manufacturer for repair. Annual inventories are performed by the County. Warranty A warranty recovery system, warranty records, and annual summaries of warranty claims submitted and received are maintained by the Fleet Management Division. Warranty repairs are identified by maintaining warranty information. When a component fails it is checked against the file for expiration time and/or mileage to determine if it is still under warranty. Documentation of warranty repairs and claims are kept in the FASTER software program to guarantee the cost of the defects under warranty is paid by the equipment manufacturer and not the agency. All warranty claims are pursued until the claim is settled. The same process is maintained for the Intelligent Transportation System (ITS) component parts, with the exception that the data is maintained by the Public Transit & Neighborhood Enhancement (PTNE) Operations Analyst and information is maintained in the CarteGraph system. On Site Fueling 11 16Al2 The Collier Area Transit displays the current FDEP Registration Placard on the front of the fuel pump. The maintenance division also keeps the following information on file: • The storage tank fuel inventory including tank water level. • Monthly leak detection results. • Monthly maintenance visual examinations. • A copy of all test data results. Tightness, pressure and integrity. • Repair, operation and maintenance records. • Certificate of Financial Responsibility The Collier Area Transit fuels fixed route vehicles each evening when they return from service. The fuel is stored on a fuel truck tank owned by the Fleet Management Division and refilled around every other day. The fuel is monitored electronically by the FASTER software program. Fuel consumption is tracked by the Fleet Management Division, who bills CAT each month for the amount of fuel they use. When vehicles return from service, the CAT Operations Supervisors empty the fareboxes and the vehicles' exterior and interior is then washed and cleaned. Afterwards, CAT Operations staff fuel the vehicles and check the engine oil, transmission fluid, and coolant fluid levels. If any of these fluid levels require additional fluid, staff adds the necessary fluids at this time. The CAT Operations staff do not record fluid consumption; however, they are required to report unusual consumption to the Fleet Management Division. Disposition Disposing of any asset must be approved in advance by the property custodian and County Procurement. This includes donating property to another agency. If property is stolen, a police report must be filed. A copy of the report is to be submitted to Procurement with a completed asset form. Procurement will send the documentation to Finance once approved. Assets purchased with grant funding may not be able to be disposed of without approval from the grantor agency when required. Pursuant 2 CFR Part 200.313 disposition instructions must be garnered from the Federal awarding agency prior to disposition if instructions are not provided within the grant contract for grant federally funded equipment with a fair mark value of$5,000 of more. The managing Division will work with GCO staff as needed prior to disposition of grant funded assets to determine federal compliance with disposition. In addition, residual inventories of unused supplies with a value greater than $5,000 funded by federal grant funding must be reported and compensated to the Federal government for its share of unused inventory. or receive written instruction of how to handle such inventories (2 CFR Part 200.314). The managing Division will coordinate with GCO staff to further assist meeting compliance as necessary. Useful life determination will follow FDOT Standards identified in http://www.tripsflorida.org/contracts.html. 12 Exhibit A Vehicle Fleet Inventory PURCHASE Wheelchair EQUIPMENT# YEAR MAKE MODEL Mileage Accessible 60093 2006 GILLIG 29'Transit Bus 737,182 Yes 60094 2006 GILLIG 29'Transit Bus 760,834 Yes CC2-240 2007 GILLIG 29'Transit Bus 599,848 Yes CC2-242 2007 GILLIG 29'Transit Bus 558,868 Yes CC2-243 2007 GILLIG 29'Transit Bus 579,177 Yes CC2-497 2010 GILLIG 35'Transit Bus 650,359 Yes CC2-498 2010 GILLIG 35'Transit Bus 622,125 Yes CC2-499 2010 GILLIG 35'Transit Bus 648,200 Yes CC2-513 2010 GILLIG 35'Transit Bus 449,689 Yes CC2-514 2010 GILLIG 35'Transit Bus 487,737 Yes CC2-619 2011 GILLIG 35'Transit Bus 429,941 Yes CC2-620 2011 GILLIG 35'Transit Bus 401,181 Yes CC2-621 2011 GILLIG 35'Transit Bus 379,649 Yes CC2-659 2012 GILLIG 35'Transit Bus 430,821 Yes CC2-660 2012 GILLIG 35'Transit Bus 420,220 Yes CC2-799 2013 GILLIG 40'Transit Bus 427,618 Yes CC2-800 2013 GILLIG 40'Transit Bus 403,109 Yes CC2-675 2012 GILLIG TRANSIT BUS 158,553 Yes CC2-1008 2015 GILLIG 40'Transit Bus 286,720 Yes CC2-1122 2015 FREIGHTLINER 28'GLAVAL BUS 47,754 Yes CC2-1408 2016 GILLIG 35'Transit Bus 178,263 Yes CC2-1409 2016 GILLIG 35'Transit Bus 146,175 Yes CC2-1620 2017 GILLIG 30'transitbus 70,636 Yes CC2-1621 2017 GILLIG 30'transitbus 62,045 Yes CC2-1622 2017 GILLIG 30'transit bus 82,464 Yes CC2-1623 2017 GILLIG 30'transit bus 89,191 Yes CC2-1719 2018 GILLIG 30'transitbus 31,584 Yes CC2-794 2013 CHEVROLET Turtle Top 269,306 Yes CC2-795 2013 CHEVROLET Turtle Top 267,176 Yes CC2-879 2014 FORD Turtle Top 221,080 Yes CC2-868 2012 VPG MV1 126,407 Yes CC2-997 2014 VPG MV1 108,145 Yes CC2-I045 2015 CHEVROLET GLAVAL 218,697 Yes CC2-1046 2015 CHEVROLET GLAVAL 218,631 Yes 13 16Al2 CC2-1047 2015 CHEVROLET GLAVAL 222,874 Yes CC2-1048 2015 CHEVROLET GLAVAL 198,050 Yes CC2-1049 2015 CHEVROLET GLAVAL 236,992 Yes CC2-1113 2015 CHEVROLET GLAVAL 206,914 Yes CC2-1114 2015 CHEVROLET GLAVAL 191,584 Yes CC2-1115 2015 CHEVROLET GLAVAL 183,385 Yes CC2-1116 2015 CHEVROLET GLAVAL 198,207 Yes CC2-1117 2015 CHEVROLET GLAVAL 203,716 Yes CC2-1376 2016 VPG MVI 89,424 Yes CC2-1377 2016 VPG MVl 29,240 Yes CC2-1378 2016 VPG MV1 44,860 Yes CC2-1410 2016 CHEVROLET GLAVAL 166,396 Yes CC2-1411 2016 CHEVROLET GLAVAL 141,496 Yes CC2-1412 2016 CHEVROLET GLAVAL 139,928 Yes CC2-1842 2018 FORD GLAVAL 93,495 Yes CC2-1843 2018 FORD GLAVAL 82,745 Yes CC2-1844 2018 FORD GLAVAL 91,067 Yes CC2-1845 2018 FORD GLAVAL 82,678 Yes CC2-2194 2019 FORD TRANSIT 6,228 Yes CC2-2195 2019 FORD TRANSIT 6,527 Yes CC2-2196 2019 FORD TRANSIT 5,281 Yes CC2-2197 2019 FORD TRANSIT 5,077 Yes CC2-2342 2019 FORD CHALLENGER 1,657 Yes CC2-2343 2019 FORD CHALLENGER 1,710 Yes CC2-2344 2019 FORD CHALLENGER 1,686 Yes CC2-2345 2019 FORD CHALLENGER 1,657 Yes 605 2013 Ford E350 164639 Yes 610 2013 Ford E350 192318 Yes 615 2013 Ford E350 189333 Yes 616 2013 Ford E350 181226 Yes 1501 2016 Ford E350 132449 Yes 1503 2016 Ford E350 114877 Yes 14 • y �4 X ti Exhibit B Fleet Organizational Chart FLEET MANAGEMENT DIVISION Provide efficient and effective centralized fleet services for Collier County Government vehicles and equipment including acquisition, disposal, maintenance, and fueling services. Maintain a cost effective replacement program for all County vehicles and equipment. Fleet Management Director Senior Operations Analyst Dan Croft Michael Burks Senior Operations Analyst Mario Menendez Fleet Maintenance Supervisor Fleet Accounting Fleet Accounting James Easels Fleet Parts Technician Technician Manager Karla Nicol Selma Nader Fleet Services Jayme Winters Technician Jodie Bertges Fleet Parts Shift ..... .. Supervisor Radio Road I hnmokalee Paul Fardepa Fleet hop Fleet Shop l County Fleet Shop ' fleet hop FieetParts Clads Man Cunt, Principai Automotive Principal Automotive Principal Technician Technician Automotive Woonnouve Principe Automotive Fleet Pais Clerk Albino Ann Siert Teduieian Tedanicmnn Tdaidan Jt,Parry LuaaCedan Luisfetlarno Clete Alas Journeyman Joumeymen Automotive Automotive JO11"aY�+ Automotive Technician Teotaidan Automotive Technician Chris Jackson Jests DiasTechnician Vacant Ronal Walker Automotive Journeyman Teduidan Automotive Journeyman Automotive Kevin Clears Technician Aurtonvolive Tedaikiiarn Antlany nuestertaeft Tectaioiat Vacant Mate Reties Automotive Technical,Apprentice Automotive Journeyman Rar.iy.Velbs Tedaidan Automotive Guillermo Cantonal Technician Gary Gauss Mesh Automotive Technician Macaw SchillerTerino-ti n Luis Matinee 15 16Al2 Exhibit C Maintenance Position Descriptions Class Code 12245a Pay Grade: 18 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: AUTOMOTIVE TECHNICIAN,PRINCIPAL PURPOSE OF CLASSIFICATION The purpose of this classification is to perform lead mechanical work involving repair and maintenance of vehicles, light/heavy equipment,fire/emergency vehicles,maintenance equipment,and other automotive/mechanical machinery. Manages maintenance shops and supervises maintenance personnel. Oversees maintenance/repair quality control program. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar,related,or a logical assignment for this classification. Other duties may be required and assigned. Provides direction,guidance,and assistance to employees;provides training as needed;assigns daily work activities. Assists in supervising main shop operations/activities; opens/closes shop, computers, and work stations; organizes, prioritizes, and assigns projects,work orders, and work activities; monitors status of work, inspects completed work, and troubleshoots problem situations; assists other technicians in diagnosing problems; supervises main shop operations and shop personnel in absence of supervisor. Manages satellite shop operations and supervises shop personnel. Manages main shop operations and supervises personnel in the absence of the Maintenance Supervisor. Sets priorities for shop operations. Oversees maintenance/repair quality control program. Provides technical oversight and evaluates the quality of repair work of other automotive technicians. Makes decisions on outsourcing work to outside vendors and shops. Makes decisions on parts and tools purchases. Creates and updates work orders; generates daily reports of status of work orders. Distributes work orders to other technicians. Provides assistance to County departments or other customers; makes reservations for loaner vehicles and dispatches loaner vehicles; issues vehicles, fuel keys, and fuel credit cards for authorized users; performs lock-out of electronic keys in systems as appropriate. 16 16 till I Assists in maintaining inventory of department equipment, parts, tires, tools, and supplies; ensures availability of adequate materials to conduct work activities; initiates requests for new/replacement materials; charges out parts to work orders;assists in preparing specifications for new vehicles/equipment;picks up/delivers materials as needed. Assists in ensuring compliance with all applicable laws,rules,regulations,standards,policies and procedures; ensures adherence to established safety procedures;monitors work environment and use of safety equipment to ensure safety of employees and other individuals; initiates any actions necessary to correct deviations or violations; reports accidents and incidents. Performs general mechanical repair work on vehicles,trucks,light equipment,heavy machinery,grounds maintenance equipment,ambulances,fire trucks,small engines,or other automotive/mechanical equipment. Inspects, tests, and diagnoses problems involving various systems/components of vehicles or equipment, such as gasoline/diesel engines, ignition systems, computerized engine controls, electronic fuel injection systems, transmissions,differentials,steering systems,electrical systems,suspension systems,hydraulic systems,brake systems, drive train systems, engine cooling systems, fuel systems, charging systems, starting systems, exhaust systems, emission systems,inflatable restraint systems,heating/air conditioning systems,or lighting systems. Examines vehicles/equipment to determine necessary repair or maintenance work;conducts diagnostic testing;consults with drivers or equipment operators to obtain input on problems, assist in diagnosing problems, or prevent future problems;determines parts/supplies necessary to conduct repairs. Performs appropriate repair,removal,replacement,rebuilding,or maintenance work on vehicle/equipment systems and components; removes or replaces brakes, wheels, steering components, shocks,transmissions,vehicle cylinder heads, differentials, suspension springs, starters, alternators, thermostats, water pumps, radiators, mufflers, or other components; removes or replaces engines, engine parts, and engine gaskets; checks engine timing and performance; turns or replaces rotors/drums; replaces rings, bearings, and universal joints; grinds valves; repairs/replaces clutches; rebuilds generators and carburetors; adjusts, repairs, or relines brakes; replaces air brake chambers; rebuilds fuel injection pumps; repairs air conditioning systems and recovers refrigerant; replaces air conditioning compressors, hoses, and filters; repairs defective wiring; repairs door lock cylinders; installs, repairs, or replaces doors, lifts, seats, seat upholstery,radios, lights,sirens,windows,mirrors,or trailer jacks; installs external fuel tanks; conducts emission systems testing. Performs general welding and fabrication work; rebuilds equipment and repairs body/frame damage; repairs broken/cracked parts or fabricates new parts; repairs and fabricates frames; cuts metal and welds metal components; fills holes and removes minor dents;replaces truck fenders;repairs bent/damaged trailer frames and ramps. Performs routine and preventive maintenance on vehicles and equipment;pumps fuel into vehicles;checks fluid levels and replaces fluids as needed; drains/replaces oil; changes/replaces filters and batteries; removes/replaces belts,hoses, fuses, bulbs, blades, and other parts; flushes radiators and coolant systems; replaces spark plugs and wires; lubricates mechanical parts and greases equipment; services air conditioning systems; aligns wheels; checks air pressure level of tires;patches holes/punctures in tires;repairs/replaces damaged tires;rotates and balances tires. Tests vehicles,machinery,equipment,and parts to ensure proper operations;conducts road tests of vehicles undergoing repair. Operates a variety of machinery, equipment,and tools associated with repairing,maintaining and testing vehicles and equipment, which may include a service truck, heavy machinery, light equipment, forklift, vehicle lift, hoists, engine analyzer, tire changer, battery charger, brake lathe, hydraulic jack, air compressor, pressure washer, generator, refrigerant recovery machine, drill, drill press, bench grinder, pump, air tools, welder, cutting torch, gauges, meters, diagnostic instruments,mechanic tools,or two-way radio. Transports,loads and unloads various equipment,parts,and materials used in projects. Makes emergency service calls for disabled vehicles/equipment at work sites or on the road; contacts and dispatches outside service providers for road calls,repairs,or towing. 17 16Al2 Performs general cleaning/maintenance tasks necessary to keep tools/equipment in operable condition, which may include inspecting equipment, greasing equipment, washing/cleaning vehicles and equipment, or cleaning shop/work areas;monitors equipment operations to maintain efficiency and safety;reports faulty equipment. Maintains vehicle/equipment service records,warranty records,or other documentation of work activities. Prepares or completes various forms, reports, correspondence, logs, checklists, work orders, work order reports, vehicle/equipment maintenance reports,warranty records,insurance claims,inventory records,mechanic accountability reports,or other documents. Receives various forms, reports, correspondence, work orders, invoices, diagnostic reports, vehicle/equipment maintenance reports, vendor reports, preventive maintenance schedules, preventive maintenance reports, inventory records, motor pool reports, flow charts, diagrams, schematics, service manuals, service bulletins, parts catalogs, policies,procedures,reference materials,or other documentation;reviews,completes,processes,forwards or retains as appropriate. Operates a computer to enter, retrieve, review or modify data; utilizes word processing, spreadsheet, database, work order system,diagnostics,Internet,e-mail,or other programs. Communicates with supervisor, employees, other departments, vendors/suppliers, the public, outside agencies, and other individuals as needed to organize work activities, review status of work, exchange information, or resolve problems. Maintains an awareness of new parts/equipment,procedures,trends,and advances in the profession;reads professional literature;maintains professional affiliations;attends workshops and training sessions as appropriate. ADDITIONAL FUNCTIONS Organizes,receives,and prepares vehicles for auction. Delivers or picks up vehicles to/from outside service providers. Provides assistance to other employees or departments as needed. Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS High school diploma or GED;supplemented by vocational/technical training in mechanics and automotive/mechanical maintenance; supplemented by five (5) years of previous experience and/or training that includes mechanics, automotive/mechanical maintenance, welding, and vehicle/equipment operation; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess a valid Forklift Operator Certification or attain certification within six months of hire.Must be knowledgeable and be proficient in the operation of the Collier County Fleet Management computer data automation system and computer diagnostic systems. Must possess and maintain current Master Automotive Service Excellence (ASE) Certification in either Automobiles or Heavy/Medium Trucks. Must possess and maintain a valid Florida Driver's License with any applicable endorsements and maintain eligibility requirements and endorsement(s)to drive a County vehicle as provided in CMA 5805. Must maintain a current Class A Commercial Driver's License(CDL)or a Class B CDL with all endorsements for fuel truck operation and fuel delivery. Must communicate clearly and effectively in English both verbally and in writing.Fingerprinting required. 18 ,t fi PERFORMANCE APTITUDES Data Utilization: Requires the ability to review, classify, categorize, prioritize, and/or analyze data. Includes exercising discretion in determining data classification, and in referencing such analysis to established standards for the purpose of recognizing actual or probable interactive effects and relationships. Human Interaction: Requires the ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations. Equipment,Machinery,Tools,and Materials Utilization: Requires the ability to operate and control the actions of equipment,machinery,tools and/or materials requiring complex and rapid adjustments. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, and/or advisory data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages;the ability to utilize principles of fractions; and the ability to interpret graphs. Functional Reasoning: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written,oral,diagrammatic,or schedule form;and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Situational Reasoning: Requires the ability to exercise judgment,decisiveness and creativity in situations involving evaluation of information against measurable or verifiable criteria. Leadership: Requires the ability to set the direction for others to follow for successful job accomplishment and goal attainment;the ability to cause others to want to follow. Customer Service: Requires the ability to ascertain the needs of customers and determine means to meet those needs. Financial Accountability: Requires the ability to determine the most economical means to complete a task and the dependability to expend County funds in a responsible manner. ADA COMPLIANCE Physical Ability: Tasks require the ability to exert moderate, though not constant physical effort, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and which may involve some lifting,carrying,pushing and/or pulling of objects and materials of moderate weight. Sensory Requirements: Most tasks require the ability to perceive and discriminate colors or shades of colors,sounds, odor,depth,texture,and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Performance of essential functions may require exposure to adverse environmental conditions, such as dirt, dust, pollen,odors,wetness, humidity,temperature and noise extremes, fumes, machinery, vibrations,electric currents,traffic hazards,bright/dim light,or toxic agents. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. 19 16Al2 Class Code: 12235a Pay Grade: 17 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: AUTOMOTIVE TECHNICIAN,MASTER PURPOSE OF CLASSIFICATION The purpose of this classification is to perform diagnosis and skilled/general mechanical work involving repair and maintenance of vehicles, light/heavy equipment, fire/emergency vehicles, maintenance equipment, and other automotive/mechanical machinery. Oversees and evaluates the work of Apprentice and Journeyman Automotive Technicians. Performs as team leader when teamwork is required. Provides technical training to other automotive technicians. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related,or a logical assignment for this classification. Other duties may be required and assigned. Receives work orders and performs independent skilled mechanical repair work on vehicles,trucks, light equipment, heavy machinery, grounds maintenance equipment, ambulances, fire trucks, small engines, or other automotive/mechanical equipment. Diagnoses technical problems of vehicles and equipment,and transfers work order to other technicians for repair. Provides technical oversight and evaluates the quality of repair work of other automotive technicians. Manages shop operations in the absence of the Maintenance Supervisor or other shop managers. During these periods, makes decisions on shop priorities,asset distribution,outsourcing,and repair part purchases. Recommends organizational operating procedure and efficiency improvements to the Maintenance Supervisor and Department Director. Inspects, tests, and diagnoses problems involving various systems/components of vehicles or equipment, such as gasoline/diesel engines, ignition systems, computerized engine controls, electronic fuel injection systems, transmissions,differentials,steering systems,electrical systems,suspension systems,hydraulic systems,brake systems, drive train systems, engine cooling systems, fuel systems, charging systems, starting systems, exhaust systems, emission systems,inflatable restraint systems,heating/air conditioning systems,or lighting systems. Examines vehicles/equipment to determine necessary repair or maintenance work;conducts diagnostic testing;consults with drivers or equipment operators to obtain input on problems, assist in diagnosing problems, or prevent future problems;determines parts/supplies necessary to conduct repairs. Performs appropriate repair,removal,replacement,rebuilding,or maintenance work on vehicle/equipment systems and components; removes or replaces brakes, wheels, steering components, shocks,transmissions,vehicle cylinder heads, differentials, suspension springs, starters, alternators, thermostats, water pumps, radiators, mufflers, or other components; removes or replaces engines, engine parts, and engine gaskets; checks engine timing and performance; turns or replaces rotors/drums; replaces rings, bearings, and universal joints; grinds valves; repairs/replaces clutches; rebuilds generators and carburetors; adjusts, repairs, or relines brakes; replaces air brake chambers; repairs air 20 A Ai 4N Pt t conditioning systems and recovers refrigerant; replaces air conditioning compressors, hoses, and filters; repairs defective wiring;repairs door lock cylinders; installs, repairs, or replaces doors, lifts, seats, seat covers,radios, lights, sirens,windows,mirrors,or trailer jacks;installs external fuel tanks. Performs general welding and fabrication work; rebuilds equipment and repairs body/frame damage; repairs broken/cracked parts or fabricates new parts; repairs and fabricates frames; cuts metal and welds metal components; fills holes and removes minor dents;replaces truck fenders;repairs bent/damaged trailer ramps. Performs routine and preventive maintenance on vehicles and equipment;pumps fuel into vehicles;checks fluid levels and replaces fluids as needed; drains/replaces oil; changes/replaces filters and batteries; removes/replaces belts,hoses, fuses, bulbs, blades, and other parts; flushes radiators and coolant systems; replaces spark plugs and wires; lubricates mechanical parts and greases equipment; services air conditioning systems; aligns wheels; checks air pressure level of tires;patches holes/punctures in tires;repairs/replaces damaged tires;rotates and balances tires. Tests vehicles,machinery,equipment,and parts to ensure proper operations;conducts road tests of vehicles undergoing repair. Operates a variety of machinery, equipment,and tools associated with repairing,maintaining and testing vehicles and equipment, which may include a service truck, heavy machinery, light equipment, forklift, vehicle lift, hoists, engine analyzer, tire changer, battery charger, brake lathe, hydraulic jack, air compressor, pressure washer, generator, refrigerant recovery machine, drill, drill press, bench grinder, pump, air tools, welder, cutting torch, gauges, meters, diagnostic instruments,mechanic tools,or two-way radio. Transports,loads and unloads various equipment,parts,and materials used in projects. Makes emergency service calls for disabled vehicles/equipment at work sites or on the road. Performs general cleaning/maintenance tasks necessary to keep tools/equipment in operable condition, which may include inspecting equipment, greasing equipment, washing/cleaning vehicles and equipment, or cleaning shop/work areas; repairs fuel island pumps; monitors equipment operations to maintain efficiency and safety; reports faulty equipment. Monitors inventory of department equipment,parts,tires,tools,and supplies;ensures availability of adequate materials to conduct work activities;initiates requests for new/replacement materials;picks up/delivers materials as needed. Follows safety procedures, utilizes safety equipment, and monitors work environment to ensure safety of employees and other individuals;reports accidents and incidents. Maintains vehicle/equipment service records,warranty records,or other documentation of work activities. Prepares or completes various forms, reports, correspondence, logs, checklists, work orders, service/repair records,or other documents. Receives various forms, reports, correspondence, work orders, vehicle/equipment maintenance reports, flow charts, diagrams, schematics, service manuals, service bulletins, parts catalogs, policies, procedures, reference materials,or other documentation;reviews,completes,processes,forwards or retains as appropriate. Operates a computer to enter,retrieve,review or modify data; utilizes work order system,diagnostics,Internet,e-mail, or other programs. Communicates with supervisor, employees, other departments, vendors/suppliers, the public, outside agencies, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Maintains an awareness of new parts/equipment,procedures,trends,and advances in the profession;reads professional literature;maintains professional affiliations;attends workshops and training sessions as appropriate. 21 16Al2 ADDITIONAL FUNCTIONS Provides assistance to other employees or departments as needed. Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS High school diploma or GED;supplemented by vocational/technical training in mechanics and automotive/mechanical maintenance; supplemented by five (5) years previous experience and/or training involving mechanics, automotive/mechanical maintenance, welding, and vehicle/equipment operation; or any equivalent combination of education,training,and experience that provides the requisite knowledge,skills,and abilities for this job.Must possess and maintain valid Forklift Operator Certification or attain certification within six months of hire. Must possess and maintain current Automotive Service Excellence (ASE) Master Technician Certifications in both Automobiles and Heavy/Medium Trucks. Must be proficient in knowledge and operation of the County Fleet Management computer data system and all County-owned automotive computer diagnostic systems.Must possess and maintain a valid Florida Driver's License with any applicable endorsements and maintain eligibility requirements and endorsement(s)to drive a County vehicle as provided in CMA 5805. Must maintain a current Class A Commercial Driver's License(CDL)or a Class B CDL with all endorsements required for fuel truck operation and fuel delivery. Must communicate effectively and clearly in English both verbally and in writing.Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to determine,calculate,tabulate,and/or summarize data. Includes performing subsequent actions in relation to these computational operations. Human Interaction: Requires the ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations. Equipment,Machinery,Tools,and Materials Utilization: Requires the ability to operate,maneuver and/or control the actions of equipment,machinery,tools,and/or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, and/or advisory data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages;the ability to utilize principles of fractions; and the ability to interpret graphs. Functional Reasoning: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written,oral,diagrammatic,or schedule form;and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Situational Reasoning: Requires the ability to exercise judgment,decisiveness and creativity in situations involving evaluation of information against measurable or verifiable criteria. Leadership: Customer Service: Financial Accountability: 22 iA ADA COMPLIANCE Physical Ability: Tasks require the ability to exert moderate, though not constant physical effort, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and which may involve some lifting,carrying,pushing and/or pulling of objects and materials of moderate weight. Sensory Requirements: Most tasks require the ability to perceive and discriminate colors or shades of colors,sounds, odor,depth,texture,and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Performance of essential functions may require exposure to adverse environmental conditions, such as dirt, dust, pollen, odors,wetness, humidity,temperature and noise extremes, fumes,machinery, vibrations,electric currents,traffic hazards,bright/dim light,or toxic agents. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. 23 16A1 2 Class Code: 12242 Pay Grade: 15 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: AUTOMOTIVE TECHNICIAN,JOURNEYMAN PURPOSE OF CLASSIFICATION The purpose of this classification is to perform skilled and general mechanical manual work involving repair and maintenance of vehicles, light/heavy equipment, fire/emergency vehicles, maintenance equipment, and other automotive/mechanical machinery. Oversees the work of Automotive Technician,Apprentice. ESSENTIAL FUNCTIONS The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar,related,or a logical assignment for this classification. Other duties may be required and assigned. Receives work orders and performs independent skilled mechanical repair work on vehicles,trucks, light equipment, heavy machinery, grounds maintenance equipment, ambulances, fire trucks, small engines, or other automotive/mechanical equipment. Inspects, tests, and diagnoses problems involving various systems/components of vehicles or equipment, such as gasoline/diesel engines, ignition systems, computerized engine controls, electronic fuel injection systems, transmissions,differentials,steering systems,electrical systems,suspension systems,hydraulic systems,brake systems, drive train systems, engine cooling systems, fuel systems, charging systems, starting systems, exhaust systems, emission systems,inflatable restraint systems,heating/air conditioning systems,or lighting systems. Examines vehicles/equipment to determine necessary repair or maintenance work;conducts diagnostic testing;consults with drivers or equipment operators to obtain input on problems, assist in diagnosing problems, or prevent future problems;determines parts/supplies necessary to conduct repairs. Performs appropriate repair,removal,replacement,rebuilding,or maintenance work on vehicle/equipment systems and components; removes or replaces brakes, wheels, steering components, shocks,transmissions,vehicle cylinder heads, differentials, suspension springs, starters, alternators, thermostats, water pumps, radiators, mufflers, or other components; removes or replaces engines, engine parts, and engine gaskets; checks engine timing and performance; turns or replaces rotors/drums; replaces rings, bearings, and universal joints; grinds valves; repairs/replaces clutches; rebuilds generators and carburetors; adjusts, repairs, or relines brakes; replaces air brake chambers; repairs air conditioning systems and recovers refrigerant; replaces air conditioning compressors, hoses, and filters; repairs defective wiring; repairs door lock cylinders; installs,repairs, or replaces doors, lifts, seats, seat covers, radios, lights, sirens,windows,mirrors,or trailer jacks;installs external fuel tanks. Performs general welding and fabrication work; rebuilds equipment and repairs body/frame damage; repairs broken/cracked parts or fabricates new parts; repairs and fabricates frames; cuts metal and welds metal components; fills holes and removes minor dents;replaces truck fenders;repairs bent/damaged trailer ramps. 24 : Performs routine and preventive maintenance on vehicles and equipment;pumps fuel into vehicles;checks fluid levels and replaces fluids as needed; drains/replaces oil; changes/replaces filters and batteries; removes/replaces belts,hoses, fuses, bulbs, blades, and other parts; flushes radiators and coolant systems; replaces spark plugs and wires; lubricates mechanical parts and greases equipment; services air conditioning systems; aligns wheels;checks air pressure level of tires;patches holes/punctures in tires;repairs/replaces damaged tires;rotates and balances tires. Tests vehicles,machinery,equipment,and parts to ensure proper operations;conducts road tests of vehicles undergoing repair. Operates a variety of machinery, equipment, and tools associated with repairing,maintaining and testing vehicles and equipment,which may include a service truck, heavy machinery, light equipment, forklift, vehicle lift,hoists, engine analyzer, tire changer, battery charger, brake lathe, hydraulic jack, air compressor, pressure washer, generator, refrigerant recovery machine, drill, drill press, bench grinder, pump, air tools, welder, cutting torch, gauges, meters, diagnostic instruments,mechanic tools,or two-way radio. Transports, loads and unloads various equipment, parts, and materials used in projects. With necessary certifications and qualifications,fuel transports could be required. Makes emergency service calls for disabled vehicles/equipment at work sites or on the road. Schedules on-call duties required with flexible work schedule. Performs general cleaning/maintenance tasks necessary to keep tools/equipment in operable condition, which may include inspecting equipment, greasing equipment, washing/cleaning vehicles and equipment, or cleaning shop/work areas; repairs fuel island pumps; monitors equipment operations to maintain efficiency and safety; reports faulty equipment. Monitors inventory of department equipment,parts,tires,tools,and supplies;ensures availability of adequate materials to conduct work activities;initiates requests for new/replacement materials;picks up/delivers materials as needed. Follows safety procedures, utilizes safety equipment, and monitors work environment to ensure safety of employees and other individuals;reports accidents and incidents. Maintains vehicle/equipment service records,warranty records,or other documentation of work activities. Prepares or completes various forms, reports, correspondence, logs, checklists, work orders, service/repair records, or other documents. Receives various forms, reports, correspondence, work orders, vehicle/equipment maintenance reports, flow charts, diagrams, schematics, service manuals, service bulletins, parts catalogs, policies, procedures, reference materials, or other documentation;reviews,completes,processes,forwards or retains as appropriate. Operates a computer to enter,retrieve,review or modify data; utilizes work order system,diagnostics,Internet,e-mail, or other programs. Communicates with supervisor, employees, other departments, vendors/suppliers, the public, outside agencies, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Maintains an awareness of new parts/equipment,procedures,trends,and advances in the profession;reads professional literature;maintains professional affiliations;attends workshops and training sessions as appropriate. ADDITIONAL FUNCTIONS Provides assistance to other employees or departments as needed. 25 16A1 2 Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS High school diploma or GED;supplemented by vocational/technical training in mechanics and automotive/mechanical maintenance; supplemented by three (3) years previous experience and/or training involving mechanics, automotive/mechanical maintenance, welding, and vehicle/equipment operation; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must possess and maintain valid Forklift Operator Certification or attain certification within six months of hire. Must possess and maintain valid Automotive Service Excellence (ASE) Technician Certification in at least two specialties from National Institute for Automotive Service Excellence.Must possess and maintain a valid Florida Driver's License with any applicable endorsements and maintain eligibility requirements and endorsement(s)to drive a County vehicle as provided in CMA 5805. Must attain a Class B Commercial Driver's License(CDL)within six months of hire. Must communicate clearly in English both verbally and in writing.Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to determine,calculate,tabulate,and/or summarize data. Includes performing subsequent actions in relation to these computational operations. Human Interaction: Requires the ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations. Equipment,Machinery,Tools,and Materials Utilization: Requires the ability to operate,maneuver and/or control the actions of equipment,machinery,tools,and/or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, and/or advisory data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages;the ability to utilize principles of fractions; and the ability to interpret graphs. Functional Reasoning: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written,oral,diagrammatic,or schedule form;and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Situational Reasoning: Requires the ability to exercise judgment,decisiveness and creativity in situations involving evaluation of information against measurable or verifiable criteria. Leadership: Customer Service: Financial Accountability: ADA COMPLIANCE Physical Ability: Tasks require the ability to exert moderate, though not constant physical effort, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and which may involve some lifting,carrying,pushing and/or pulling of objects and materials of moderate weight. 26 1, tit i Sensory Requirements: Most tasks require the ability to perceive and discriminate colors or shades of colors,sounds, odor,depth,texture,and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Performance of essential functions may require exposure to adverse environmental conditions, such as dirt, dust, pollen,odors,wetness, humidity, temperature and noise extremes, fumes,machinery, vibrations,electric currents,traffic hazards,bright/dim light,or toxic agents. Collier County is an Equal Opportunity Employer.In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to quaked individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. 27 16Al2 Class Code 12240 Pay Grade: 13 COLLIER COUNTY, FLORIDA CLASSIFICATION SPECIFICATION CLASSIFICATION TITLE: AUTOMOTIVE TECHNICIAN,APPRENTICE PURPOSE OF CLASSIFICATION The purpose of this classification is to perform supervised technical and mechanical work involving repair and maintenance of vehicles, light/heavy equipment, fire/emergency vehicles, grounds maintenance equipment, and other automotive/mechanical machinery. ESSENTIAL FUNCTIONS The following duties are normal for this position. Most duties require supervision or oversight by a higher level and more experienced automotive technicians.The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classification. Other duties may be required and assigned. Performs technical and general mechanical repair work on vehicles,trucks,light equipment,heavy machinery,grounds maintenance equipment,ambulances,fire trucks,small engines,or other automotive/mechanical equipment. Inspects, tests, and diagnoses problems involving various systems/components of vehicles or equipment, such as gasoline/diesel engines, ignition systems, computerized engine controls, electronic fuel injection systems, transmissions,differentials,steering systems,electrical systems,suspension systems,hydraulic systems,brake systems, drive train systems, engine cooling systems, fuel systems, charging systems, starting systems, exhaust systems, emission systems,inflatable restraint systems,heating/air conditioning systems,or lighting systems. Examines vehicles/equipment to determine necessary repair or maintenance work;conducts diagnostic testing;consults with drivers or equipment operators to obtain input on problems, assist in diagnosing problems, or prevent future problems;determines parts/supplies necessary to conduct repairs. Performs appropriate repair,removal,replacement,rebuilding,or maintenance work on vehicle/equipment systems and components;removes or replaces brakes, wheels, steering components, shocks,transmissions,vehicle cylinder heads, differentials, suspension springs, starters, alternators, thermostats, water pumps, radiators, mufflers, or other components; removes or replaces engines, engine parts, and engine gaskets; checks engine timing and performance; turns or replaces rotors/drums; replaces rings, bearings, and universal joints; grinds valves; repairs/replaces clutches; rebuilds generators and carburetors; adjusts, repairs, or relines brakes; replaces air brake chambers; repairs air conditioning systems and recovers refrigerant; replaces air conditioning compressors, hoses, and filters; repairs defective wiring; repairs door lock cylinders; installs, repairs, or replaces doors, lifts, seats, seat covers, radios, lights, sirens,windows,mirrors,or trailer jacks;installs external fuel tanks. Performs general welding and fabrication work; rebuilds equipment and repairs body/frame damage; repairs broken/cracked parts or fabricates new parts; repairs and fabricates frames; cuts metal and welds metal components; fills holes and removes minor dents;replaces truck fenders;repairs bent/damaged trailer ramps. 28 C • Performs routine and preventive maintenance on vehicles and equipment;pumps fuel into vehicles;checks fluid levels and replaces fluids as needed; drains/replaces oil; changes/replaces filters and batteries; removes/replaces belts,hoses, fuses, bulbs, blades, and other parts; flushes radiators and coolant systems; replaces spark plugs and wires; lubricates mechanical parts and greases equipment; services air conditioning systems; aligns wheels;checks air pressure level of tires;patches holes/punctures in tires;repairs/replaces damaged tires;rotates and balances tires. Tests vehicles,machinery,equipment,and parts to ensure proper operations;conducts road tests of vehicles undergoing repair. Operates a variety of machinery,equipment,and tools associated with repairing,maintaining and testing vehicles and equipment, which may include a service truck, heavy machinery, light equipment, forklift, vehicle lift,hoists, engine analyzer, tire changer, battery charger, brake lathe, hydraulic jack, air compressor, pressure washer, generator, refrigerant recovery machine, drill, drill press, bench grinder, pump, air tools, welder, cutting torch, gauges, meters, diagnostic instruments,mechanic tools,or two-way radio. Transports, loads and unloads various equipment, parts, and materials used in projects. Fuel transports could be required with the necessary certifications and qualifications. Makes emergency service calls for disabled vehicles/equipment at work sites or on the road. Scheduled on-call duties required with flexible work schedule. Performs general cleaning/maintenance tasks necessary to keep tools/equipment in operable condition, which may include inspecting equipment, greasing equipment, washing/cleaning vehicles and equipment, or cleaning shop/work areas; repairs fuel island pumps; monitors equipment operations to maintain efficiency and safety; reports faulty equipment. Monitors inventory of department equipment,parts,tires,tools,and supplies;ensures availability of adequate materials to conduct work activities;initiates requests for new/replacement materials;picks up/delivers materials as needed. Follows safety procedures, utilizes safety equipment, and monitors work environment to ensure safety of employees and other individuals;reports accidents and incidents. Maintains vehicle/equipment service records,warranty records,or other documentation of work activities. Prepares or completes various forms, reports, correspondence, logs, checklists, work orders, service/repair records, or other documents. Receives various forms, reports, correspondence, work orders, vehicle/equipment maintenance reports, flow charts, diagrams, schematics, service manuals, service bulletins, parts catalogs, policies, procedures, reference materials, or other documentation;reviews,completes,processes,forwards or retains as appropriate. Operates a computer to enter,retrieve,review or modify data;utilizes work order system, diagnostics,Internet,e-mail, or other programs. Communicates with supervisor, employees, other departments, vendors/suppliers, the public, outside agencies, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Maintains an awareness of new parts/equipment,procedures,trends,and advances in the profession;reads professional literature;maintains professional affiliations;attends workshops and training sessions as appropriate. ADDITIONAL FUNCTIONS Provides assistance to other employees or departments as needed. 29 16Al2 Performs other related duties as required. In the event of a declared state of emergency, employees in this classification may be called to work during days or hours other than those for which they are regularly scheduled. MINIMUM QUALIFICATIONS High school diploma or GED;supplemented by vocational/technical training in mechanics and automotive/mechanical maintenance; supplemented by one (1) year previous experience and/or training involving mechanics, automotive/mechanical maintenance, welding, and vehicle/equipment operation; or any equivalent combination of education, training, and experience which provides the requisite knowledge, skills, and abilities for this job. Must attain Forklift Operator Certification within one year of hire. Must possess and maintain a valid Florida Driver's License with any applicable endorsements and maintain eligibility requirements and endorsement(s)to drive a County vehicle as provided in CMA 5805. Must possess a Class B Commercial Driver's License (CDL) or attain within six months of hire. Must communicate clearly in English,both verbally and in writing.Fingerprinting required. PERFORMANCE APTITUDES Data Utilization: Requires the ability to determine,calculate,tabulate,and/or summarize data.Includes performing subsequent actions in relation to these computational operations. Human Interaction: Requires the ability to provide guidance, assistance, and/or interpretation to others regarding the application of procedures and standards to specific situations. Equipment,Machinery,Tools,and Materials Utilization: Requires the ability to operate,maneuver and/or control the actions of equipment,machinery,tools,and/or materials used in performing essential functions. Verbal Aptitude: Requires the ability to utilize a wide variety of reference, descriptive, and/or advisory data and information. Mathematical Aptitude: Requires the ability to perform addition, subtraction, multiplication, and division; the ability to calculate decimals and percentages;the ability to utilize principles of fractions; and the ability to interpret graphs. Functional Reasoning: Requires the ability to apply principles of rational systems; to interpret instructions furnished in written,oral,diagrammatic,or schedule form;and to exercise independent judgment to adopt or modify methods and standards to meet variations in assigned objectives. Situational Reasoning: Requires the ability to exercise judgment,decisiveness and creativity in situations involving evaluation of information against measurable or verifiable criteria. Leadership: Customer Service: Financial Accountability: ADA COMPLIANCE Physical Ability: Tasks require the ability to exert moderate, though not constant physical effort, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and which may involve some lifting,carrying,pushing and/or pulling of objects and materials of moderate weight. 30 ; 4 , 4 Sensory Requirements: Most tasks require the ability to perceive and discriminate colors or shades of colors,sounds, odor,depth,texture,and visual cues or signals. Some tasks require the ability to communicate orally. Environmental Factors: Performance of essential functions may require exposure to adverse environmental conditions, such as dirt, dust,pollen, odors,wetness, humidity,temperature and noise extremes, fumes, machinery, vibrations,electric currents,traffic hazards,bright/dim light,or toxic agents. Collier County is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the County will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer. 31 16Al2 Exhibit D Fleet Maintenance Division Policies and Procedures COLLIER COUNTY FLEET MANAGEMENT DIVISION POLICIES AND PROCEDURES DECEMBER 2018 The following policies and procedures have been established for all members of the Fleet Management Division for the purpose of maintaining a professional and safe work environment for our employees and providing productive, efficient, high quality services and support to our customers. These policies supersede all previous versions. Some policies coincide directly with established County policies; some policies are workplace specific to Fleet Management but are not in disagreement with County policies. Violations of these policies and procedures will be handled fairly according to established policies and procedures of the Collier County Human Resources Division. 1. Safety— Safety is the #1 priority of the Fleet Management Division. This includes the safety of our employees and the safety of our customers. Fleet Management members shall follow all established County and division safety rules, plus all commonsense safety precautions inherent in a shop environment. All responsible personnel shall ensure vehicles and equipment leaving our shops are in safe physical condition and safe operating condition. Shop tools and equipment found to have safety deficiencies will be tagged, taken out of service, and immediately reported to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. Report all safety hazards, incidents, accidents, injuries, and/or property damage to your supervisor immediately. 2. Customers in Shop Areas—For safety reasons, no customers are permitted in the shop work areas without an escort from Fleet Management. If a customer, vendor, or person from the public enters the shop work areas at any of our shops without authorization, politely and tactfully ask them to leave for reasons of safety. You should redirect them to the customer reception areas or, in the cases of our Davis, Immokalee, and Radio Road shops, to an area away from shop hazards. 3. Workday Starting Time - All members are expected to be present in uniform, in their designated workplace, and begin work at their scheduled starting time. All members should enter through the main shop entrance or lobby when beginning the shift or when returning from lunch if you leave the building. This assists the shop supervisor in tracking who is in or out of the building. A member unable to report for work at the scheduled starting time should contact his/her immediate supervisor at least one-half hour prior to the scheduled starting time. All hourly Fleet Management employees shall be logged onto FASTER either for 32 direct labor, indirect labor, training, lunch, or break period for the entire workday. Members should not log into FASTER earlier than five minutes prior to the scheduled starting time unless approved by their supervisor. 4. Workday Ending Time— All members are expected to remain working at their designated work area until their scheduled end of workday time. Stopping work and/or changing out of uniforms prior to the end of the paid workday is not permitted unless approved by the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. Time changing clothing is not considered part of your workday whether it is the beginning or ending of the workday. Members should not log out of FASTER later than five minutes after the scheduled workday ending time unless approved by your supervisor. At the end of each workday, each employee will first check with his/her supervisor and then exit the facility by the front customer service exit doors at County Barn and the normal customer exit doors at the other three shops. No boxes or containers shall be removed from the facilities without approval of your supervisor. 5. Overtime — Overtime work may be required of all employees when the workload dictates. Every effort will be made to get volunteers for overtime work. If no one volunteers, then the Fleet Management Director will make a selection. The Director must approve all planned overtime. In the absence of the Director, the Senior Operations Analysts or Fleet Maintenance Supervisor can approve planned overtime. For unplanned overtime such as finishing up a critical job at the end of the day or emergency requirements, the particular shop's Principal Automotive Technician or designated Shop Supervisor can approve and then report the overtime to the Fleet Maintenance Supervisor at the first opportunity. The Principal Automotive Technician or designated Shop Supervisor has the Director's blanket approval for a maximum of 1/2-hour overtime daily as needed for opening and closing the shop. The on-call technician has the Director's blanket approval for overtime as necessary for after-hour callouts. The on-call technician shall report the overtime to the Maintenance Supervisor on the next normal business day. 6. On-Call Duty — The Fleet Management Division provides 24-hour services for its customers. Technicians are assigned on a rotating basis for on-call duties after normal working hours and during weekends and holidays. On-call duties are rotated fairly among all qualified automotive technicians on a weekly basis beginning Thursday of each week. One on-call technician is assigned for transit and para-transit buses and one on-call technician is assigned for all other vehicles and equipment. Qualified technicians are determined by the Fleet Maintenance Supervisor based on experience and knowledge of County vehicles and equipment, and appropriate knowledge of County and Fleet Management operations. Substitutions or changes to the on-call schedule can be made only with approval of the Fleet Maintenance Supervisor, Senior Operations Analyst, or Director. 7. Lunch - All hourly employees working eight hours or more in a day shall take a minimum half-hour lunch break at a time designated by your immediate supervisor. No work is permitted during this period. Lunch periods will be staggered to ensure an appropriate number of personnel are available at all times to provide customer support. By County policy, no lunch period may exceed one hour. Lunch may not be consumed in customer 33 16Al2 reception areas. All lunch pails/boxes/bags will be left in the break rooms from the beginning of the workday until the end of the workday. 8. Breaks -All hourly employees may be given two 15-minute break periods (as work permits), one in the morning and one in the afternoon, at times designated by your immediate supervisor. The afternoon break may be taken in conjunction with a 30-minute lunch period if approved by your supervisor. You must log out of any work orders in FASTER and log into your lunch period. Log back into your work order after your combination lunch and break period. CAUTION: YOU MUST MANUALLY ADJUST YOUR WORK HOURS ON YOUR TIME SHEET AS FASTER READS THAT YOU WERE ON AN UNPAID LUNCH PERIOD FOR 45 MINUTES WHEN YOU HAD THE COMBINATION LUNCH AND PAID BREAK PERIOD. YOU ARE RESPONSIBLE FOR ENSURING YOUR TIMECARD IS CORRECT WHEN SUBMITTING IT FOR PAYROLL. Two break periods may not be taken in conjunction with the lunch period. Break periods may not be used to extend leave time. Two break periods may not be taken consecutively back-to-back. Note that the break periods are not entitlements of employment. 9. Leaves of Absence - All leaves of absence shall be in accordance with Human Resources leave policies. All leaves must be approved by the Division Director or designated representative during his absence. To help ensure the appropriate availability of personnel to conduct Fleet Management operations, the following advanced notice to your immediate supervisor is required: Vacation a. Three days' notice for a vacation request less than or equal to a workday. b. Five days' notice for any vacation request over a full workday. c. One-month advance notice for vacations exceeding one week. d. Special justification must be provided for vacation requests for more than two consecutive weeks. Approval will depend on operational impacts and any hardships created for fellow employees. e. In fairness to all employees, requests to take vacation during both Thanksgiving and Christmas/New Year's holiday periods will not be approved without special justification and consideration of vacation requests of other employees during those periods. Every effort will be made to honor vacation requests; however, sufficient personnel must always be available to ensure efficient Fleet Management operations. The more advance notice that is given, the more likelihood that the vacation request can be approved. Personal Leave a. One day notice for 1-4 hours. b. Two-day notice for more than 4 hours. c. Emergencies shall be considered. Sick Leave 34 t i‘'. 6 As much advance notice as possible. Notify your supervisor immediately when you make medical appointments. For unexpected absence due to illness or injury, notify your supervisor at least one-half hour before scheduled work starting time. Note: Notify your supervisor as soon as possible when unforeseen circumstances will cause you to return late from scheduled absences. 10. Time Sheets - Automated time sheets tied to the FASTER Fleet Management Data System will be used by all Fleet Management hourly employees. The automated time sheet is located on the G Drive in the TIMECARDFY14 folder, labeled Time_Sheet_Fleet2. Enter your Fleet ID Number (MID) at the top of the sheet, the pay period start date, and click "Run". The time sheet will automatically populate the remainder of the dates and the time you log in and out of FASTER on a daily basis for paid time and the unpaid time for lunch. All paid holiday and leave time must be entered manually. Paid time is automatically calculated. If you take an authorized paid break period in conjunction with the unpaid lunch period, you must make a correction on your time sheet that indicates the unpaid lunch period only. In the remarks section, enter the word "Lunch". If other corrections are made, indicate in the remarks section why the corrections were made. If corrections are penned manually on the time sheet, each correction must be initialed by the employee and the supervisor. Each employee and his/her supervisor must sign and date the time sheet before submission to payroll. It is the employee's responsibility to ensure the time sheet is correct before submission. 11. Work Order Log-On - Technicians shall log-on to work orders anytime more than five minutes is dedicated to repair or maintenance of a vehicle or piece of equipment, including time spent assisting another technician. Technicians shall log-off work orders when the job is completed, when moving to another work order, before extended breaks such as lunch or training, and at the end of the workday. When conducting test drives or leaving the premises for parts runs, mail runs, or other official reasons, take a cell phone or portable radio for use should some incident arise requiring communications. When conducting multiple road calls, the technician shall call the Maintenance Supervisor on the radio or phone to log him on and off each work order. The technician changing or installing parts or fluids, or using supplies, on a particular work order is responsible for ensuring those parts, fluids, or supplies are posted to that work order. Work orders shall be put in "R" status immediately after the job and area cleanup are completed. Cleanup shall be considered part of the labor time for each job. 12. Accident Damage Repair - All accident damage repair and associated parts shall be posted on separate work orders from other scheduled or unscheduled maintenance. 13. PM Checklists — PM checklists will be followed for all preventive maintenance inspections/services. The technician conducting the PM inspection/service will check the appropriate box for each step completed on the checklist and make comments as required. All steps will be completed, or notes will be made as to why a particular step was not completed. In no case shall a box be checked on the checklist if that step has not been completed. 35 16Al2 14. Work Order Notes - Technician notes are very important historical data for vehicle and equipment records, and they are important for future repair work and for customer information. The responsible technician shall post detailed notes of problems found, work completed (or why work was not completed), and other useful information (such as results of test drives) on the notes page prior to closing the work order. If you must log off a work order for any reason, enter into the notes what work has been completed. If waiting on parts, list which parts are on order. If a repair takes longer than normal or if there are any unusual circumstances, make a note telling exactly what happened. The person making the note should indicate his/her Mechanic ID# (MID) and a date/time stamp at the end of entry. 15. Parts — Parts and shop supplies shall be ordered and received by the Parts Manager, Parts Shift Supervisor, Parts Clerk, Maintenance Supervisor, Principal Automotive Technician, designated Shop Supervisor, Senior Operations Analysts, or Fleet Management Director only. No parts or supplies shall leave the parts rooms until properly received into the FASTER system and charged out to a work order, independent issue, or to the shop. The Automotive Technician is responsible for ensuring all parts are charged out to the work order he/she is assigned. 16. Tires — Tires will be replaced when tread wear level reaches 4/32" or when the tire is determined to be unsafe or unreliable. The wear level of each tire will be recorded in the work order notes when PM services are conducted. The Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor will approve all tire replacements for other than maximum tread wear. The approving authority will be noted in the work order notes. Unusable tires removed from vehicles or equipment shall be placed in a used tire storage bin or other suitable storage area and secured by lock after normal working hours. The exceptions are 11R22.5 or 12R22.5 tires that could possibly be used for casing credits. The Maintenance Supervisor, Principal Technician, or designated Shop Supervisor will approve 11 R22.5 and 12R22.5 tires for retention or disposal. 17. Purchasing Cards —The Fleet Management Purchasing Card program will be administered in accordance with the provisions of CMA 5808. All Fleet Management personnel will be issued purchasing cards. The Director, Senior Operations Analyst, Maintenance Supervisor, Parts Manager, Parts Shift Supervisor, Parts Clerk, Principal Technicians, Shop Shift Supervisors, Fleet Services Technician, and designated On-Call Technicians will maintain personal possession of their cards for daily parts and supply transactions. All other purchasing cards will be locked in the Fleet Management safe until approved for use on special occasions such as purchase of mechanic tools or for travel expenses. The following personnel will have purchasing card transaction limits of$3000 per single transaction with a monthly overall limit of $10,000: Director, Senior Operations Analysts, Maintenance Supervisor, Fleet Services Technician, Accounting Technician, Parts Manager, Parts Shift Supervisor, and Principal Technicians. These personnel are given blanket authority by the Director to make purchasing card acquisitions as needed to conduct the Division's daily business operations. All other personnel will have transaction limits of $1000 per single transaction with a monthly overall limit of$5000 and will be given purchasing authority on an as-needed basis for specific requirements. Personal purchases or cash withdrawals are not 36 t' y permitted using the County Purchasing Card. The County is exempt from Florida sales tax. No Florida sales tax will be charged to the County Purchasing Card. Violations of these rules and provisions in CMA 5808 may result in suspension or termination of purchasing card privileges. 18. Cleanliness of Work Areas - All members shall keep their general work areas clean and organized. Walk areas must be kept clear of all objects that could cause a slip, trip, or fall, or that could cause injury from running into the object. If changing maintenance bays, the current bay will be cleaned of debris, spills, and greasy areas before logging off the current work order and moving to the new bay. Unless otherwise directed by the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor, each member performing general automotive technician duties on a particular day shall participate in shop clean-up at the end of that work day to include all shared work areas and common areas in our shops such as wash sinks, parts washers, and tire changing/balancing areas. End-of-day clean-up will start 15 minutes prior to the end of the scheduled workday unless otherwise instructed by the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. Mop buckets shall be appropriately emptied, and mops cleaned immediately after use. Floor cleaning machines shall be cleaned and properly stored after each use. Report malfunctions, deficiencies, or supply shortages of the floor cleaning machines or deficiencies/shortages of other cleaning materials to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. Parts personnel are responsible for cleaning the Parts Rooms at the end of the day. Administrative and support staff are responsible for keeping their workstations and adjacent areas clean and orderly. 19. Cleanliness of Common Areas— All members are expected to clean up after themselves in all common areas such as the break room and rest rooms. If you see trash on the shop floor or on the ground around our facilities,pick it up and put it in a trash can. 20. Cleanliness of Welding Areas — Use a welding blanket under all welding and cutting activities inside the welding bay and other welding areas. Return the welding blanket to its storage area when the job is completed. When cool to the touch, place all scrap metal and used welding rods in a trash can. Neatly place all remaining usable metal back on the metal storage racks. Neatly place all welding equipment back in designated storage areas. Leave the welding areas clean and neat. Report any damaged or malfunctioning welding equipment, safety issues, or shortage of welding supplies to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. 21. Spills - Small spills shall be immediately cleaned or covered with absorbent. Spills of more than one gallon shall be reported to your supervisor and immediate clean-up action shall be taken. Technicians shall make every effort to avoid spills by placing drip pans under known leaks, under disconnects of fluid hoses or connections, or when treating vehicle or equipment components with solvents or lubricants. Appropriate catch containers will be used for planned discharges of fluids. Absorbents will be used after accidental spills. If an oily or slippery residue remains when absorbents are removed, a mop and soapy water will be used for final cleanup. Mops and mop buckets must be cleaned immediately after use and then 37 16Al2 properly stored by the person who used the mop. Use of materials from spill kits shall be reported immediately to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. 22. Waste Fluid Disposal — All used oil and fluids will be poured or suctioned into the waste fluid retrieval systems and reservoirs located in the maintenance shops. If in doubt about which reservoir to use, ask the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. Never leave a filled or partially filled catch container unattended in the shop. When the job is finished, empty the catch container into the appropriate retrieval system or waste fluid reservoir as appropriate. 23. Work Uniforms/Cleanliness/Appearance - All members shall report to work in their designated work uniforms, including belts, if provided. Members may change into uniforms at their work location provided they are ready to start work at their designated starting times. Members may change out of uniforms at their work location after the end of their workday. For safety and appearance reasons, shirttails shall be tucked into trousers and shirts shall be buttoned with the exception that the collar button and the first button below the collar button may be left open. Safety shoes/boots shall be worn, if provided. All uniforms and work clothing shall be clean at the beginning of each workday. Fleet Management will provide cleaning services for assigned uniforms, with the exception of caps/hats, cold weather jackets, and safety shoes/boots. Each member is responsible for maintaining his/her own cap/hat, jacket, and shoes/boots in a clean and presentable condition. Each member is responsible for ensuring his/her dirty uniforms are brought to work on the designated laundry pickup day. Each member is responsible for the accountability of his/her uniforms. If uniform items are missing after weekly deliveries by the uniform company, the shortages shall be reported by the affected member to his/her supervisor immediately. Employees not issued uniforms will report to work in clean clothes with neat and professional appearance appropriate for work being performed. Blue jeans may be worn by administrative and support staff as permitted by your supervisor. 24. Vehicle Utilization - Utilization of County vehicles shall be according to County policy (CMA Instruction 5204). This policy states basically that County vehicles shall be used only for County business. Infrequent limited personal use of County vehicles may be permitted when incidental to official business as follows: a. Stopping at a restaurant or fast food establishment during a designated meal period. This is permitted only when the meal period coincides with official business requiring a County vehicle. (This does not include test drives from our shop facilities.) b. Stopping at a convenience store, gas station, or fast-food establishment for the purpose of buying a refreshment during an official work break or for using restroom facilities. (This does not include test drives from our shop facilities.) In no case shall a member of Fleet Management take a County vehicle from our shop facilities solely for the purpose of picking up food at a restaurant or other food establishment, or for any other personal business. 38 k '� 2 , 25. Vehicle/Equipment Security - Prior to leaving a vehicle or piece of equipment in an outdoor area, it shall be secured, locked, all keys removed, and all radios, lights, and accessories turned off. The technician finishing a work order is responsible for securing that vehicle or equipment item when it is parked outside the maintenance shops. The keys will be returned to the maintenance shop office. 26. Security of Fleet Facilities—Before vacating Fleet facilities, responsible Fleet personnel will ensure that all lights and unnecessary equipment are turned off and that the building is secured with all doors locked. 27. Shop Tools —All shop tools shall be cleaned and returned to their assigned storage location immediately after use. Report unsafe, damaged, or broken tools to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. 28. Technicians' Tools — Technicians are responsible for storing their personal tools in their toolboxes and locking their toolboxes at the end of each workday. Tools may be borrowed from another technician only with the permission of the owning technician. All personal tools should be inscribed with the owning person's name or mark. Missing tools should be reported to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor immediately. Tools found unattended away from an ongoing job or technician's toolbox should be turned in to the Maintenance Supervisor, Principal Automotive Technician, or designated Shop Supervisor. 29. Personal Work in the Shop Area - Due to liability issues, no personal work is permitted in the Fleet Management shop areas. County-owned equipment and tools cannot be used for personal projects except during emergencies, as approved by the Fleet Management Director. 30. Disposal of Foodstuffs—All foodstuff and containers/wrappers with foodstuff residuals will be disposed of in covered containers with plastic liners. No foodstuff will be thrown in open containers, on the ground, or over the fence. Foodstuff thrown in the dumpsters must be in plastic bags with the top secured. The purposes of these rules are to reduce the incidents of rodents, roaches, and ants, and to maintain a healthful environment for our employees. 31. Computer Use — The County provides computer access to all employees to stay current on events and news relating to County business. Authorized use will be during designated break times, lunch time, or before or after normal work hours when Fleet Management facilities are open. Access to private email accounts is limited to the periods listed above. The County computer system shall not be used directly, in conjunction with, or in any way related to a personal profit-making business or for any other purpose that leads to personal gain. All activities and communications (including private email access) conducted on the County computer network system are public record and are monitored and stored by the County. Connection of personal devices (such as thumb drives, external drives, etc.) to County computers is prohibited. Downloading of personal software or software not authorized by the IT Division on County computers is prohibited. 39 16Al2 32. Personal Phone Calls - Fleet Management members may make and receive infrequent personal local phone calls on County telephones, as work permits. If routine incoming calls become too frequent so as to interfere with a member's work schedule, messages will be taken and given to the member at his/her scheduled break. Emergency calls shall be referred to the member immediately. Personal cell phones may be used as stated above, but only if the length of conversation or frequency of calls does not interfere with a member's work schedule. Personal cell phones may not be used while working on a vehicle or piece of equipment. Personal phone calls are limited to five minutes each. Personal cell phones may be used for outgoing text messages, emails or internet connection during authorized breaks periods only. Abuse of these policies may result in total restriction of personal cell phone use except during authorized break periods. 33. Radios in the Shop Area — AM/FM Radios are permitted in the Fleet Management shop area as long as volumes are kept at reasonable levels and do not disturb or offend fellow members. "Radio Wars" where the volumes keep going up to compete with other radios shall not be permitted. Personal media players with headphones or earbuds are not permitted due to safety issues. 34. Smoking -No smoking is permitted inside any Fleet Management facility, inside any County vehicle, or near flammable materials. Smoking is prohibited while working on any vehicle or piece of equipment that is gasoline, diesel, propane, or battery powered. Smoking is permitted outside of buildings at least 30 feet away from buildings, vehicles, equipment, and flammable materials or in designated smoking areas. Fleet Management employee smoking is not permitted in front of the building at County Barn due to the customer traffic in those areas. Smokers may take smoke breaks (as work permits) in lieu of the two 15-minute authorized break periods, not to exceed 30 minutes during any workday and not exceeding 10 minutes for each break; your supervisor must be notified and approve of this election. Cigarette butts shall be extinguished and disposed of using containers designated for such use. The above restrictions include electronic cigarettes. 35. Chewing Tobacco & Snuff — Fleet members that chew tobacco or use snuff on County premises must use an opaque container with cover for spitting. The container will be covered when not in use. Spitting tobacco residue on the ground, in trash cans, in sinks or toilets, or in any other area except the designated covered container is not permitted. Spitting tobacco residue out open windows when driving County vehicles is not permitted. Spitting tobacco residue in the presence of other Fleet members or customers that are consuming food or drink is not permitted. 36. Foul Language-Foul language or obscenities are not permitted in our workplace. 37. Ethnic Comments - Inappropriate comments concerning race, religion, ethnic background, or birthplace are not permitted and shall not be tolerated. These comments shall not be tolerated even during mutual joking or when telling a joke. 40 38. Horseplay - Horseplay is not permitted, including hitting, pushing, shoving, grabbing, or holding another person, or throwing an object with the intent of hitting or scaring another person. 39. Physical Harm—Intentional physical harm to another employee, or threats of physical harm, will not be tolerated. 40. Harassment—Verbal harassment, belittlement, or threats against another employee will not be tolerated. 41. Rumors - Spreading rumors or making malicious or disparaging statements about any County employee shall not be tolerated. If you have concerns about anything you have heard, contact the Fleet Management Director to get the facts. Every effort will be made by the Director to keep all Fleet members informed of policy, procedure, and personnel changes within the County. 42. Removal of County Property from Premises - Members of Fleet Management shall not remove County property, including used or discarded items, from any County facility for personal use. Proven premeditated theft of County property will result in immediate dismissal from County employment. These policies are effective beginning December 20, 2018 and supersede any previous versions of Fleet Management Division policies. Daniel A. Croft Fleet Management Director 41 16 Al2 CMA 5204 [Effective Date: October 1, 2001 (Revised: October 1, 2003; Revised: February 1, 2004; Revised:November 15,2005;Revised:April 1,2006;Revised September 1,2017,Revised August 7, 2019)1 §5204-1.Purpose. This Instruction establishes policies and procedures for administration of Collier County's centralized fleet management system including vehicle and equipment assignment, utilization, operation, maintenance and repair, acquisition and disposition, and fueling operations to maximize the efficient and effective use of the County's fleet in support of organizational goals and program objectives. §5204-2. Background. In 1991, Collier County implemented a centralized fleet management system based on recommendations from a Fleet Review Task Team appointed by the County Manager. Under the current system, the Fleet Management Division provides fleet management services for all County vehicles and equipment to include maintenance and repair, technical support services, fuel operations, and vehicle and equipment procurement and disposal. §5204-3. Policy. Collier County shall maintain a centralized fleet management system administered by the Fleet Management Division Director. The system will offer a cost-efficient approach to acquiring, supporting, maintaining, and utilizing the appropriate vehicles and equipment to sustain County administration and operations. To ensure our fleet system is effective, all divisions and entities using vehicles, equipment, or maintenance services under the jurisdiction of the County Manager shall observe the following practices and procedures. §5204-4. Practices and Procedures. A. Vehicle Assignment: (1) Motor Vehicle Assignment: Motor vehicles are assigned for daily administrative and operating requirements by the appropriate Department Heads or Division Directors. Motor vehicles must be used according to the vehicle utilization section of this Instruction. (2) Motor Pool Loaner Vehicles: Loaner vehicles shall be assigned by Fleet Management to other divisions for short term operating requirements, or as temporary replacements for vehicles in maintenance or for official out-of-county travel. Reservations are recommended due to the limited number of vehicles available. (3) 24-Hour Vehicle Assignment: County vehicles may be assigned to certain employees in key managerial and operational positions for work-to-home transportation. 42 h Employees assigned 24-Hour Vehicles are subject to the vehicle utilization rules in this Instruction. Assignments shall be designated as Class A or Class B as follows: (a) Class A: Assignments are made for public health and safety reasons where emergency response is required by specific employees on a continuing basis, for employees with designated long-term work-out-of-home assignments requiring a vehicle, and for senior managers with frequent County business travel requirements outside normal business hours. Class A assignments can also be made as part of a senior management employment contract with the County. Class A assignments must be approved in writing by the County Manager. Requests for Class A assignments are made on the Collier County Official Request for Class "A" 24- Hour Vehicle Assignment Form, located in the County Forms network file under Fleet Forms. After approval of the request, a copy of the signed form shall be forwarded to the Fleet Management Division. The Fleet Management Division Director shall maintain a current listing of approved Class A assignments for public record and for on-call review by the County Manager, Department Heads and Division Directors. Department Heads shall periodically review Class A assignments to ensure continuing requirements for dedicated vehicles exist. Class A assignments may be subject to Federal Income Tax Fringe Benefits Rules. (b) Class B: Assignments are given to employees on a rotational basis for the purpose of maintaining approved on-call operational response capability. Vehicles assigned in this category are normally specially designed or equipped to meet specific division operating requirements. Employees assigned 24-hour vehicles must be available and respond during the on-call period. Class B assignments are approved by the Department Head.Requests for Class B assignments are made on the Collier County Official Request for Class "B" On-Call Rotational 24-Hour Vehicle Assignment Form, located in the County Forms network file under Fleet Forms. After approval of the request, a copy of the signed form shall be forwarded to the Fleet Management Division. The Fleet Management Director shall maintain a current listing of approved Class B assignments for public record and for on-call review by the County Manager, Department Heads, and Division Directors. Department Heads shall periodically review Class B assignments to ensure continuing requirements for the on-call vehicle assignments. Class B assignments are tracked at the Division level,normally through on-call duty rosters. B. Vehicle Utilization: (1) Authorized Use: (a) General: County-owned vehicles shall be used only for official travel while conducting County business or services. Non-employees, including employee family members, shall not be transported in County vehicles unless required for government related business activities or as a prescribed transportation service, or with the County Manager's written approval. Infrequent limited personal use of County vehicles by employees may be permitted to satisfy on-call requirements or when such use is incidental to the conduct of official business. The following are considered incidental to official business: 43 16Al2 [1] Stopping at a restaurant or fast food establishment is allowed for the purpose of eating during the designated meal period. This is permissible only when the meal period coincides with official business travel requiring a County vehicle, when working in a remote area and a County vehicle is the only transportation available to reach a food establishment, and when attending County-approved meetings, conferences, presentations, or functions. The food establishment must be on the normal route to the work location or in close proximity of the work location. A County vehicle cannot be used for mealtime travel from or to the employee's primary work location when not in conjunction with official business travel. The exception to this policy is Class A vehicle assignments. At no time will a County vehicle be parked at an establishment principally recognized for serving alcoholic beverages, such as a bar,tavern, or saloon. [2] Stopping at a convenience store, gas station, or fast-food establishment is permissible for the purpose of buying refreshments during an official work break period or for using rest room facilities. Again, this stop must be in concert with official duties requiring travel in a County vehicle, without significant deviation from the normal route of travel. [3] In case of a medical emergency of a family member when an employee is traveling on official business in a County vehicle, the employee may use the vehicle to travel to the medical facility where a family member has been taken or to travel home to care for a family member. A County vehicle may be used for these purposes only when the family member's injury or illness is considered serious or life threatening. The employee will notify his/her supervisor as soon as practicable. In no case will County vehicles (other than ambulances) be used to transport family members to medical facilities. (b) Overnight Use: Other than Class A and Class B assignments, overnight use of County vehicles may be authorized by Department Heads or Division Directors under the following criteria: [1] When required in conjunction with authorized County business travel. [2] For specific authorized functions or for activities requiring a County vehicle at nighttime to transport people and/or equipment to or from the activity, provided the domicile of the employee is such that it would be inefficient to pick up and return the vehicle to its normal storage location before and after the event. [3] For early morning business travel when picking up a vehicle at its normal garage location would be inefficient. [4] In emergencies, such as hurricane or civil disturbance, when radio equipment is necessary and/or the vehicle is equipped with emergency supplies, equipment, or some special feature fundamental to performing essential duties during the emergency conditions. 44 (1, (2) Utilization Management: (a) The established standard for determining efficient use of County vehicles is a minimum monthly average of 500 miles for each vehicle during a consecutive six- month period [except for those vehicles specified in § 5204-4B(3), Exceptions to Minimum Mileage Criteria]. Department Heads and Division Directors are responsible for ensuring that vehicles under their purview are properly and efficiently utilized according to this standard. (b) The Fleet Management Director shall prepare and forward a biannual vehicle utilization report to the appropriate Department Heads and Division Directors. Department Heads shall review the report and take necessary corrective actions for under-utilized vehicles. Actions might include reassignment within the Department, rotation within the Division or removal of vehicles from the active fleet. Vehicles can also be returned to Fleet Management for reassignment within the County. All actions shall be closely coordinated with the Fleet Management Division Director. (3) Exceptions to Minimum Mileage Criteria: The following categories and classes of vehicles and equipment are exempted from the minimum monthly mileage utilization standard: (a) Special purpose vehicles equipped to perform specific tasks. (b) Emergency vehicles. (c) Fleet loaner vehicles. (4) Private Vehicle Use: Each employee who is required by his/her supervisor to use his/her privately owned vehicle to conduct authorized County business shall be reimbursed for such usage at the prevailing mileage rate authorized by County policy. The owner shall be responsible for all insurance, maintenance, and fuel costs associated with operation of his/her vehicle. Specific reimbursement procedures are found in Human Resources Practices and Procedures, CMA 5310, Business Travel. C.Vehicle Operation: (1) Operator Responsibilities: The following are considered operator responsibilities that shall be enforced by Department Heads and Division Directors: (a) Maintaining a current and valid Florida Driver's License or Commercial Driver's License as required. (b) Conducting periodic vehicle inspections including the following (1) Verify daily a current insurance card, vehicle registration, and Vehicle Operator's Handbook are in the vehicle; (2) Check fluid levels once a week, and more often when the vehicle is under stressful use; (3) Check lighting systems for proper operation daily; (4) Check tire condition daily before use; 45 16Al2 (5) Check tire pressure weekly; (6) Check for body damage and vandalism any time the vehicle has been parked and unattended for any extended period of time; (7) Make daily pre-trip adjustments to mirrors, seats, and head restraints. (c) Obeying all state and local traffic laws. Reporting all traffic citations while driving a County vehicle to his/her supervisor as soon as practical but always by the next business day. (d) Abiding by established County driver operating responsibilities as stated in the current Vehicle Operator's Handbook. (e) Following operating procedures in the manufacturer's operator manual. (f) Operating vehicles in a safe and courteous manner that reflects favorably on Collier County Government. (g) Wearing seat belts anytime the vehicle is in motion and requiring all passengers to wear seat belts (the only exception to this rule is when a rollover protective structure is not installed on open tractors or construction equipment and seat belts are not installed). (h) Not allowing passengers to ride in the cargo beds of trucks or in any area not equipped with seat belts. (i) Not operating any vehicle with safety deficiencies or with problems that could further damage the vehicle. These discrepancies will be reported immediately to Fleet Management for correction. (j) Using a vehicle or piece of equipment only for its intended purposes within the operating limitations established by the manufacturer. (k) Securing the vehicle and County equipment when the vehicle is parked unattended. (1) Keeping the vehicle clean,neat, and presentable. (m) Limiting engine idle time to a maximum of three (3)minutes when the vehicle is stationary with the driver and occupants out of the vehicle unless required to power vehicle accessories, lighting, or other operating requirements such as preserving specimens or protecting caged animals. (n) Consent to the Annual County Driver Agreement each January in accordance with CMA 5202. (2) Smoking in County vehicles is prohibited. (3) Cell phone use is prohibited while driving a County vehicle unless a hands-free device is being used. All new vehicles purchased by the County within the last four 46 k P. et years have hands-free capabilities. If a cell phone is being used for GPS directions, the phone should be placed in a holder, not in the hands of the driver while driving. Some discretion is given to emergency responders with policies established by the Bureau of Emergency Services Director. (4) For safety reasons, computer hands-on operation while driving is prohibited. D.Vehicle Maintenance and Repair: (1) Fleet Management: The Fleet Management Division Director shall maintain the appropriate personnel, facilities, equipment, tools, parts, supplies, fuel operations and outside contracts to effectively operate and maintain all County vehicles and equipment. ("Equipment" is defined for the purpose of this Instruction as off-road construction equipment, agricultural and grounds-keeping equipment, trailers, boats, portable pumps, portable generators and other portable small-engine equipment.) He/she shall manage all assets and the Fleet Management Internal Service Fund to provide competent and cost-effective maintenance and total motor pool services. (2) Vehicle and Equipment Maintenance and Repair: All vehicle and equipment maintenance and repair shall be administered through the Fleet Management Division. Fleet Management shall bill the owning/using divisions for the costs of fuel and all maintenance and repair to include parts, sublets and labor. Labor costs shall be allocated annually based on previous year usage by each fund center. Department Heads and Division Directors shall ensure that Fleet Management Intra-Governmental Charges (IGC's) are reviewed, approved and forwarded to Finance (or Fleet Management notified of discrepancies)within five working days of receipt. (3) Sublet or External Contractor Maintenance and Repair: The Fleet Management Division shall maintain agreements with outside dealers, vendors, and repair shops for parts, services and maintenance requirements. The Fleet Management Director will make the determination whether or not to use external resources for maintenance or repair based on internal capabilities and cost effectiveness. At no time shall parts be purchased, or vehicles or equipment be taken to external shops for repair or capital improvements without Fleet Management approval. (4) Warranty Work: The Fleet Management Division shall ensure that all warranty work is properly assigned and credited. No warranty work shall be conducted by external sources without Fleet Management approval. (5) Scheduled Preventive Maintenance: A preventive maintenance program shall be administered by the Fleet Management Director with the intent of extending the economical service life of vehicles and equipment, improving vehicle and equipment availability, decreasing breakdowns during work operations and ensuring vehicles and equipment are in safe operating condition. Fleet Management will send each division and user organization a monthly list of vehicles and equipment scheduled for preventive maintenance services during that month. Department Heads, Division Directors, supervisors and vehicle/equipment operators shall adhere to each 47 16Al2 vehicle's scheduled preventive maintenance appointment date and time, or contact Fleet Management at least two working days in advance for rescheduling when a vehicle/equipment is required for operations on the appointment date. All vehicles/equipment scheduled for preventive maintenance and delivered to Fleet Management at or before the scheduled appointment date and time, shall have priority over all other maintenance and activities, with the exception of emergency vehicles and transit buses when no spares are available. Fleet Management will make all efforts for same day completion of preventive maintenance work. E. Vehicle and Equipment Acquisition and Replacement: (1) Vehicle and Equipment Replacement from Motor Pool Capital Funds: The Fleet Management Director shall send each Department Head and Division Director, during each budget cycle, a list of vehicles and equipment scheduled for replacement the following year from the Motor Pool Capital Funds maintained by the Fleet Management Division. Replacement criteria will be based on vehicle/equipment age, mileage or hours, operational costs, utilization, downtime, and salvage value so that County ownership of vehicles and equipment is efficiently optimized. Department Heads and Division Directors shall notify the Fleet Management Director if any exceptions should be made to the vehicles and equipment replacement list provided by Fleet Management. The final vehicle/equipment replacement listing will be budgeted in the appropriate Motor Pool Capital Funds by the Fleet Management Director. (2) Expanded Vehicle and Equipment Requirements: Expanded vehicle and equipment requirements will be justified by new or expanded operating requirements. Divisions with expanded vehicle/heavy equipment requirements shall coordinate specifications and cost data with Fleet Management and budget accordingly. After budget approval, expanded vehicle and heavy equipment funds will be transferred to the appropriate Motor Pool Capital Fund for Fleet Management acquisition processes. Those expanded vehicles and heavy equipment items when received will remain part of the capital funds for future replacement. (3) Vehicle/Equipment Replacement and Expanded Requirements not covered by Motor Pool Capital Funds: Budgeting for replacement of vehicles/equipment or for expanded vehicles/equipment not covered by Motor Pool Capital Funds shall be the responsibility of owning Departments and Divisions. Fleet Management will advise and assist Divisions as necessary in determining replacement criteria and projected costs. Not included in the Motor Pool Capital Funds are the Cat Transit and Para- Transit Bus Systems, the Airport Authority, Coastal Zone Management, Pelican Bay Services, County Redevelopment Agencies(CRA's), any organization funded by grant or Tourism monies, and vehicles belonging to elected officials other than the Board of County Commissioners. (4) Vehicle and Equipment Purchasing Procedures: All pertinent County purchasing policies and procedures shall be followed when purchasing vehicles and equipment. 48 a) Motor Vehicles: Purchase of expanded or replacement automobiles, vans, and light/medium/heavy trucks shall be executed by the Fleet Management Director through the current County Fleet Bid, State Contract, other governmental bid, approved buying consortium, or formal bid/quotation process, to include developing the specifications,performing the bid process,and ordering and receiving the vehicles. The Fleet Management Director shall coordinate all specifications with the responsible Division before ordering any vehicle. Divisions or offices not covered by the Motor Pool Capital Funds requesting purchase orders for motor vehicles shall forward the requisition number to the Fleet Management Director. When the purchase order is release by Procurement, the Fleet Management Division Director shall order the vehicle(s)from the designated dealer. b) Heavy Equipment Covered by Motor Pool Capital Funds: Purchase of heavy equipment covered by Motor Pool Capital Funds shall be executed by the Fleet Management Director through State contracts, Florida Sheriff's Association/Florida Association of Counties Equipment Contract, other governmental bids, approved buying consortiums, or formal bid/quotation process. Fleet Management will assist organizations not under the Motor Pool Capital Funds with developing the specifications, performing the bid process, and ordering and receiving the equipment. The Fleet Management Director shall coordinate all specifications with the responsible Division before ordering any equipment item. c) Other Equipment Purchases: Purchase of other equipment shall be through the formal bid process or through other governmental bids. Fleet Management shall assist divisions with bid specifications, and with bid and procurement processes. Bid specifications for equipment with a base price of$25,000 or more shall be coordinated with the Fleet Management Director. (5)Vehicle and Equipment Receipt, Commissioning, and Decommissioning: a) New vehicles and heavy equipment shall be delivered to Fleet Management for commissioning. Upon delivery Fleet Management shall physically inspect the equipment to ensure no damages were incurred during shipment, verify compliance with bid specifications and check that the vehicle/equipment is in good operating condition. When the vehicle or equipment is accepted and all paperwork has been received from the vendor, it shall then be prepared for service. All costs associated with vehicle and equipment preparation will be billed to the responsible Division. b) Fleet Management shall make all necessary preparations to ready the vehicles or equipment for use including: [1] Obtaining a title,registration and County license plate as necessary; [2] Assigning a County asset number and completing a Capital Asset Acquisition Form; [3] Issuing a fuel key and fuel cards as necessary; 49 16A1 2 [4] Issuing a proof of insurance card; [5] Entering the vehicle/equipment into the County automated Fleet Management data system; [6] Affixing appropriate County decals and asset number markings;and [7] Installing appropriate safety and auxiliary equipment required for County operations. c.) Replaced vehicles and equipment shall be surrendered to Fleet Management when the new vehicles/equipment items are put into service, unless the Office of County Manager approves retention. Fleet Management shall maintain these vehicles/equipment items in surplus status until the next County auction,at which time they will be sold. The Fleet Management Director shall have the option to use surplus vehicles beyond the auction date if needed for County operating requirements. Fleet Management shall prepare the vehicles/equipment for auction by removing all County decals, tags, other identifying markings and auxiliary equipment; and shall coordinate and assist the Procurement Services Division with identification and necessary relocation of auction vehicles and equipment. (6) Capital Assets and Non-Assets Request Form: This form is found in the County forms network file under Finance and Fleet Forms. It must be completed and signed by the affected equipment custodian when a vehicle or piece of capital equipment ($1,000 or more) is acquired, disposed of, stolen, or transferred to another cost center. A copy of the signed form shall be sent to Fleet Management for appropriate billing revisions and, in the case of a new vehicle/equipment item, assignment of a County capital asset number. Fleet Management will send a completed copy of the form to the Clerk's Finance and Accounting Department for fixed asset inventory adjustment. When new vehicles and equipment are received directly by Fleet Management, Fleet Management will complete the form and forward it to the appropriate operating Division Director or directly to the Finance Capital Assets Office when Capital Recovery Fund assets are involved. A completed form for equipment costing less than$1,000 should be sent to Fleet Management for assignment of an administrative asset number and addition to the Fleet data automation system for maintenance purposes. F. Fuel Operations: (1) Responsibilities: The Fleet Management Division is responsible for most fueling operations under the purview of the Board of County Commissioners. The exceptions are fuel operations conducted by the Airport Authority, on-site equipment refueling, and marine fueling by the Parks & Recreation Division. Fleet Management shall prepare and monitor the fuel bids,monitor and maintain appropriate levels of fuel to sustain routine and emergency operations, maintain a security system to prevent theft or unauthorized dispensing of fuel at Fleet Management refueling sites,and maintain all Fleet Management fuel tanks and refueling equipment in safe and proper operating condition and according to 50 t 0a 14 I federal, state, and local environmental regulations and laws. Department Heads and Division Directors shall ensure that all emergency generator fuel tank systems and other fuel tank systems owned by their organizations are maintained in safe and proper operating condition. All fixed emergency generator tanks will have properly operating fuel level gauges or indicators installed. All new County fixed emergency generator locations along with fuel consumption rates and fuel tank capacities shall be reported to the Fleet Management Division. (2) Security: Vehicle refueling site security and usage is controlled and monitored by an electronic fuel system with a two-key entry system. A black electronic fuel key is issued for each vehicle. A white personal fuel key is issued to each employee required to use the fueling system. A red bulk fuel key must be approved by the Division Director for issue to an individual within his/her division to dispense fuel into secondary tanks or containers. Both the white personal key and the black or red key are required to dispense fuel. Department Heads and Division Directors shall ensure that each employee required to use the County refueling system has a white personal key issued by Fleet Management. Employees shall not share white personal fuel keys or red bulk fuel keys with other employees. Employees shall report lost keys to Fleet Management immediately. White personal and red bulk fuel keys shall be returned to Fleet Management prior to an employee's last day of employment with the County. (3) Commercial Fuel Cards: The Fleet Management Division will maintain accounts and issue commercial fuel credit cards for emergency fuel requirements, for travel outside Collier County, and when travel to County refueling sites is not practical or economical. (4) Fuel Spills: All fuel spills will be reported to the Fleet Management Division as soon as possible after the occurrence or discovery. The Fleet Management Division will coordinate with the County Solid and Hazardous Waste Management Division for clean-up actions and regulatory reporting requirements. Divisions causing fuel spills shall assist Fleet Management with clean-up operations. §5209-5. Currency. The Fleet Management Division Director is responsible for maintaining the currency of this Instruction. 51 16Al2 Exhibit E FDOT Preventative Maintenance Standards The following components must be checked during an "A" inspection: Interior Inspection: 1. Fire Extinguisher(s)/First Aid Kit/Safety Triangles Inspect the above-mentioned safety equipment to ensure it is in proper working order, securely mounted, and easily accessible. Fire extinguisher must be fully charged with a dry chemical or carbon dioxide, having at least a IA:BC rating and bearing the label Underwriters Laboratory Inc. If equipped with fire suppression system check "System OK" LED is illuminated. Check that system is properly charged and that all instruction labels are intact, clean, and legible. Check maintenance tag for expiration date and condition of all components for damage or conditions that may prevent operation. Nozzle outlets must be unobstructed and properly aimed. 2. All Seats/Seat Belts Seat covering for the driver and passenger seats should be inspected for rips, tears, gouges, exposed springs, and security of floor mounting. Seat belts should be inspected for proper retraction mechanisms. Arm rest(s) should be inspected for proper attachment to seat(s). Check folding seats for proper operation of adjustment controls. Check the driver's seat for proper fore and aft movement and tracks should be lubricated as necessary. 3. Doors/Hinges/Latches/Emergency Exits Lubricate door hinges and latches, check operation of windows, doors, and the condition of the glass. Check condition of all exit signs to ensure location and operation decals are in place and legible. Check emergency exits to insure all exits function properly and stay shut after opening. 52 A 4.. 1,111 1 4. Interlock System Check to ensure interlock system is working properly. Vehicle should not come out of park with either the front door or lift door open. If the rear emergency exit door is open or closed and locked the vehicle should not start. Check for audible alarm and warning light if rear door is open with vehicle running. 5. Flooring/Headliner/Side Panels/Grab Rails Inspect floor covering for tears, rips, or gouges. Inspect headliner for damage, sag, or dirt. Inspect the condition of side panels. On vehicles designed to allow standees check the condition of the standee line and sign. The line must be of contrasting color at least two inches wide and the sign, prohibiting anyone from occupying a space forward of the line, must be posted at or near the front of the vehicle. Check steps for yellow edge or nosing to pronounce presence of steps. Inspect condition of the grab rails and stanchions for the standee passengers. Tighten grab rails as necessary. Note if extensive repairs are necessary. 6. Mirrors Check inside rear-view mirror(s) for proper mounting, adjustment, and condition of the glass. Also check the right and left exterior mirrors for adequate field of vision. 7. Interior Lights Inspect the interior lights. Check step well lights if applicable for proper function by opening door. Check dome light switch/rheostat. Check turn signal and the hi-lo beam switches as well as the indicators on dash for proper function. Check all emergency exit lights at emergency windows and rear exit door. 8. Exterior Lights/Horn Outside assistance may be required when making this check. Check parking, low and hi beam headlights, turn signal operation front and rear, and hazard flashers. Turn on all outside clearance lights and check operation. At this time also check license plate lights, back-up lights, and brake lights. All lighting must comply with the minimum requirements set for the in Florida Statutes 316.220, 316.221, 316.224, 316.225, 316.226, 316.234, and 316.235. Check horn. The horn must be capable of emitting 53 16Al2 a sound audible under normal conditions from a distance of not less than 200 feet. 9. Warning system Activate ignition switch and check all warning indicator lights (oil, battery, engine, etc.) for proper operation. If the vehicle is equipped with gauges check proper readings after the engine has been started. Check all switches, levers, and knobs for proper function. 10. Starter System /Back-up Alarm When starting engine listen for starter drag or grind, belt squeal, and any other unusual noises. As engine warms monitor all gauges. Check shift selector for smooth operation and can be shifted into all ranges. While depressing the brakes shift the vehicle into reverse and check the audible back-up alarm. Check fast idle system for proper operation. 11. Air System Check Build air system to maximum air pressure and observe governor cut out (100-125 psi). Shut off engine and chock wheels if necessary. Release emergency brake and make a full brake application and hold for one minute. Check air gauge to see if pressure drops more than three pounds in one minute. Next rapidly pump the foot brake. Buzzer should activate before air pressure drops below 60 psi. Continue to pump brakes until emergency brake pops up. This should occur at approximately 40 psi. Drain all air tanks and check operation of system drier. 12. Windshield /Windshield Wipers/Washers/Blades Inspect windshield for cracks, scratches, and any visible damage. Operate windshield wipers through all ranges on wet glass. Inspect condition of windshield wiper blades and arms. Replace if needed. Check washer fluid level. 13. Windows Inspect side and rear windows for cracks, scratches, and proper function of opening mechanisms. 14. Comfort System Operate and check heater and air conditioning controls through all selector ranges and check varying fan speed for proper function. Check rear unit output as applicable. 54 c , Exterior Inspection 15. Exterior Body and Components Inspect exterior of vehicle for signs of body damage, missing trim, decals, paint condition, and any signs of developing rust. Inspect the outside of all windows for cracks, blemishes, or other damage. Inspect mirror brackets for secure mounting or rusting. Check mirrors for broken/fading glass. 16. Tires and Wheels Inspect all tires for signs of uneven wear due to imbalance or improper front-end alignment, check for exposed cord or steel belts, inspect valve cores, and check sidewalls for scrubbing or damage. Determine tread depth using tread depth gauge. Tread group pattern depth shall not be any less than 4/32 (1/8) inch, measured at any point on a major tread groove for tires on the steering axle and no less than 2/32 (1/16) inch measured at any point on a major tread groove for all other tires. Check air pressure in all tires including spare using tire air gauge. Check condition of spare tire and mounting. Check tires for cuts, nails, or other embedded foreign objects. Check wheel lugs for proper torque. Check all wheels, including spare, for any damage, welds, or improper bead seating of tire. Check for missing balance weights. Check hubcaps for secure mounting. 17. Access Doors Inspect exterior access doors and lubricate hinges or spring latches as necessary. Check fuel cap for proper fit and any signs of damage to fuel servicing piping/ hoses. Check hood latch and lubricate. Check hood retainer bar. Service and Operation Inspection 18. Engine and Oil Filter Change oil according to manufacturer's specifications either under the normal or severe duty operating conditions. The information listed below defines which schedule you need to follow for each vehicle. 1. Normal Operating Conditions: o Everyday driving conditions 2. Severe Operating Conditions: o Making frequent short trips (less than five miles) 55 16AI 2 o Making frequent short trips (less than 10 miles) when temperatures are below freezing o Driving in hot weather stop-and-go traffic o Extensive idling and/or low speed driving for long periods of time (taxi,police, door-to-door delivery, etc.) o Driving at sustained high speeds during hot weather o Towing a trailer o Driving in areas with heavy dust (gravel roads, construction zones, etc.) Note: Fluid change interval mileages can be different from the 6,000-mile Preventive Maintenance Inspections. 19. Ball Joints/Steering/Drive Line(Lubricate) Inspect all ball joints according to manufacturer's recommendations. Lubricate after inspection. Due to the varying road conditions, vehicle type, age of vehicle, and type of joint, it is recommended to check the ball joints on every "A" inspection or if any of the symptoms listed below occur. * Front wheel shimmy at low speed * Steering wander * Clunking noises from the front suspension * Camber wear on the tires Note: Most original equipment ball joints today are designed to provide many miles of durability. Many never make it that far for a variety of reasons. One is wear. The constant friction created by turning and driving creates friction between the ball stud and bearing. The rougher the roads and the heavier the vehicle, the faster the rate of wear will occur. Wear can be further accelerated by contamination and/or lack of lubrication. With a greaseable joint, lubing the chassis periodically is necessary to maintain a layer of grease within the joint. Lubing the joint also helps flush out the old grease and contaminants, which extends the service life of the joint. Most OEM ball joints today as well as some aftermarket replacement joints are "sealed for life"and have no grease fittings. Load carrying ball joints do tend to wear at a faster rate than their unloaded counterparts because of the weight they carry. That's why the lower ball joints on an SLA (short long arm) suspension typically wear out before the upper joints. Check steering column for any absence or looseness of U-bolts or positioning parts; worn, faulty, or any welded universal joints. Check steering wheel broken spokes or cracks and for securement. 56 Check steering box for any mounting bolts loose or missing, any cracks in gear box or mounting brackets. Check for any looseness of the pitman arm on the steering gear output shaft. Check for leaks. Check for any motion, other than rotational, between any linkage member and its attachment point. Check for loose clamps or clamp bolt on tie rod or drag link. Check for linkage components that are not secured with proper pins or devices. Check for any looseness in any threaded joint. Lubricate all steering zirk fittings. Lubricate driveline u-joints and slip yoke. 20. Battery Check battery mounting tray condition (corrosion and wear) and battery hold-down. Check battery case for cracking or damage. Check post and fasteners for corrosion—clean and cover with protectant. Check cables for fraying or signs of deterioration. If applicable check and service water levels. If it is maintenance free battery check "green" indicator. Record output voltage. 21. Cooling System Visually check cooling system for leaks. Check the overflow tank for adequate coolant and inspect the cleanliness and condition of the coolant. Inspect the condition of the upper and lower radiator hoses and check the security of the fasteners. Check butterfly drain for snugness. Inspect water pump and engine intake at the thermostat housing for signs of leaks. Inspect radiator cap for signs of leaks or pressure loss. Before removing the cap allow the engine to cool down. Relieve any built-up pressure in the system. Remove and inspect the radiator cap. At this time, the radiator cores and the interior of the radiator housing may be visually inspected for corrosion or clogging. Also, if circulation problems are suspected, operation of the water pump and circulation of the coolant may be verified with the engine running. 22. Air Cleaner/Filters Remove air filter and inspect. Inspect air intake hoses and clamps. Visually inspect all vacuum hoses and connections. Inspect fuel lines for leaks or damage. 23. Belts/Hoses/Wiring Inspect all belts for signs of wear, fraying, cracks, glazing, and proper tension. Inspect heater hoses and connections. Inspect wiring for signs of 57 16AI2 chafing, corrosion, loss of insulation and crimping. Ensure wiring does not come in contact with moving parts or heated surfaces. 24. Under Hood/Exhaust System Check transmission fluid level with the fluid warm and the engine running. Check color of fluid for any signs of overheating. Visually inspect the transmission pan, front and rear seal, speedometer drive, and dipstick tube for signs of leakage. Visually check the transmission oil cooler, lines, and connections for signs of a leak. Check the exhaust system for mounting, routing, leaks and restrictions. 25. Service and Parking Brakes From the driver's seat pump the brake pedal three or four times, and then hold constant downward pressure on pedal for at least five seconds. . The brake pedal should hold firm and not drift down. If equipped with a hydraulic brake reserve system, with the key off, depress the brake pedal and listen for the sound of the reserve system electric motor. If equipped with hydro boost system or vacuum assist system, with the key off, pump the brake at least five times and depress the brake pedal. It should feel firm. Remain holding the pedal and start the engine. The pedal should move slightly to the floor and then rise. Check that the warning buzzer or light is off. Apply the parking brake and shift vehicle into low gear slightly pulling against the brakes. Vehicle should not move. 26. Accelerator/Brake Pedal Check pedals for sticking, binding, or failure to return to normal position. Check pedals for excessive pad wear. The following components must be checked during a "B" inspection, in addition to the components that are checked during an "A" inspection: 27. Brakes Remove wheels and inspect all brake pads/linings for wear. Check rotors/drums for wear, scoring, and warping. Check calipers/cylinders and brake lines for signs of wear or leaks. Check for any dirt or grease accumulation on the brake system. 58 f• . 28. Operational Check Check for smoothness of acceleration, centering of steering wheel, and the proper tracking of the vehicle, smoothness of turns, balance of tires, and front-end alignment. Also check for looseness in steering wheel. Check operation of speedometer. 29. Transmission Check operation and position of shift lever and indicator. Check operation in each gear. Check shift points through all gear ranges in drive position. The following components must be checked during a "C" inspection, in addition to the components that are checked during an "A" and "B" inspection: 30. Wheel Bearings/Driveshaft Remove and inspect front wheel bearings, clean and lubricate or replace if necessary. Check the driveshaft chock wheels if needed and place transmission in neutral. Grasp either side of the u-joint and rotate it back and forth while watching/feeling for any play between the cross and the yoke. If the cross moves inside the yoke, replacement of the u-joint is warranted. Check slip joint for play. Lubricate all zirk fittings. 31. Shocks/Springs Inspect shock absorber cylinders for signs of leakage. Check bushings for signs of wear and the mounting brackets for secure mounting. Inspect coil and/or leaf springs for signs of damage or wear. Check MOR/ryde shear springs if equipped. If equipped with air springs check for leaks, cracks and dry rotting. 32. Rear Differential Inspect rear axles and axle housing for signs of stress, wear, and leaks. Check differential level. (Note: Change differential fluid every other "C" inspection. 59 16A1 2 33. Fuel Tank Check fuel tank for secure attachment to vehicle by inspecting for loose, broken or missing mounting bolts or brackets (some fuel tanks use springs or rubber bushings to permit movement). Check fuel system for any visible leak at any point. 34. Engine Tune-Up Due the fact that each vehicle has a different interval for engine tune-up the OEM specifications must be referenced directly. The Preventative Maintenance Checklist for each service includes the requirement to check the OEM recommended services. 35. Cooling System Test coolant with pH test strips. Change out coolant or add additive as necessary. 36. Change Transmission Fluid and Filter Remove transmission pan and drain fluid. If the transmission torque converter is equipped with a drain plug, drain fluid from it as well. Inspect debris in the bottom of pan for signs of internal transmission damage. Check the color of fluid for signs of overheating. Remove and replace filter screen.Note any abnormalities on the check off sheet. Note: Always check manufacturers recommended transmission change interval as some vehicles come from the factory equipped with synthetic oil and have an extended mileage change interval. Accessories 37. Wheelchair Lift and Accessories Cycle lift from stow position to floor level and check outboard roll stop barrier for proper latching. Continue to lower lift to ground level and check for any leaking, damaged, missing parts, and for smooth operation. Raise lift from ground level. With platform slightly off ground make certain the outboard roll stop barrier raises and it is latched securely. This must be performed by visually inspecting the latching mechanism to ensure it is in the correct locked position and by physically attempting to pull/push barrier down with an adequate amount of force to make certain the barrier is secured. 60 ti. # , e4 Continue to raise lift to floor level and check for any unusual noises or abnormal operation. Stand on lift platform or place at least 50 pounds of weight on platform and attempt to stow lift. Lift should not fold in. Remove weight and stow lift. Due to varying lift configurations refer to your lifts Owner's Manual for a list of warning lights and audible alarms to ensure all of these safety warning devices are working properly. Inspect tie down retractors for damaged webbing and proper locking. Inspect floor tie down anchors. Check lift padding and labels. Check lift manual operation and instruction label. Lubricate appropriate lube points. (see illustrations at the end of this section) Refer to original owner's manual for lift adjustments if necessary. 38. License Plates/Registration /Operators Manual Check condition and currency of license plate and registration and appropriate manuals. Insure accident report forms and other appropriate documents are up to date and available in the vehicle. Check for operating manual for the wheelchair lift. 39. Air Conditioning Systems Check Each spring, prior to the season for constant air conditioning use, the air conditioning system should be scheduled for a thorough operational check. The system should be checked with the appropriate air conditioning service equipment and gauges. Check the entire system for leaks. Note: The Freon level should be checked and serviced as necessary. If the system is to be serviced with the opening of a closed system, the complete system should be evacuated; the receiver dryer replaced and the system must be completely recharged, including refrigerant oil. Note:All air conditioning work involving opening the system for repair and recharging must be performed by a licensed certified technician. Security Systems Security Systems are inspected during the Preventative Maintenance "B" & "C" by Fleet Maintenance Staff. In addition, MV staff inspects the system on a bi- weekly basis to ensure proper operation of key features such as following: o Cameras angle and lens. 61 16Al2 o Physical condition of the cameras for signs of deterioration due to rain, dust, dirt or mistreat. o DVRs are connected, powered on, and recording data. o Time and date are up to date. 62 MV Transportation , Inc . Maintenance Plan Naples , FL Contracted Maintenance out source . MV Owned Units only , . ,..... . 1',"%.4 4 %:....'' + ,'' r • t, •*4 4 � 44'- Y 4h. r ,( - -Afi , i—mminson ii, • , .- er FISCAL YEAR 2016/2020 1 16Al2 Maintenance Plan Ob-ectives �i15 {t s � s 1� ¢ MV Transportation's objectives are to operate vehicles with the minimum number of mechanical breakdowns and minimum to no service interruptions. With drivers performing proper daily vehicle inspections and the maintenance preventative maintenance services, these objectives can be attained. With our experience in the transportation industry, we have identified a lot of defects that commonly occur on our vehicles. We have identified trends of the defects that commonly occur, and we have incorporated the inspection and repair process in our PM program. Drivers perform daily inspections on their vehicles and note defects. MV Transportation Dispatcher will perform investigations and Schedule repairs on those vehicles with defects, keeping the vehicles in good dependable condition using outside vendor. Our preventative maintenance program assures that the vehicles we operate are serviced every 5,000 miles or 90 days (90-day inspection consists of inspection of all safety related items), to increase the longevity of the vehicles. These services will allow MV's contractor to inspect more than the daily vehicle inspection performed by the drivers. Contracted technicians are to perform the inspection to all items suggested by the company, which would include any memos on the newest trends on defects. Contracted technicians will perform repairs on safety related items that appear near the wear margin. The following is our preventive maintenance schedule: 2 Every 5,000 miles —A PMS will be performed Every 15,000 miles — B PMS will be performed. Every 30,000 miles — C PMS will be performed. Every 60,000 miles -- D PMs will be performed. Each and Every Level of service is at Minimum that of an Annual FDOT Required Inspection. Please see attach PMI forms for greater Details and Lists. The Difference between each of the PM levels is Manufactures OEM PM items such and Fluids and other Predictive maintenance items. PM Inspection Pattern is listed below/ upon hitting slot 12 the pattern starts over again from 1 and repeats. 5000 A 1 10000 A 2 15000 B 3 20000 A 4 25000 A 5 30000 C 6 35000 A 7 40000 A 8 45000 B 9 50000 A 10 55000 A 11 60000 D 12 Driver Com • laints and DVI Re . orts Daily Vehicle Inspection Report (DVIR) Overview The Naples service utilizes Zonar Electronic DVIR system for Drivers inspections and tracking thru Web Based interface. 3 16Al2 Preventive Maintenance Service Pro • ram Preventative Maintenance Service Overview MV Transportation has developed an extensive Preventive Maintenance Program which is always changing to assure quality inspections and to assure that defects are located and repaired prior to a vehicle being disabled on the service route. We also take pride in operating within budget, while providing the highest quality of inspection and repairs. MV Transportation has developed a PM schedule that works with the life mileage of the vehicle. MV Transportation have a checklist that highlights or emphasizes certain areas that must be inspected and serviced and is indicated as such. We encourage MV's contractor to note all defects in the vehicle no matter how small. The defect is then scheduled for repair. The preventative services are carefully evaluated and modified according to the nature of any contract, State and/or Federal laws. Preventive Maintenance Inspection The inspection is very important. This assures that we know our fleet and what repairs are needed to keep the vehicles in safe operating condition as well as keeping the vehicles to MV Transportation's high level of expectations. Prior to starting the maintenance service, MV Transportation Dispatch personnel are to review the vehicles files and DVI records and communicate findings and concerns to the Outside Service contractor. Services performed See the attached PMI Forms for complete details of services performed. The PMI is ever changing as a Living Breathing Document. WC Lift and Ramp services: Everyday Lift or Ramp is Cycled and checked per operator DVI (ZONAR) In Addition, the Following Services are inspected and performed by MV's Maintenance contractor. Maintenance and Lubrication Schedule Manual Ramp 3 Months or 5,000 miles Manual Ramp Outboard ramp extension hinge and fasteners Inspect ramp inboard pivot points (bolts, screws and bushings/bearings) for positive 4 securement, wear or damage Inspect ramp fold pickup bearing for positive securement, alignment, wear or other damage Inspect ramp fold arm for positive securement, alignment, wear or other damage Inspect ramp fold arm bearing slot for excessive wear or damage securement (loose or missing) General Items Lower slide door track Wheelchair tie down straps, occupant restraint belts and tie down track Inspect removable seat bases for proper engagement of latching mechanisms Clean and lubricate with Light Oil. Re secure or replace fasteners as needed Clean and lubricate with Light Oil. Tighten, replace or correct as needed Replace or correct as needed. If bearing retaining screw is not secure or is removed for service, apply Blue #242 Thread Locker Loctite to retaining screw and tighten. Tighten, replace or correct as needed Replace if needed Resecure, replace or correct as needed Inspect for debris/obstructions and clean (vacuum or blow out debris using compressor) Inspect strap and belt assemblies frequently. Any defects such as strap/belt cuts, fraying or malfunctioning call for replacement of the clean and not worn, bent or otherwise damaged (prohibiting proper strap/belt attachment). If there is any sign of damage, wear, abnormal condition or improper operation of straps, belts, strap/belt hardware (hooks, keepers, latch plate, receptacle), or track, discontinue use and replace components immediately. Follow all inspection and maintenance instructions supplied by the belt manufacturer. Severe conditions (weather, environment, heavy usage, etc.) may require more frequent inspections. Exposure to severe conditions will dramatically reduce the life of the system. Replace or correct as needed Page 6 MAINTENANCE and SERVICE 5 16Al2 Maintenance and Lubrication Schedule 6 Months Consecutive 3 Month Intervals Repeat all previously listed inspection, lubrication and maintenance procedures at 3 month intervals. Manual Ramp Remove interior cover and inspect: Top pivot (wall mounting) bracket mounting bolts for securement (loose or missing) Main (spring) housing mounting bolts for securement (loose or missing) Ramp fold arm securement (collar and mounting screws) Torsion spring securement hairpin cotter, external snap ring(s) or key (loose or missing) Inspect Power Source: Vehicle battery, 50 ampere fuse, vehicle engine compartment fuse block and center console fuse block. Swing Out Ramp Inspect: Latch for proper operation (apply Light Oil) Latch mounting hardware for positive securement (loose or missing mounting hardware) Latch pin for positive securement, wear, misalignment, or other damage Missing or damaged ramp top pivot bracket clip) Top and/or bottom ramp pivot points (axles and/or bearing surfaces) for deformation, wear or other damage bearing damaged or missing. Latch release rod for positive securement, alignment, wear, or other damage Resecure, replace damaged parts or otherwise correct as needed. See applicable Manual Ramp exploded views on pages 19A-20B, 23A- 24B or 27A-28B. Resecure, repair or replace Realign, resecure, tighten, lubricate, replace damaged parts or otherwise correct as needed. 6 Braun Century Series Lubrication Diagram and Chart Parallel Arm Cr-1 Pivot Pins(8) r ."*-,��i LO • 1 . Handrail Pivot Pins(2) / Lo , sN ,'•.. .„ 1 _, 1 ... -- ..i y !ii --.__ Inboard Roil Stop Pivot Points 0. LO (see oetae e) UHMW •'d Bearing(4) f DE rs..auNA) ' ,'s,,: y J • x' 2. ' r av 4.t Rotating Pivot Slide Arm Pivot Pins LO(see Dotal Ai '' _ Platform Fold Axles(2) :t: : I1. LO Lat ch xcJ Roll Stop�', V--: // Roll Stop --:2- IMAM: /i Latch Lever d "'"`i LO \ Detail8(Rems she.). slam. !Detail CIPi of Pm..f r. Rolf 1 t' \I SNrJts tevW ! '' Roe Slop Latc &WOO Arm (nboarri ! P/albon 11 Bra h rOb AYb 4 3''"- :iy . � �. IDetaNA Lower Collor Pie p i K +' Fold i4Mic'e Arm PP Pei dationn Roe Srop How See the Maintenance/Lubrication Schedule for recommended applications per number of cycles or elapsed time. Specified(recommended) Available Braun Lubricant Type Lubricant Amount Part No. LO-Light Oil Light Penetrating Oil LPS2,General Purpose 11 oz. —__ (30 weight or equivalent) Penetrating Oil Aerosol can 15807 DE tlopt.Ease Stainless Stick Door-Ease 1 88 oz. 15806 Style(tube) Stick(tube) h LO-Light Grease (Multtipurpose)Grease Lutxiplate 1Can U 15805 Figure 1 WD40 is not recommended for a lubricant, and will void the lift manufactures warranty. WD40 is a petroleum distillate and will clean all the lubrication from the pivot points in the lift. maintenance staff has been instructed to use high quality silicone spray lubricant to assure long bushing life in all of the wheelchair lifts we operate. 7 16 A 1 2 Ricon S-Series and K-Series Lift z4n 0 1.... . .: j.": Lin tti i 0 ..... ...... . ,.. e _., z in o 0 .... .., u ...,u, = N 3 ,,, ciit1tA0 .2 . 3 LiJ ' 11ES ? g 2 _, ....., .I -t-1 .. 0. , ,'§ ° e4 141,- ..,t. _ „ t . ,2018'“ •., ''1... i I 7 Z4lin • • I liLIIIigi .p. . , i __. _ • .... minHi-ucz. ri-,.,. .,-- li u.. /,2 v gsi ,,,,....., u.. . v) - 7/-- A: \ .., -= I .. . . 2 / /. . . . • _ \:, < to i-- Ls- Z 1 -1 X _ / . r milk,"i• i ,,, us )" 0 ', I . . . . liAVi, w 3 r * •'zr-z4- 1 1 '' ' L' -gi 0 Or/ 1•!• t! X. 11 a, • t s 4 ,s- 8 Maintenance Schedule for Braun and Ricon Lifts Under normal operating conditions, maintenance inspections are performed under regular Preventive Maintenance inspection cycles (every 5,000 miles). Table 1 Maintenance Schedule Service Point Action to Perform Overall Condition Listen for abnormal noises as lift operates (i.e. Grinding or binding noises.) Control Pendant Verify that control pendant is undamaged and cable connector is tight. Electrical Wiring Inspect electrical wiring for frayed wires, loose connectors, etc. Vehicle Interlock Place vehicle in non-interlock mode and verify that lift does not operate. Decals Verify that lift decals are properly affixed, clearly visible and legible. Replace, if necessary. Handrails Verify that handrail fasteners are properly tightened. Lift mounting Verify that vehicle mounting and support points are undamaged ;points Verify that mounting bolts are sufficiently tight and free of corrosion. Main lifting Verify that link pins on arms are properly installed, free from pivots damage, and locked in position. Platform pivot Verify that platform moves freely, without binding, and does not points wobble. Bridgeplate Verify that bridgeplate operates without binding during lift functions. Verify that bridgeplate deploys fully when platform stops at floor level. Verify bridgeplate rests flat against baseplate. Front rollstop Verify that rollstop is opened completely when platform is at ground level. Verify that rollstop closes and locks when platform leaves ground. Hydraulic power Check and add fluid when platform is at ground level. Fluid unit that is added when platform.is.,raised will_overflow when platform is lowered 9 16Aj2 Vehicle Breakdown and Accident Procedure '"' Li Transportation has developed a +• vs comprehensive PM program to decrease the amount of breakdowns that occur as well as to minimize down time of the vehicle. There are times however that vehicles do stop running or have problems which would disable the vehicle interrupting service and in some cases disabling the vehicle. IPMV Transportation has developed a road service call procedure as well as a towing procedure. It is extremely advantageous to have such a procedure in place to minimize service interruption time and to decrease the number of breakdowns due to careful analysis of previous breakdowns that have occurred. The following is an outline of the procedure used for road service calls and towing of vehicles: MV Transportation Dispatch receives call of disabled vehicle MV Transportation Dispatch personnel will quickly review a common list to try and resolve the situation, i.e. lift inoperative, dispatch will go over things to check and operate to make sure interlocks are activated. MV Transportation Dispatch personnel will complete a breakdown report. MV Transportation Dispatch and\or Maintenance contractor will make a determination if technical assistance should be sent to the location of the disabled vehicle or if the vehicle needs to be towed back to the facility. Once a determination has been made, the vehicle is either repaired or towed back to the facility. MV Transportation Dispatch and\or Maintenance personnel will thoroughly investigate the defect and determine the cause of the defect. Please also see Required MV Accident submission forms attached as well as Road call tracking form. A monthly report on vehicle breakdowns will categorize the breakdowns in the following manner • Power train • Driver train • Brakes • Tires and wheels • Steering and suspension 10 • Electrical • Accessibility features • Air conditioning system • Accidents • Other Breakdown categories are as follows: All breakdown and service interruptions are submitted in a Road call report, and then submitted to the MV for Daily Tracking on work orders in the TEAM system. Trackin • PMI's and Road Calls MV Transportation uses Trapeze Enterprise Asset Management (TEAM) to generate repair orders, and track PM's. We, at MV Transportation, have been able to extract and use a lot of information from this program, some examples are as follows: • Identifying failure trends • PM trends • On time PM Compliance • Mileage Tracking These as well as many other reports can be developed by extracting information from the software. MV is using the TEAM system to help track proper PMI schedules and PM Compliance that help insure safe and reliable vehicle. A Daily report is sent to MV Transportation personnel to aid and assist in keeping the PM Program on track. See attached PM Status of all vehicles report. Material Safet Data Sheets MSDS MV Transportation is required to follow proper OSHA rules and Procedures, please attached MV MSDS Requirements attached. 11 16Al2 Warrant MV Transportation will inspect and service vehicles to assure vehicle warranty is valid. With use of our shop management software, we can keep accurate track of all warranty repairs. MV will also maintain a vehicle warranty file by vehicle onsite with the maintenance folders. MV Properties also may use CASCOR warranty administrators to assist in warranty recoveries. MV will track and replace under warranty the following: Manufacture warranty, including vehicle manufacture and bus body manufacture Warranty on factory parts Warranty on parts purchased from parts stores, i.e. starters, alternators, regulators, sensors, actuators, etc. Batteries Tires Vehicle Cleanliness It is important to impress the passenger and one way to assure that our passenger will return to ride with us is if our vehicles are clean. MV Transportation will insure: Exterior • The following would be standards for the exterior cleanliness of the vehicle: • Vehicle body clean. No grease or oily film on the vehicle body. All dirt washed off. • No graffiti. All graffiti removed • Vehicle body washed well and rinsed. Road debris, dirt and residues are washed from body. No signs of soap streaking • No unauthorized stickers on windows or windshields. All residues removed from windshield from safety stickers, if applicable. • Tires and wheels cleaned. No peeling paint. • Immediate under hood areas clean and free from oil and dust accumulation. Interior • Interior of vehicle must be clean at all times. A thorough cleaning of the interior will be performed using the following procedure: 12 I • Remove all garbage from vehicle. • Sweep floors • Clean and mop the floor. Using a stiff bristle brush, clean the grooves in the rubber flooring, especially at the steps and the standee line. • Clean interior windows. • Clean all handrails and stanchions with a strong cleaner to remove body oil and grime build up. • Clean seats. If seats are plastic covers, then wipe down with a mild detergent and rinse. • Clean all graffiti from walls and/or windows • Wipe the walls and ceiling down with a damp rag to remove all dust and dirt clinging onto walls and ceiling. • Wipe down instrument panel. Cleaning shall be manually tracked by MV Transportation The following schedule will be applied towards cleaning the vehicles. 13 16A 2 Frequency Function As Needed Deily Weekly Monthly Clean debris: sets, seetb its, passenger restraint de' icas: attendant fittings & spiel Repair damaged seats X S.v+eep and or mop floor Clean driver's area & dust f interior surfacers Empty trash X Remove grease, grime, handprints, etc from interior X window surfaces Remove all gum, grease & graffiti Clean interior including fixtures, interior windows., seat, floor, stanchions end grab-rails Clean exterior, including exterior windows and wheels Clean radio handset Clean end treat with preservative, all rubber or X vinyl exterior components Steam cIee n engine Every PM 14 Quality Assurance MV Transportation will perform announced as well as unannounced quality control inspections that will include, Vehicle inspection s on top of vehicle as well as Lift/ Rack type inspections. This will also include File audits on the vehicle maintenance files as well as DVIR information. Verification will be done to ensure proper procedures are being followed as well as proper maintenance of any operated unit within the contract. Random inspections will be made to ensure vehicle cleanliness is also kept to standards. 15 16Al2 Appendix A Maintenance Service Checklists MP-02-03-SEB Vehicle Files MP-01-05-SEB Hazardous Communication MSDS 24-Hour Claim Line Accident report MVT Vehicular Accident Report Sample PM Status of all Vehicles Preventive Maintenance Inspection and Service Checklist Cutaway 5000 REV 1/24/2019 WORK ORDER# Circle Service Type: A B C D includes Annual on ALL Date: Vehicle#: Mileage in: P F Item Inspected P F Item Inspected A)Vehicle drive in inspection(2 miles) 2)Rear blower condition and operation 1)Driver carpet 3) Defroster operation 2) Driver seat condition and operation 4)Temp gets to 20 deg. F below ambient temp. 3) Drivers door operation and condition 5) Evaporator intake air filter condition 4) Drivers seat belt operation and condition 6)Front heater condition and operation 5)Engine starting and ignition system 7) Rear heater condition and operation 6) Instrument panel gauges&warning lights 8)A/C compressors and condenser fans 7) Instrument panel lighting&condition E)Under hood inspection 8)Horn operation 1) Batteries&charging sys. (load alt B,C,D serv) 9)Steering wheel tight, no excessive play Batt 1 volts: load volts: load amps: 10)Windshield wipers Batt 2 volts: load volts: load amps: 11)Windshield washer Batt 3 volts: load volts: load amps: 12)Sun visor condition and operation (battery min.loaded volts 9.6v, 1/2 CCA for 15 sec) 13)Parking brake operation&condition Alt. 1 min volt: max volt: max amp: 14)Parking and service brake pedal pads Alt.2 min volt: max volt: max amp: 15) Passenger door operation (reference factory service manual for alternator spec) 16)No vibrations, pulsations or noises 2)Wire and hose routing and connections B)Walk around inspection 3)Cooling system, hoses,water pump condition 1) Body damage/Clean 5)Accessory drive belts condition 2) Headlights, high&low beam operation 6) Pulleys and tensioned operation&condition 3)Parking lights operation&condition 7) Brake master cylinder and power booster 4)Marker lights operation&condition 8) Fan and fan clutch operation and condition 5) Directional signals operation&condition 9) Engine oil fluid level and condition 6) Hazard lights operation&condition 10)Transmission oil level and condition 7)Clearance lights operation and condition 11)Power steering fluid level and condition 8)Brake lights operation&condition 12)Brake fluid level and condition 9) License plate lamp operation&condition F)Vehicle rack inspection 10)License plates and tags 1)Steering gear box mount,condition&leaks 11) Backup lights and alarms 2)Steering shaft U joints 12)Reflectors and reflective bumper tape 3)Steering shaft bearings 13) Exterior decals and signage 4)Steering linkages 14) Bumpers secure/in good condition 5)I beam or control arm movements and rivets 15)Exterior mirrors secure/in good condition 6) Radius arm condition and bushings condition 16) Fuel Cap Installed 7)Stabilizer bar condition and bushings condition C)Interior inspection 8) Ball joints or kingpins 1) Passenger door and steps condition 9) Front spring condition and mounting 2) Handrails and stanchions condition 10) Front shock absorber operation&condition 3)Interior and modesty panels condition 11)Trans oil cooler&lines routing and leaks 4) Flooring condition 12)Engine oil cooler&lines routing and leaks 5)Interior lighting operation and condition 13)Heater and A/C hose routing and leaks 6)Windows operation and condition 14)No engine oil leaks and fluid condition 7) Emergency Exits operation&condition 15) Engine mounts, brackets and bolts 8)All Safety Interlocks function 16)Transmission mounts,brackets and bolts 9) Passenger seats operation&condition 17) No transmission oil leaks and fluid condition 10) Passenger seat belts operation&condition 18)Drive shaft condition 11)First aid&body fluid kits complete 19) Universal joints and carrier bearings condition 12)Triangle reflectors complete/good condition 20)No rear differential leaks 13)Stop request operation&condition 21)Rear differential condition and mounting 14)Valid registration, insurance&accident pack 22)Frame and cross members 15) Fire extinguisher in good condition&signed 23)Rear shock absorbers 16)Interior decals and signage(incl.electrical) 24) Rear springs condition and mounting 17) DVI's reviewed, addressed and signed off 25)No fuel leaks 18)Interior clean 26) Fuel tank condition and mounting D)HVAC system inspection 27)No exhaust leaks 1)Front blower condition and operation 28) Exhaust system condition and mounting Page 1 of 2 16Al2 Preventive Maintenance Inspection and Service Checklist 5000 REV 1/24/2019 WORK ORDER# Date: Vehicle#: Mileage in: P F Item Inspected ServType Service Performed Techs Initials 30)Front brake condition and mounting A,B,C,D Change oil and filter 31)Front brake lining condition&measurement A,B,C,D Lube chassis and suspension Pads R/F: /32" L/F: /32" A,B,C,D Lube drive shafts and universal joints 32)Rear brake condition and mounting A,B,C,D Lube doors and hood, locks and hinges 33)Rear brake lining condition&measurement A,B,C,D Drain water from separator Pads R/R: /32" L/R: /32" A,B,C,D Rotate tires(recaps on rear) Shoes R/R: /32" L/R: /32" - B,C,D Change air filter 34)Tire and wheel condition and measurements B,C,D Change fuel filter If Applicable R/F: /32" L/F: /32" B,C,D Clean or change crank case filter R/RI: /32" L/RI: /32" C,D Install new wiper blades R/RO: /32" L/RO: /32" C,D Service front wheel bearings 35) Lug nuts condition C,D Change transmission fluid and filter Air pressure adjustment FR. RR. D Replace accessory drive belts Wheel torque specs used: ft. lbs. D Service and flush cooling system G)Lift inspection D Install new spark plugs&wires 1) Lift operation(fully stowed to fully deployed) D Clean or change PCV valve 2) Lift control pendant condition and operation D Check and service fuel&evap. System 3)Lift restraint belt condition and operation - D Change differential fluid 4)Outer roll stop condition and operation 5) Inner roll stop condition and operation 6)Platform adjustments, condition and mounting ALL Front AC Pressure readings: 7)Standee arm condition and operation ALL Rear AC Pressure readings: 8) Proper signage and decals ALL Post service test drive 2 miles 9)Manual backup pump condition and operation ALL Fire suppresion check sheet performed 10)Lift manual pump handle Initial or"N/A"each service performed per PM type 11) Hydraulic pump condition and operation 12)Hydraulic lines and cylinders condition All items have been inspected and the above indications are 13) Hydraulic fluid level and condition true and correct.All safety related defects have been repaired 14)Base plate and arms welds&pivot points and this vehicle is safe for operational use.All non-safety 15)Lift springs and pins condition and operation related defects not repaired are diagnosed and scheduled for 16) Lift safety switches and adjustments repair with all parts needed pulled from stock or ordered. 17)Hose and wire routing and connections Brake pad linings must be measured from the backing plate. 18) Rollers and pivot point condition&operation Brake shoe linings must be measured from the rivets. 19)Lift to vehicle mounting bolts and brackets 20)Lift doors condition and operation 21) Lift door lights condition and operation Technicians Signature Date 22)Lift interlock operation and condition (lift door open, e-brake down not able to shift) (e-brake off lift door closed no lift power) Supervisor Signature Date 23)W/C tie downs condition and operation 24)Tie down container secure and clean Notes: 25)Tie down floor mounting brackets secure 26)W/C shoulder belt condition and operation 27)Lift clean and no sharp edges 28) Lift shields secure and in good shape 29)Lift moves steady without drifting,jerking, or unusual speeds 30)No unusual lift noises Lube all lift pivot points, barriers, rollers, linkages and bearings cleaning off all excess lube Check,torque or adjust lift base mounting bolts Initial each item if it passes inspection and mark each failed item with an 'X".Any failed item must be written on a PM Defect sheet and signed off as repaired. Inspections must be completed before services are done with all necessary repairs finished after services are complete.All safety related items must be repaired prior to placing the vehicle in service. Page 2 of 2 PM Inspection and Service Checklist (Sedan/Minivan - 5000 Miles) rev 1-24-2019 ft ' M-„','-'. WORK ORDER# Circle Service Type: A B C D Annual on ALL Date: Vehicle#: Mileage in: Work order ID: P F Item Inspected P F Item Inspected A) Vehicle test drive inspection (1 mile) 6) Fan and fan clutch operation and condition 1) License plates, registration and insurance 7) Brake fluid, master cylinder& power booster 2) DVI's reviewed, addressed and signed off 8) Engine oil fluid level and condition 3) Engine starting and ignition system 9) Transmission oil level and condition 4) Instrument panel gauges, indicators and lights 10) Power steering fluid level and condition 5)Windshield wipers and washer condition F) Under Vehicle Inspection 6) Horn operation 1) Steering gear box condition, mounting, leaks 7)Trans shifting and steering condition and operation 2) Steering linkages condition and mounting 8) Parking/Service brake operation & pedal condition 3) Stabilizer bars and bushings 9) Check vibrations, pulsations or noises 4) Front suspension condition and mounting B) Walk around inspection 6) Engine/transmission mounts, brackets and bolts 1) Body damage/Clean 7) Engine/transmission oil leaks 2) Headlights, high &low beam operation 8) Drive shaft/Axels bearings and retainers 3) Parking lights operation &condition 9) Differential condition & mounting (where applicable) 4) Marker lights operation &condition 10) Frame and cross members 5) Directional signals operation & condition 12) Rear suspension condition and mounting 6) Hazard lights operation & condition 13) Fuel system, tank condition, mounting, leaks 7) Brake lights operation & condition 14) Exhaust system condition, mounting, leaks 8) License plate lamp operation &condition 15) Front brakes and lining condition 9) Backup lights and alarms Pads R/F: /32" L/F: /32" 10) Exterior decals and signage 16) Rear brakes and lining condition 11) Bumpers secure/in good condition Pads R/R: /32" L/R: /32" 12) Exterior mirrors secure/in good condition Shoes R/R: /32" L/R: /32" 13) Fuel Cap Installed 17) Record Tire tread depth, pressure C) Interior inspection R/F: /32" PSI L/F: /32" PSI 1) Doors, hood and trunk lid operation and condition R/R: /32" PSI L/R: /32" PSI 2) Flooring and/or carpet condition 18) Inspect all wheel condition and mounting 3) Interior lighting operation and condition 19) Lug nuts and studs condition 4) Windows &glass condition and/or operation Wheel torque specs used: ft. lbs. 5) WC Belts, Tie downs, and Anchors. 6) Seats and seat belts operation and condition ServType Service Performed Techs Initials 7)All Safety Interlocks functioning A,B,C,D Change oil and filter 8) Emergency Exits operation & condition A,B,C,D Lube chassis and suspension 9) First aid & body fluid kits complete/secure A,B,C,D Lube doors and hood, locks and hinges 10)Triangle reflectors complete/secure A,B,C,D Perform Manufacturers WC Service Requirements 11) Fire extinguisher condition mounting A,B,C,D Lube all Lift Ramp and parts 12) Interior clean B,C,D Rotate tires D) HVAC system inspection B,C,D Change air filter 1) Front heater and AC condition and operation C,D Change fuel filter 2) Rear heater and AC condition and operation C,D Install new wiper blades 3) Defroster operation C,D Change transmission fluid and filter 4) Evaporator intake air filter condition C,D Eng. Coolant-ck freeze level, test to mfg spec. 5) A/C compressor and condenser fan D Replace accessory drive belts 6) Temp gets to 20 deg. F below ambient temp. D Install new spark plugs &wires/ Boots E) Under hood inspection D Change PCV valve 1) Batteries &charging sys. (load alt C,D serv) D Change Engine Coolant Batt volts: load volts: load amps: D Rear Axle Diff Svc if appicable Alt. min volt: max volt: max amp: ALL FRT AC Pressure: Low High 2) Wire and hose routing and connections ALL Rear AC Pressure: Low High 3) Cooling system, hoses, water pump condition ALL Post service test drive (2 miles) 4)Accessory drive belts condition ALL Fire suppresion check sheet performed 5) Pulleys and tensioners operation &condition Initial or "N/A"each service performed per PM type All items have been inspected by the technician and the above indications are true and correct.All safety related defects have been repaired and this vehicle is safe for operational use.All non-safety related defects not repaired are diagnosed and scheduled for repair with all parts needed pulled from stock or ordered.This inspection form has been reviewed and the vehicle has been released by the supervisor. Technicians Signature Date Supervisor Signature Date 16Al2 MV Transportation Maintenance Procedures Procedure MP-02-03-FLA-4 No: Title: MP-02-03-FLA-4 Pages: 2 Vehicle Files Issue Date: Revised Date: 2/18/2019 1. Purpose: To ensure consistency in the vehicle filing system at all MV Locations and Contractor locations in state of Florida. 2. Procedure Vehicle files: We require that all vehicle repair records be kept for the life of the vehicle with the current year in the file and the purged files in a safe place. Retired vehicles files should be archived at the location the vehicle was retired from or the division the vehicle is sent into excess fleet at. When transferring a vehicle the files should be sent to the new division with the vehicle. Customer vehicle files if requested must be copied when a turn over occurs. The vehicle files should be organized by equipment number as follows for each vehicle master file or jacket: (Hanging Folder) Vehicle Information Folder (VIF) This folder keep all registrations, insurance, license, smog and opacity testing, vehicle and component specifications and all other related documentation including warranty information Recommended color for this folder is Yellow. PM Folder(PM) All PM inspections are kept in chronological order with the PM inspection form attached to the front and kept in a Green file folder inside the Vehicle information Hanging Folder. Work Order Folder (REPAIR) Each Repair Work Order is kept in this file along with all DVI repairs in chronological order attaching the work order to the DVI repair where applicable. The work orders will be placed in the Red file folder and placed in the Vehicle information hanging file folder behind the PM Folder. Outside Repair Folder(Outside) Each Outside Repair Work Order is kept in this file. This File Color is recommended to be Blue in color, this is stored in the Vehicle information hanging file folder behind all others. Annual inspection Folder Each vehicle show have a Folder in Jacket Labeled Annual that will contain a copy of the Annual Inspection PMI that was performed with the word "Annual" circled as well as PM level. Vehicles falling under Federal DOT Inspection Guidelines will have Inspection Label on Vehicle and Form in this file also. • DVI reports 90 days of DVI reports without defects organized by vehicle in chronological order with the vehicle jacket. All DVI reports must be filed daily by the person designated by the Contractors Management Team. Once the month is complete then all DVI reports must be rotated and the DVI reports past 120 days will be boxed, labeled and stored as required by the operating Contract, State and Federal regulations. The Division Management Team should designate the position (usually dispatch)to collect, verify and log that a DVI is turned in for each vehicle dispatched on a daily basis and keep the log once complete in a monthly file. This is sometimes accomplished on the daily dispatch log. Files should be set up as 14, 30, 60, 90, &120. inside each 1 specific vehicle hanging folder jacket for 30, 60, 90, &120 in an archive location. And a separate Hanging folder should be Created for the 14-day folder with the Maintenance Folder/ Jacket. All work orders are to be filled out neatly and legibly with the mechanics signature and printed name. The manager's signature may also be required. Mechanics comments should be limited to what was repaired and parts used. 16Al2 Safety MV Transportation Maintenance Procedures Procedure MP-01-05-SEB1 IIII■y No: MP-01-05-SEB1 Pages: 2 Title: Hazardous Communication Issue Date: 1/19/2018 Revised 1/19/2018 Date: 1. Purpose To ensure that MV Transportation provides guidelines for the implementation, control and use of all flammable, toxic and caustic materials and hazardous waste programs in facilities. 2. Procedure All employees, including Managers, Supervisors, Drivers, Attendants, Technicians, and Utility workers etc. who work in the maintenance department or utilizes SDS chemicals are required to be able to read and understand Hazardous Communication Program and information found on the Safety Data Sheets formerly(MSDS). The division or contractor will identify, collect, store and dispose of all generated hazardous waste in accordance with federal, state and local mandated requirements. The division or contractors designated Manager will manage identified hazardous wastes and maintain all required records in a designated location. Each departmental manager will maintain current and accurate inventories of flammable, toxic or caustic materials. Flammable, toxic or caustic materials stored in offender areas must be in a secure area and will be dispensed by staff. Hazardous materials or chemical products will not be brought into the facility unless acquired through the procedures outlined in this policy. The Contractors Designee will ensure a Safety Data Sheet(SDS) for each product is on hand prior to its use in their areas. The Contractors designee is responsible for maintaining a current list of all known hazardous chemicals used in the facility. This list includes, at a minimum, the product name, name of the chemical manufacturer, and facility work area the chemicals are used. The Contractor designee or Manager will maintain a master file of all Safety Data Sheets (SDS)on each chemical in a designated area(s). Pollution prevention is a priority and this facility undertakes activities to reduce generation of solid and hazardous waste and use of toxic chemicals and resources. Safety What is SDS? (Formerly MSDS) Safety Data Sheets explain the potential hazard of a chemical to the user as well as listing the composition of the chemical you are using. This information is useful for medical facilities when treating any chemical injuries. Chemical manufacturers are required by the hazard Communication Standard to provide an SDS to the purchaser of the product at the time of the first order and, thereafter, or anytime the SDS is revised. Record Keeping MV Transportation has become a member of an MSDS Online website, www.msdsonline.com. It is recommended to print out a copy of the SDS for commonly used chemicals in the area where the chemicals are used for quick access. Updates Because we are a member of the MSDS online, the website is constantly updated. If you have an SDS book, the SDS book should be updated regularly. Anytime a new product is used the SDS sheet shall be put in the manuals. Anytime a product has been deleted from use then that SDS sheet shall be removed and archived as required by SDS rules. Training All existing employees working with chemicals will be required to go through an SDS review class annually to assure that they understand how to read the sheets. All new employees must go through safety training to assure the correct and efficient locating and interpreting of the SDS. 16Al2 Safety The Maintenance and Safety Groups purchased an online internet service that readily supplies us with Safety Data Sheets (SDS) information about chemicals in the workplace whenever we request it. This internet service also allows us to go online and view SDS information for all chemical products so that our employees will know and understand the hazards of the chemicals and how to protect themselves when handling them. The SDS information sheets also provide pertinent information in case of a medical emergency involving any chemical product. Additionally, this service will allow locations to print out a MSDS on any chemical product whenever they need one. To properly use the Web hosted service for SDS online, each division will be set up with a unique manager password to manage the division's e-binder, There is also a generic location specific viewer access usually. User name: mvtXXXX password: mvtXXXX. X= division number. The viewer access cannot make changes. (We are currently in the testing phase before implementation). However, we still must keep SDS sheets on file for your chemical products as a back-up. You should inventory your shops for all chemical products you have on-site and use the MSDS online system to print out copies of these products for your Hazard Communication SDS books (also referred to as the"Employee Right to Know"). This online service meets OSHA requirements and will help us eliminate future fines in our shops because they lack MSDS data in their Hazard Communication books. To view chemical products on line and print if you do not have a location setup, go to www.msdsonline.com. Our company login is: maintenance@mvtransit.com Our password is: mvtransit Please place this login and password next to your computers for future reference. Additional viewer Loq on is: User Login: mvtglobal Password: safemvt - 1 S Y 24-HOUR CLAIMLINE INFORMATION/FACSIMILE SHEET 24-HOUR CLAIMLINE = (866) 688-7475 - MV AUTO CLAIMS FAX = (712) 764-3791 Circle any of the following that apply: Fatality; total property damage equal to or exceeding$25,000; Pedestrian injury; vehicle lay-over/roll-over; MV passenger injury; any injury requiring medical attention away from scene; Name of ClaimLine Rep: Time called: Date of Incident: Time of incident: (local time) Incident Reference#: Date called into ClaimLine: Time called into ClaimLine: Division Number: 271 Division City,State: Naples, FL Called into ClaimLine by: Phone number: 510-453-6043 Unit #: Type of Driver: MV_SUB-CONTRACTOR JCircle one)Injured: Y or N(Circle one.) Type of Service: X Door-to-Door OR Curb-to-Curb Style of Bus: Paratransit Fixed Route School Bus Other Name contract bus was running for at the time of incident: Collier Area Transit Sub-Contractor(YEN): If Yes,Name: Location of incident(include nearest intersection): What happened: Passengers in MV Unit: Y or N(Circle one.) If yes,how many: Do you have their names and contact information: Y or N(Circle one.)(If yes,list on page 2.) MV unit Damage(estimated dollar amount): $ Photos taken: Y or N(Circle one.) Adverse vehicle damage(estimated dollar amount): $ Photos taken: Y or N(Circle one.)Adverse driver: Injured: Y or N(Circle one.)Adverse driver contact information: Police called: Y or N(Circle one.)If yes,what Department: MV Driver Cited: Y or N(Circle one.)If yes,citation: MV Driver Drug and Alcohol Tested: Y or N(Circle one.) Adverse Driver Cited: Y or N(Circle one.)If yes,citation: Anyone transported to medical facility: Y or N(Circle one.) If yes,who and facility: 16 A l 2 MV Passengers with contact information (Indicate if injured): Witness contact information IMPACT AREA,CIRCLE ONE CODE MV Transportation, Inc. VEHICULAR ACCIDENT REPORT COMPLETE ALL BOXES;IF UNKNOWN,PUT"UNK";IF NOT APPLICABLE,PUT"NA" 0.8 0.1 0.2 DATE OF ACCIDENT(MO.DAY YR.) TIME BUS.NUMBER MODEL NEAREST CITY OR TOWN STATE OR PROV. FRONT PLACE ON(STREET OR HIGHWAY) ❑AT (STREET,HIGHWAY OR OTHER LANDMARK) LINEAR 0.7 TOP 0.3 TRIP OR TRIP NO.OR ROUTE NO. ENROUTE FROM ENROUTE TO 0.0 ROUTE BUS NAME DATE HIRED DOB AGE EMPLOYEE NO. DIVISION NAME BACK DRIVER ❑FULL DRIVING 6.1 6.2 6.3 SINCE LAST 8 7.1 7.2 TIME EXPERIENCE MO. MO. MO. CONSEC.HOURS HRS. HRS. (BY TYPE OF VEH.)ALL TYPES OF VEH. COMM'L.VEHICLES BUSES OFF DUTY ON DUTY(INCL.DRIVING) ACTUALLY DRIVEN 0.6 \).4 ESTIMATED HOURS OF"ON DUTY"TIME,SINCE LAST PERIOD OF 8 CONSECUTIVE HOURS OFF DUTY ❑PART 0. TIME 8.1❑1 HR. 8.3❑3 FIRS. 8.5❑5 HRS. 8.7❑7 HRS. 8.9 O 9 FIRS. 8.11 O 11-12 HRS. 8.2❑2HRS. 8.4❑4HRS. 8.6❑6HRS. 8.8❑8HRS. 8.10❑10HRS. DAMAGE DESCRIBE DAMAGE WAS VEHICLE TOWED? ❑0.9 MULTIPLE AREAS/OVERTURN/BOTTOM TO MV BUSNEH. ❑MALE ACCIDENT TYPE INVOLVING DRIVER'S NAME PHONE AGE(EST.) ❑1.1 OVERTURN ❑2.3 PEDESTRIAN ( ) ❑FEMALE ❑1.2 BUS OFF ROAD ❑2.4 BICYCLIST DRIVER'S ADDRESS(STREET&NO.,CITY,STATE OR PROV.) OPER LIC.NO. STATE OR PROV. ❑1.3 SIDESWIPE ❑2.5.ANIMAL ❑1.4FIXED OBJECT ❑2.6 PARKED VEHICLE VEH. OWNER'S NAME PHONE VEH.YEAR,MAKE&MODEL ❑1.5 INTERSECTION ❑2.7 MV YARD OR 2 I ) PROPERTY VEH.LIC.NO. STATE OR PROV. CI 1.6 REAR END OWNER'S ADDRESS(STREET 8 NO.,CITY,STATE OR PROV.) ❑2.8 WHEELCHAIR ❑1.7 FRONT END SECUREMENT DESCRIBE DAMAGE WAS VEHICLE TOWED? C11.8 ❑2.9 OTHER OTHER INSURANCE POLICY POLICY NUMBER MOVEMENT DRIVER'S NAME PHONE AGE(EST.) ❑MALE✓VEHICLE ( ) CI FEMALE BUS#2#3 DRIVER'S ADDRESS(STREET 8 NO.,CITY,STATE OR PROV.) OPER.LIC.NO. STATE OR PROV. ❑ 0 ❑ 3.1 STRAIGHT AHEAD-PASSING ❑ 0 ❑ 3.2 STRAIGHT AHEAD-BEING PASSED VEH. OWNER'S NAME PHONE VEH.YEAR,MAKE 8 MODEL ❑ 0 0 3.3 STRAIGHT AHEAD-NOT PASSING OR BEING PASSED ( ) ❑ ❑ 0 3.4 MERGING/LANE CHANGE 3 OWNER'S ADDRESS(STREET&NO.,CITY,STATE OR PROV.) VEH.LIC.NO. STATE OR PROV. ❑ 0 0 3.5 TURNING LEFT ❑ 0 ❑ 3.6 TURNING RIGHT DESCRIBE DAMAGE WAS VEHICLE TOWED? ❑ ❑ 0 3.7 BACKING ❑ ❑ 0 3.8 STOPPED IN TRAFFIC INSURANCE POLICY POLICY NUMBER ❑ 0 ❑ 3.9 STOPPED AT RR CROSSING OTHER DESCRIBE DAMAGE PROPERTY ❑ ❑ ❑ 3.10 WEAVING ❑ 0 ❑ 3.11 SKIDDING BUS/MV BUS/MV VEH.2 VEH.3 ❑ 0 0 3.12 WRONG SIDE VEHICLE VEH.2 VEH.3 VEHICLE ❑ ❑ ❑ 3.13 MV VEHICLE PARKED ❑ ❑ ❑ 3.14 OTHER NO.OF PERSONS POSTED SPEED LIMIT (INCL.DRIVER) S MPH MPH MPH P ESTIMATED SPEED WHEN PEDESTRIAN/BICYLIST PERSONS NO.OF PERSONS IN E DANGER NOTICED MPH MPH MPH ACCIDENT COMPLAINING OF INJURY ❑4.1 WALKING/RIDING WITH TRAFFIC E 0 4.2 WALKING/RIDING AGAINST TRAFFIC D CI4.3 COMING FROM BEHIND PARKED VEH. PERSONS TRANSPORTED ESTIMATED SPEED AT TO HOSPITAL IMPACT ❑4.4 CROSSING AT INTERSECTION ❑4.5 CROSSING NOT AT INTERSECTION NUMBER PERSONS MPH MPH MPH ❑4.6 ALIGHTING FROM A VEHICLE ADMITTED TO HOSPITAL ❑4.7 POLICE INVESTIGATE? IF SO,NAME OF OFFICER WITH BADGE# REPORT NO. OTHER 0 YES❑NO PASSENGER INJURY/FALL IF SO,NAME OF DEPARTMENT OR PATROL 8 LOCATION ❑5.1 BOARDING VEHICLE ❑5.2 ALIGHTING FROM VEHICLE TICKETS ISSUED? IF SO,CHARGE ❑MV 0 OTHER ❑NONE ❑5.3 CAUGHT IN DOORS DRIVER DRIVER ❑5.4 SEATED INCIDENT REPORTED TO MV REFERENCE NUMBER RISK MGMT HOTLINE 0 YES ❑ NO ❑5.5 IN MOTION IN VEHICLE ❑5.6 ANYONE TRANSPORTED TO HOSPITAL NAME CITY 8 STATE OTHER HOSPITAL? ❑YES ❑ NO C-1 VEHICULAR ACCIDENT REPORT PAGE 1 (REV.7/19) 16Al2 MARK"X"WHERE DAMAGE OR CONTACT OCCURRED n - ---,To-j, _ ___ ___:7 1 ,a). o r R- La Tii it[ _ •'n'aa o e0 0 :: •oai I E.9 .O. boo o _ .00 0 -- ooe l oea 1 ..mowwll=lmmmmmmmimmmll r__________,_r_in )1111 [ ] 11#11ialli 'IILIJ6W1i--i[j n t ' off =O Oo .. - INSTRUCTIONS 1. Choose sections of diagram that will show outline of roadway at place of 5.Show RAILROAD by: I I 1 I 1 accident. 6.Show TRAFFIC LIGHT by 2. Use solid line to show pathEll 7.Show STOP SIGN by O of vehicle BEFORE accident: ► BUS 8.Indicate distance and direction from point of impact to nearest bridge, dotted line AFTER accident: ► BUS> culvert or other landmarks. 3. Number each vehicle and show 9.Indicate names of streets or route numbers of roadways. direction of travel by arrow: -Iv-I BUS>©4-- 4.Show PEDESTRIAN by: O Complete the following diagram showing direction&position of vehicles or property involved,designating clearly point of contact. \ \ Indicate points of compass N.E.S.W. C \ \ r TRAFFIC LANES ROADWAY SIGNALS PAVING WEATHER LIGHT NO.OF LANES 9.1 0 LANES MARKED 10.1 0 STRAIGHT 10.7 ❑DRY 11.1 0 STOP SIGN 12.1 0 CEMENT 13.1 0 CLEAR 15.1❑DAYLIGHT 9.2❑ LANES UNMARKED 10.2 0 CURVE 10.8 ❑WET 11.2 0 TRAFFIC LIGHT 12.2 0 BRICK 13.2 0 RAIN 15.2 0 DARK WIDTH OF EACH 9.3❑ NO ROAD DEFECTS 10.3 0 DOWN GRADE 10.9 ❑MUDDY 11.3 0 POLICEMAN 12.3 0 ASPHALT 13.3 0 SNOW 15.3 0 DUSK FT' 9.4❑ HOLES,RUTS,ETC. 10.4 0 UP GRADE 10.10 0 SNOWY 11.4 0 WARNING SIGNAL 12.4 0 GRAVEL 13.4 0 SLEET 15.4 0 DAWN 0 DIVIDED 9.5❑ LOOSE MATERIAL 10.5❑LEVEL 10.11 O ICY 11.5 O R.R.GATES 12.5❑ 13.5❑FOG IF DARK,WAS HIGHWAY (OTHER) LIGHTED? 9.6❑ 13.6 0 0 (OTHER) 10.6 0 HILL CREST 11.6 0 YIELD SIGN (OTHER) 15.5 0 YES 0 NO (OTHER) FLAGS,FLARES,FUSES,ETC. 11.7❑ LOCATION DISPLAYED 10.12 15.6❑ (OTHER) 14.1 0 CITY&SUBURBAN 14.3 0 INTERSECTION (OTHER) 11.8 0 NOT WORKING 14.2 0 RURAL 14.4❑NON-INTERSECT. 14.5 0 MV PROPERTY DRIVER:DESCRIBE ACCIDENT FULLY(CONTINUE ON PAGE THREE IF NECESSARY.) PAGE 2 DESCRIPTION OF ACCIDENT(CONTINUED) SAFETY MANAGER OR GM SIGNATURE DRIVER'S SIGNATURE AND EMPLOYEE NUMBER DATE OF REPORT (Ensure report is complete before forwarding) SUPERVISOR'S OBSERVATIONS/COMMENTS/FINDINGS: Road Supervisor Name: Signature: Date: WITNESSES—Critical PERSONS OTHER THAN OCCUPANTS OF VEHICLES INVOLVED: LIST PASSERBY,OTHER MOTORISTS OR PERSONS AT SCENE OF ACCIDENT—WHETHER EYE WITNESSES OR NOT. NAME AGE HOME PHONE BUSINESS PHONE ADDRESS(STREET&NO.,CITY&STATE OR PROV.) OCCUPANTS OF BUS DO NOT REPEAT NAMES OF THOSE SHOWN ABOVE. NAME AGE HOME PHONE BUSINESS PHONE ADDRESS(STREET&NO.,CITY&STATE OR PROV.) DISTRIBUTION: ORIGINAL TO "RISK MGT. DEPT." COPIES TO: SAFETY, DRIVER FILE, AREA SAFETY DIRECTOR PAGE 3 cos)), cos) rn o w rn rn Z 1 2 0 o 0 0 o cn u, o In �I O w N rn cn o o co O N N N N N N N �1 N N C''.) 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CO 00 CO 0) co 0 i -1 0 0 N N MV Transportation Appendix B Fleet List Equipment Model Manufacturer Model Latest meter 1 ID year ID ID reading Serial number 1501-271 2015 FORD TRAS 127482 1FDES6PMSFKA8838S 1503-271 2015 FORD TRAS 110355 1FDES6PM3FKA88384 605-271 2013 FORD E350 162822 1FDEE3FLXDDB09747 607-271 2013 FORD E350 165143 1FDEE3FLXDDB09764 609-271 2013 FORD E350 181407 1FDEE3FL7DDB13187 610-271 2013 FORD E350 190689 1FDEE3FL8DDB09746 615-271 2013 FORD E350 187085 1FDEE3FL2DDB16191 616-271 2013 FORD E350 179229 1FDEE3FL3DDB13185 80-271 2010 FORD E350 304761 1FDEE3FL5ADA42373 901-271 2012 FORD FOCU 138963 1FAHP3E28CL470585 903-271 2012 FORD FOCU 102446 1FAHP3E23CL470588 WT-271 2016 BAGGETTS 5X12 0 5WPB1UC2XGP003150 16Al2 MV Transportation Exhibit F Preventative Maintenance Inspection Checklists 63 16Al2 Transit Bus Inspect Form Agency PREVENTIVE MAINTENANCE Address INSPECTION REPORT City State Zip Bus ID#: Date: Miles Inspector's Signature Printed Name Employee# Inspection Type: ❑A Inspection ❑B Inspection ❑C Inspection Condition Indicators: 0 =Oka X=Item was repaired oradlusted 0=Follow up required N/A=Not•..licable 1 Passenger DoorB 12 12 12 36 Check Operation of All Lights 26 26 26 71 Nr Tank Mounting/Lines& Door Interlock Operation Valves Check Exhaust System for 2 Standee Line&Warning SI3 SI 3 SI 3 37 Condensor Fan Operation 7 7 7 72 Mounting/Leaks/Restriction 42 42 42 s 3 Flooring/Steps/All Interior SI1 811 SI1 All Access Doors/Fuel Cap/Engine 73 Underbody/Mounts& 58,59&60 Panels 4 4 4 38 Cover&Latch Operation Frame 4 Wheelchair Belts/Floor Anchors 39 Tire Damage&Wear 74 Fuel Tank Mounting&Fuel 36 36 36 Leaks .. _I 5 Passenger Seat Condition/ Foldaway Seats Operation 25 25 25 40 Check Wheels/Lug Nuts/Valve Stems Lift Manufacturer Tag/Month 6 Passenger Seat Belts 25 25 25 41 Fuel Cap and Door 36 36 36 75 and year of Manufacture/ State of FL Certificate Check Lift Wring for 7 Stanchions&Hand Rails 42 Leveling 76 Routing/Chafing&Loose Connections 8 Roof Hatches/Operation 10 10 10 77 Check Lift for Damage/ Inspect Lift Anchor Bolts 9 Emergency Door and Window 10 10 10 43 Clean Batteries and Terminal Cycle Lift-Check all Safety Operation Ends/Check Electrolyte Level 33 33 33 78 19-21 N Systems Includin4 Barriers 10 Fire Extinguisher/First Aid Kit g 9 9 44 Check Battery/Hold Emergency Triangles/Spill Kit Downs/Cables/Ground Straps 32 & 35 79 Record Lift Cycle Count 11 Fire Suppression System 67 67 67 45 Record Voltage Output V 34 34 34 80 Check for Hydraulic Leaks/ Level 12 Interior Lights 46 Check Belts/Tensioners&Hoses 38 & 39 81 Clean,Lubricate and Adjust Air Compressor Mounting Lift As Needed 13 Vehicle Registration/Plates " •' •• 47 Check All Fluids 48 Inspect for Leaks Brake Foundation/ P 82 Lines/Rotors/Drums 54,53&56 14 Brake&Accelerator Pedals 49 Test Anti-Freeze Protection SI3 SI3 SI3 83 UFront%Wom: 55 55 55 15 Drivers Seat&Belt 50 Check Radiator Core/Mounts 84 R/Front%Worn: 55 55 55 16 Horn Operation 22 22 22 51 Check Wring for Routing/Chafing& Loose Connections 85 URear%Worn: 55 55 55 17 Service Brake Operation 52 Check Engine Mounts 86 R/Rear%Worn: 55 55 55 18 Ignition System(Start Engine) 50 50 50 53 Replace Engine Oil&Filter 48 48 48 ,{ 19 Check All Gauges/Switches 2 2 2 54 Check Air Filter 37 37 37 87 UFront /32 28 20 Check Fast Idle 3 3 3 55 Check Fuel Filter SI9 SI9 SI9 88 R/Front /32 Check Air System 21 Pressures/Perform Leak Down 66 66 66 56 Check/Clean A/C Filters&Cores/Lines 8 8 8 R/R Inside /32 30 30 30 Test for Routing/Chafing 89 22 Shift Lever Operation 57 NC Compressor Mounting/Clutch 90 R/R Outside /32 29 29 29 23 Parking Brake Operation 5 5 5 58 NC Pressure Check 91 UR Inside /32 30 30 30 24 Back-Up Alarm 26 26 26 _ 92 UR Outside /32 29 29 29 25 Driver's&Panel Lamps 59 Shocks/Springs/MORhyde 61,62&65 93 UFront PSI 26 Interior Mirrors/Sun Visor 24 24 24 60 Torque Rods gq R/Front PSI 28 27 Windshield Wipers&Washers 23 23 23 61 Check Ball Joints 47 47 147 95 R/R Inside PSI 30 30 30 28 Climate Control System/Fans 7 7 7 62 Steering Gear/Linkage&Arms 44&46 56 R/R Outside PSI 29 29 29 29 Fare Collection System 13-18 63 Steering Shaft&Free play 44&46 g7 UR Inside PSI 30 30 30 30 Cleanliness 64 Lube Chassis 45 45 45 98 UR Outside PSI 29 29 29 _ i ii 65 Check Drive Shaft&U-Joints 63 63 63 Check for Damage Check Differential Oil Level/Clean 31 /Corrosion/Bumpers& 11 11 11 66 Breather/Check Ade Seals SI7 S17 S17 99 Check Engine Performance See note 1 Mounts/Decals 32 Condition of All Glass 24 24 24 67 Drain&Refill Differential 100 Check Shift Points See note 1 33 Wper Blades&Arms 23 23 23 68 Replace Transmission Fluid/Filter 101 Steering 1 I 1 I 1 34 Exterior Mirrors 24 24 24 69 Check Front Wheel Bearings 102 Suspension See note 1 35 Light Lenses&Reflectors 26 26 26 Check Brakes(Pull Wheels if not 103 Brakes 1 I 1 1 1 70 equipped with caliper wear pad indicators) 104 Speedometer See note 1 64 Light Duty Bus Inspection Form Agency PREVENTIVE MAINTENANCE Address INSPECTION REPORT City State Zip Bus ID#: Date: Niles Inspector's Signature Printed Name Employee# C (1]I spe iI IBnspection ❑Insp Inspection Type: Condition Indicators: 0 =Oka X=Item was re•aired or adjusted 0=Follow u•required N/A=Not Applicable • Passenger Door& 71 Air Tank Mounting/Lines& 1 12 12 12 36 Check Operation of AlI Lights Valves Door Interlock Operation Check Exhaust System for SI SI SI 37 Condenser Fan Operation 5 5 5 72 Mounting/Leaks/ 29 29 29 2 Standee Line&blaming 11 11 11 Restrictions 3 Flooring/Steps/NI Interior SI1 SI1 SI1 38 Al Access Doors/Fuel Cap/Engine 73 Underbody/Mounts& 44,45&46 Panels 2 2 2 Cover&Latch Operation Frame 74 Fuel Tank Mounting&Fuel 22 22 22 4 Wheelchair Belts/Floor Anchors 39 Tire Damage&Wear Leaks 5 Passenger Seat Condition/ 11 11 11 40 Check Wheels/Lug NutsNalve Stems Foldaway Seats Operation Lift Manufacturer Tag/Month 6 Passenger Seat Belts 11 11 11 41 Fuel Cap and Door 22 22 22 75 and year of Manufacture/ State of FL Certificate Check Lift Wring for 7 Stanchions&Hand Rails 42 Leveling 76 Routing/Chafing&Loose Connections Check Lift for Damage/ 8 Roof Hatches/Operation 77 Inspect Lift Anchor Bolts Emergency Door and W ndow 43 Clean Batteries and Terminal 19&20 9 78 Cycle Lift-Check all Safety 13 13 13 Operation Ends/Check Electrolyte Level Systems Includinci Barriers 10 Fire Extinguisher/FirslAid Kit 7 7 7 44 Check Battery/Hold 19&20 79 Record Lift Cycle Count Emergency Triangles/Spill Kit Downs/Cables/Ground Straps Check for Hydraulic Leaks/ 11 Fire Suppression System 45 Record Voltage Output V 21 21 21 80 Level 46 Check Belts/Tensioners&Hoses 24 & 26 81 Clean,Lubricate and Adjust 12 Interior Lights Air Compressor Mounting Lift As Needed 13 Vehicle Registration/Plates •• " '• 47 Check Al Fluids 82 Brake Foundation/ 39&40 48 Inspect for Leaks Lines/Rotors/Drums 14 Brake&Accelerator Pedals 49 Test Anti-Frees Protection SI3 SI3 SI3 83 UFront%Wom: 41 41 41 15 Drivers Seat&Belt 50 Check Radiator Core/Mounts 84 R!Front%Worn: 41 41 41 Check Wring for Routing/Chafing& 85 Linear%Wom: 41 41 41 16 Horn Operation 8 8 8 51 Loose Connections 17 Service Brake Operation 52 Check Engine Mounts 86 R/Rear%Worn: 41 41 41 18 Ignition System(Start Engine) 36 36 36 53 Replace Engine Oil&Filter 34 34 34 • 19 CheckAll Gauges/Switches 2 2 2 54 Check Air Filter 23 23 23 87 L/Front /32 14 20 Check Fast Idle 55 Check Fuel Filter SI9 SI9 SI9 88 R!Front /32 Check Air System Check/Clean NC niters&Cores/Lines 21 Pressures/Perform Leak Down 56 for Routing/Chafing 6 6 6 R/R Inside /32 16 30 30 Test 89 22 Shift Lever Operation 57 NC Compressor Mounting/Clutch g0 R/R Outside /32 15 15 15 23 Parking Brake Operation 4 4 4 58 NC Pressure Check 91 UR Inside /32 16 16 16 24 Back-Up Alarm 92 UR Outside /32 15 15 15 25 Drivers&Panel Lamps 59 Shocks/SpringslMOR/ryde 47&48 g3 UFront PSI 14 26 Interior Mirrors/Sun Visor 6 6 6 60 Torque Rods I 94 R/Front PSI 27 Wndshield tapers&Washers 9 9 9 61 Check Ball Joints 33 33 33 95 RIR Inside PSI 16 16 16 28 Climate Control System/Fans 5 5 5 62 Steering Gear/Linkage&Arms 33&32 96 RJR Outside PSI 15 15 15 29 Fare Collection System 63 Steering Shaft&Free play 33&32 97 UR Inside PSI 16 16 16 30 Cleanliness 64 Lube Chassis 31 31 31 98 L/R Outside PSI 15 15 15 65 Check Drive Shaft&U-Joints 49 49 49 Check for Damage Check Differentia101 Level/Clean 31 /Corrosion/Bumpers& 66 Breather/Check i Seals SI7 SI7 SI7 99 Check Engine Performance See note 1 Mounts/Decals 32 Condition of All Glass 6 24 24 67 Drain&Refill Differential 100 Check Shift Points See note 1 33 Wper Blades&Arms 9 23 23 68 Replace Transmission Fluid/Filter 101 Steering 1 1 1 1 1 34 Exterior Mirrors 6 24 24 69 Check Front Wheel Bearings 102 Suspension See note 1 35 Light Lenses&Reflectors 70 Check Brakes(Pull Wheels) 103 Brakes 1 1 1 1 1 104 Speedometer See note 1 65 16Al2 Additional Hybrid Items Bus ID#: Date: Miles Inspector's Signature Printed Name Employee# ❑ Inspection Type: InspeA InspectbnB C Insp Condition Indicators: El =Okay X=Item was repaired or adjusted 0=Follow up required N/A=Not Applicable 1 Inspect hybrid system cables everyserMce 2 Service ESS cooler/filter every service 3 Change main filter at 5,000 then every 50 K 4 Change lube filter every 100,000 or 4 years 5 Change drive fluid every 100,000 or 4 years 66 Exhibit G Zonar Zone & Component Data List Configuration Name_ Naples Transit PAX H T3344: PRE-TRIP NAPLES Zone 1: INSIDE FRONT I DRIVER SEAT/BELT • AIR BLADDERS • BACK CUSHION • BACK TILT • BELT BROKEN • HEAD REST • SEAT CUSHION • SEAT TILT EXITS/DOORS • AIR RELEASE NONOP • FRONT DAMAGED • FRONT SAMYK • FRONT LEAKS • FRONT NONOP • FRONT STICKS FAN'S/HEAT/DEF/AC • A/C NONOP • A/C WARM • A/C AUX FANS NONOP • HEAT FRONT NONOP • HEAT REAR NONOP • DEFROST • GAUGES/HORN/LIGHT • DASH LIGHTS OUT • GUAGES BROKEN • HORN NONOP • SWITCH LIGHTS OUT • DASH TURN SIGNALS • DASH FOUR WAYS • INTERIOR LIGHTS • DRI;7ERS LIGHT OUT • ENTRY DOOR OUT • FLOOR LIGHT OUT • STEPWELL LIGHT OUT • LEFT INTERIOR OUT • RIGHT INTERIOR OUT S1%?EIHG • DAMAGED • FREE PLAY • KEY SWITCH BROKEN • LOOSE • WINDOWS/HIRRORS • FRONT CHIPPED • FRONT CRACKED • INTER MIRROR BROKE • INTER MIRROR GONE • INTER MIRROR LOOSE • L MIRROR NONOP • R MIRROR NONOP • SIDE CRACKED MVT3944 Zonar Zone and Component Data 67 II 6 A 1 2 • SIDE NOT OPEN • WIPERS/WASHER • BROKEN KNOB - INTERMITTENT NONOP . REPLACE WIPERS - WASHER NONOP Zone 2: INSIDE FRONT II FORMS/SIGNS • REGISTRATION = ACCIDENT REPORT • PROOF OF INSURANCE • INTERIOR SIGNS • STOP REQUEST SIGN • PARR/SVC BRAKES • NONOP - PEDAL TO FLOOR - SERVICE BRAKE BIND • STAT=C BRAKE CHECK • REVERSE ▪ NON-OP • REV MOTION ALARM • ELECTRONIC ACC • 2 WAY HS MOUNT • C WAY HS NONOP • C WAY RADIO NONOP • MOB=L DATA COMP • MAGELLAN NAV SYS ,D TRIANGLES ▪ DAMAGED • MISSING ▪ MISS=NG PIECES D FIRE EXTINGUISHER ▪ DAMAGED = EXPIRED . LEAKING • LOOSE MOUNT - MISSING ▪ FIRE SUPPRESSION . DAMAGED • EXPIRED • LEAKING • LOOSE MOUNT - MISSING • FAREBOX • HANDLE DAMAGED • FLAP DAMAGED • SPRING DAMAGED • AID MAYFLIES - FIRST AID DAMAGE • FIRST AID MISSING • BLOOD BORN DAMAGE • BLOOD BORN MISSING • CLEANING SUPPLIES • GLOVES MISSING MVT3944 Zonar Zone and Component Data 68 ), * c, DOOR INTER LOCK . NOT WORKING Zone 3: INSIDE REAR • EMER EXITS/DR/RAIL • REAR DAMAGED • REAR JAIBJED • FRONT LEAKS • FRONT NONOP • FRONT STICKS • DAMAGED RAIL • LOOSE RAIL • PASS SEATS/BELTS . BIOHAZARD • CUT • DIRTY • ARM REST . SUPPORT NO HOLD • DOES NOT RAISE • LOOSE • STAINED • BELT BROKEN • WINDOW/EMER WINDOW • CRACKED • EXIT NONOP • EXIT SIGN GONE • GRAFFITTI • SCRATCHED • WILL', NOT CLOSE • W/C TIEMOND/ACCESS • BELT BROKEN • BELT EXTEN GONE • FRAYED BELTS . MISSING LAP BELT • MISS SHOULDER BELT • MISSING . HISSING SEAT BELTS ▪ SHOULDERBELT NONOP ▪ MISS=NG BAGS • REAR EANS/BTAIYAC • A/C WARM • A/C NONOP . A/C AUX FANS NONOP • HEAT REAR NONOP • HEAT FRONT NONOP ▪ CHIME/ENTRY STEPS • DAMAGED STEPS • DAMAGED CHIME : EMERGENCY HATCH • DAMAGED • CRACKED • LOOSE Zone 4: RIGHT FRONT : BODY . DAMAGED MVT3944 Zonar Zone and Component Data 69 1QA12 • DENTED • DESTINATION NONOP • DIRTY • SCRATCHED • MOLDING DAMAGED • MOLDING SCRATCH o NEW BODY DAMAGE • DENTED • DESTINATION NONOP • MOLDING DAMAGED • MOLDING SCRATCH • SCRATCHED • ENTRY DOORS • DAMAGED • SAMED • LEAKS • NON-OPERATIONAL • STICKS SUSPENSION • AIR BAG LEAK • LEAF SPRINGS • LEAF SRING HANGER • SHOCK LIKING • SPRING DAMAGED o TIRES/WHEELS/LUGS • BRAKE ROTORS • CALIPERS • PAD.. • LINES • DAMAGED • LEAKING • MISSING • NON-OPERATIONAL • TIRE SIDE WALL o UNDER BUS/SECURE • DAMAGED • MUD FLAP MISSING • MUD FLAP DAMAGED • CURB FEELER • LOOSE • HISSING • NON-OPERATIONAL • FLUID LEAKING • WINDOWS/MIRRORS • FRONT. CHIPPED • FRONT CRACISID • INTER MIRROR BROKE • INTER MIRROR GONE • INTER MIRROR LOOSE • L MIRROR NONOP • R MIRROR NONOP • SIDE CRACKED • SIDE NOT OPEN Zone 5: RIGHT REAR MVT3944 Zonar Zone and Component Data 70 :, RR BODY . DAMAGED • DENTED . DIRTY . SCRATCHED . MOLDING DAMAGED • MOLDING SCRATCH c, NEW REAR BODY DNC • DENTED • MOLDING DAMAGED • MOLDING SCRATCH • SCRATCHED • EXITS/DOORS . AIR RELEASE NONOP . FRONT DAMAGED ▪ FRONT JAMMED . FRONT LEAKS . FRONT NONOP • FRONT STICKS • SUSPENSION • AIR BAG LEAK . LEAF SPRINGS . LEAF SRING HANGER • SHOCK LEAKING . SPRING DAMAGED • TIRES/WBEELS/LUGS • BRAKE ROTORS . CALIPERS • PADS • LINES • DAMAGED . LEAKING • MISSING • NON-OPERATIONAL . TIRE SIDE WALL • UNDER BUS/SECURE . DAMAGED • MUD FLAP MISSING . MUD FLAP DAMAGED • CURE FEELER . LOOSE • HISSING • NON-OPERATIONAL • FLUID LEAKING • W/C CYCLE LIFT • LIFT BELT DAMAGED • LIFT CONT DAMAGE . LIFT SWITCH/ALARM • DOOR DAMAGED . LIFT INTERLOCK • LIFT MAN/VAI/HAND • LIFT MOUNT BOLTS • LIFT OPER INSTR • LIFT SEQUENCE MVT3944ZonarZoneand Component Data 71 I 6 A if . LIFT BARRIERS • MARKER LIGHTS • NONOP • DAIRGED . CRACKED . SCRATCHED ,.:. WINDOWS . CRACKED . EXIT NONOP • EXIT SIGN GONE ▪ GRAFFITTI • SCRATCHED . WILL NOT CLOSE Zone 6: REAR LIGHTING • 4 WAY FLASHERS . CENTER OUT . LEFT OUT . RIGHT OUT .1:-. BRAKE LIGHTS ▪ CENTER BROKEN . CENTER OUT . LEFT BROKEN . LEFT OUT . RIGHT BROKEN . RIGHT OUT • LIGHTS . CLEARANCE BROKEN • CLEARANCE LOOSE • CLEARANCE MISSING • CLEARANCE OUT • MARKER BROKEN • MARKER LOOSE ▪ MARKER MISSING • MARKER OUT ▪ LIC PLATE LIGHTS ▪ DAMAGED . LOOSE . MISSING . OUT LIC PLATE ▪ DAMAGED . LOOSE • MISSING c• TAIL LIGInS . DAMAGED • LEFT BROKEN • LEFT OUT . LOOSE • OUT • RIGHT BROKEN . RIGHT OUT o TURN SIGNALS . LEFT BROKEN • LEFT OUT MVT3944 Zonar Zone and Component Data 72 0 /44 • NONOP • RIGHT BROKEN • RIGHT OUT • SIGNS/PRONE ▪ YIELD MISSING • YIELD LOOSE ▪ YIELD DAMAGED • PHONE t MISSING • PHONE #: DAMAGED • PHONE t LOOSE • BODY/REAR • DAMAGED • DENTED ▪ SCRATCHED ▪ NEW DENT ▪ NEW DAMAGE ▪ NEW SCRATCH - BUMPER LOOSE ▪ BUMPER DAMAGED - TAIL PIPE LOOSE ▪ TAIL PIPE DAMAGED REFLECTORS • DAMAGED - MISSING - WORN Zone 7: LEFT REAR : LB BODY • DAMAGED • DENTED • DIRTY - SCRATCHED • MOLDING DAMAGED • MOLDING SCRATCH NEW REAR BODY Ding ▪ DENTED ▪ MOLDING DAMAGED: • MOLDING SCRATCH • SCRATCHED • FLUID LEAKS ▪ LEAKING • SUSPENSION • AIR BAG LEAK • LEAF SPRINGS - LEAF SRING HANGER • SHOCK LEAKING - SPRING DAMAGED ..:, TIRES/WHEELS/LUGS • BRAKE ROTORS • CALIPERS • PADS • LINES • DAMAGED • LEAKING • MISSING MVT3944 Zonar Zone and Component Data 73 41Al2 • NON-OPERATIONAL • TIRE SIDE WALL • UNDER BUS/SECURE • DAMAGED • MUD: FLAP HISSING • MUD FLAP DAMAGED • CURB FEELER • LOOSE • MISSING • NON-OPERATIONAL • FLUID LEAKING • WINDOW/ENKE WINDOW • CRACKED • EXIT NONOP • EXIT SIGN GONE • GRAFFITTI • SCRATCHED • WILL NOT CLOSE EXHAUST SYSTEM • MOUNTING CLAMP • BOLTS LOOSE • LOOSE MOUNT Zone 8: LEFT FRONT • LF BODY • DAMAGED • DENTED • SCRATCHED • MOLDING DAMAGED • MOLDING SCRATCH • NEW BODY DAMAGE • DENTED • DESTINATION NONOP • MOLDING DAMAGE • MOLDING SCRATCH • SCRATCHED _ MARKER LIGHTS • NONOP • DAMAGED • CRACKED • SCRATCHED • FLUID LEAKS • LEAKING • SUSPENSION • AIR BAG LEAK • LEAF SPRINGS • LEAF SRING HANGER • SHOCK LEAKING • SPRING DAMAGED • TIRES/WHEELS/LUGS • BRAKE ROTORS • CALIPERS • PADS • LINES • DAMAGED Mb'T3944 Zonar Zone and Component Data 74 • LEAKING • MISSING • NON-OPERATIONAL • TIRE SCE): WALL • UNDER BUS/SECURE • DAMAGED ▪ MUD FLAP MISSING • MUD FLAP DAMAGED • CURB FEELER ▪ LOOSE . MISSING • NON-OPERATIONAL ▪ FLUID LEAKING • WINDOWS/MIRRORS • FRONT CHIPPED • FRONT CRACKED • INTER MIRROR BROKE • INTER MIRROR GONE • INTER MIRROR LOOSE • L MIRROR NONOP ▪ R MIRROR NONOP • SIDE CRACKED • SIDE NOT OPEN Zone 9: FRONT LIGHTING : 4 WAY FLASHERS • CENTER OUT • LEFT OUT • RIGHT OUT • BIKE RACK • NONOP - RELEASE HANDLE • RUSTED • LOOSE • DESTINATION SIGN • NONOP . DAMAGED • LOOSE • SCRATCHED • FRONT BODY • DAMAGED • DENTED • SCRATCHED • NEW DAMAGE • NEW DENT • NEW SCRATCH - BUMPER LOOSE • BUMPER DAMAGED CLEARANCE LIGHTS • BROKEN • LOOSE • MISSING • OUT • HEADLIGHT/HIGH BM ▪ LEF7 HIGH OUT MVT3944 Zonar Zone and Component Data 75 1 05 A 2 . LEFT LOW OUT ▪ NONOP ▪ RIGHT HIGH OUT • RIGHT LOW OUT • TURN SIGNALS • LEFT BROKEN . LEFT OUT • NONOP . RIGHT BROKEN . RIGHT OUT ▪ WINDSHIELD WIPERS . LEFT BROKEN • NONOP • RIGHT BROKEN c. UNDER FRONT BUS . FLUID LEAKING • DAMAGED POST-TRIP NAPLES Zone 1: VEHICLE INTERIOR 7., INFERIOR . DIRTY • ODER o SUPPLIES • NEED GLOVES • NEED CLEANERS • NEED FIRST AID . NEED BLOOD BORN .:. TURN OFF A/C • NONOP • rNr LIGHT OFF • NONOP • EXT LIGHTS OFF ▪ NONOP • CLOSE WINDOW . CRACKED . SCRATCHED • DAKkGED ▪ NONOP o OVERHEAD VENTS • CRACKED . SCRATCHED . DAMAGED ▪ NONOP o CLOSE DOOR . CRACKED • SCRATCHED ▪ DAIGIGED • NONOP • CA2.LMED • ELECTRICAL ACC OFF • C WAY RADIO NONOP ▪ MOBIL DATA COMP • NAV SYS NONOP • INTER DIST SIGN MVT3944 Zonar Zone and Component Data 76 Zone 4: VEHICLE EXTERIOR BODY • DAMAGED • DENTED • DESTINATION NONOP . DIRTY • SCRATCHED • MOLDING DAMAGED • MOLDING SCRATCH -:- UNDER BUS/SECURE • DAMAGED • MUD FLAP MISSING . MUD FLAP DAMAGED • CURB FEELER • LOOSE • MISSING . NON-OPERATIONAL • FLUID LEAKING :, TIRES/WHEELS/LUGS • BRAKE ROTORS • CALIPERS • PADS • LINES • DAMAGED • LEAKING • MISSING • NON-OPERATIONAL • TIRE SIDE WALL WINDOWS/MIRRORS • FRONT CHIPPED • FRONT CRACKED • INTER MIRROR BROKE • INTER MIRROR GONE • INTER MIRROR LOOSE • L MIRROR NONOP ▪ R MIRROR NONOP • SIDE CRACKED • SIDE NOT OPEN PAX COUNT MVT3944 Zonar Zone and Component Data 77 16Al2 Exhibit H Manual Pre-Trip Inspection Form .+r DAILY VEHICLE INSPECTION Report Vehicle No_ Date Drivers Name Start Miles Start Time End Miles End Time i 4=Satisfactory 7=Unsatisfactory 1 1 2 1 3 I Instector Item 1 2 3 inspeclon Item Tires and Wheels rats and cushions are secure TIRE Wna1!ION,TREAD CEPTH AM AR PRESSURE 0 Wheels and cracks,hps,welds bA OR:rac nd obectE Luo RUTS TIGHT,NO FJCESNE RUST CA DAMAGE . mat belts are complete,4eatlonal and secure 2-say radsasccrrplete and operational- u1O CHECK WINOS4 UD WPEAS oPERA,T1pWL Entine Compartment Windshell washer coeaJana ENGINE OILI HORN OPERAT DIAL AurcerATIC TRANSMISSION RAM PASSENGER DOOR COMPLETE AND OPERATIONAL COOLING SYSTEM Lem_ V31IO Regs:raton Jrebert and:iE 4e Windshield washer sokltor Valid percl of nsr:-arce BRAKE FLUID LEVEL OtherPowersteering rukJ eve.: BraesBatterye,'rIlrals clear ro corostai BRAKE PEDAL FEELS GOOD MC STOPPING PROPERLY Jnder eerlidle ieatb PARKING BRAKE COMPLETE AND OPEPATHG PROPERLY Vehicle Glass List Alr Brake Cut to[MN MPS!) Wlrxtshleid has no anlrs or c-acts List Air Brake Cut Out 1MAX13OP SIt MPIRORS&RECOMPLETE AND IN GOOD CONDITION Applied brake loss[less than 4PS Ip In GO sec. Windows:Irrolete Unapplted loss fleas than 3PSIi In GO Dec. Eme?pency windows atrnpere air!cperaole List Low 4Ir Warning I siowGOPSI] Vehicle Lighting List Emergency Stop(Below&O PSI) ii EA 2LIC-ITS Opera:hnal-High and low oean Steeling and Suspension System All Clearance fonts opera:Urnal and'Erectors Gresent STEESNO WHEEL SEC&IRE NO EatCESSIVE PLAY BRAKE LIGHTS CO* LErE ANTI OPERAT MAL Safety rents Tunn SIGNALS cosi'r TEaso OPERATIONALFirst aid tt,nay stocked artl present 33 iCp lights complete and 0perat or 5 triangle rerectors rfssem and ccm_c ete Sackl:p aarr compete and a;1^.:b FRE EXTINGUISHER PRESENT,FULLY CHARGED EMERGENCY 4 WAY RASHERS OPERATIONAL Vehicle acdldert cacke:present and acdessbie Vehicle interior Environment Frady roil kit prese and aoEssibe Fort 8:ear air ccr:dltorer compete aid dOeatiritI Wheelchair Lift F.rort S Rea-neater'wn'RIEte and coefabana Litt Interlock operating Orel:wil DEFROSTER COMPLETE AND OPERATIONAL LI:t Tf_'E Ton leakage Whence LM operatna orcoely eiectocicaty I I I Clean L1 operatng orcoely manually Nam s'pYa ecw n. ala,t a.than l.illiCy a N.Hi alai Please Explain in detail below any problems you are having with the vehicle and when the problem occurs i _i� .Any items in bold marked unsatlstaclory must be brought to the attention Dr the Supervisor rnrnealaely. The bold typeface hdkates Items that place a vehicle out of service. I declare that I have property performed a vehicle inspection on the vehicle Indicated above and have Inspected and marked the Inspection Items,listed above.aoL3rclngty. Drivers signature Pre-Trip inspection 4—: There have been no Incidents or accidents with this vehicle since the above signed inspection. Driver's signature ritid trp Inspection 1': Drivers post trip inspection—3i: o Reviewed Technicians tgnahre:: o Noted for repair o Could not duplcate problem Shop Managers Signature: o Repaired Driver number 2.mid trip only has to perform a walk around inspection.Only inspect items where a mark can be placed 78 r 1 T^' DAILY VEHICLE INSPECTION Report Vehicle Nu. Dale Diver's Name StartDAls Start Time End Mies End Tine r ii'_ Satisfactory X-Unsatisfactory I 1 2 3 ry attar,itt `9 2 a 1' m tern ca te l..-". "-. i Seam est r-s lea a are leLife ..TIIRECFRItNTrtM.TRIALIOE►TN JMION RMQSELPS Sea belts ad compete.ccerananA arc UK ire ,._.. Silheets and nrra to,cocks rips antis CT pratn.drmv OOjec's - ,.. r 2 way rams a carnoete a-,Deeratul-S ADO CHE K 1,c M.rc rr.H`,Y.:F AETS.r.F PART re r.1J F 1NWOSK 'M L] ERa CTTRATKTNAL 1 &MIRE Compartment —111I .wrtcihel?waster operAnorta ENCINe all HORNOPERATENtAL II PA eauNGEROO7e CO I/tUTE AND OEERAT IEN At_.NTT RECCE ENICEATi@I AE JtUlralel.TC TR N16NSEATN Rl1Oyyp r�gatrotar.p'ewc xdvadr C.O osaG.SYSTL11..t:!L IPA; ihaet washer a TELEKEIVaJC tcaai at Srauacre B{.R`Nraxeuoeals Vale Palis resupaeilC ystcm chari;cra&Opt rat ra3 r IMAN Reeled]flue ace6lfatif B.YrA' Y3r(°E'r.'✓Ii£Teal na C?f]SMY. BRA]Ai PL[?JLr zLi GOODANOSTORfI , Ze.. _e•ve PAINTING DRAKE COWLZT a APO OPERATING PROP tR1Y _Yes Ne-,:Ie le.#;s Vah1aN Gen atear14 altd 8uapan;lon System )1,Izra#eato has r.a chips c craw S Te f,MC MTC I_SECURE.NO a C rl eSSe PLAY j Mar peaAteCtat�ltretAreO DiCOM CONDEMN i '-iedihatrechansm sg-fla'c war'Sra]i'DlAN ly Wasr.M—conidele Viaretr Meng Emergencyrindows complete anti ape•atie ?sa Alt 'AI N w5nclewl,r.pr wehl WallieNt.ialirirsg 1 oar p c r tee+-sFreseri and cc Mplt.le KENDLLMf 5 omelet iceoL r HIGN ANp LGM'ELAN Far -e4IL.+r+'eR PRESENT FCLsTCIA O F At Cle Marne irp epelaUana'&!Meer.preseel ...... .et z_Ie a_cs_,t Facet plrtent arc ac__.sale Sean;slo h:s cornem AAa crenervia . Sc rJy Sul,r,pd ie A II e C twee Ttt eM le so4i'i.4Ta Alto beetdnONaL WhelltChMk 4Yt.,,_, Backus liplike complete and opeelional _ tl I.ec Ir,-rr I age_. Sedum alarm m ourpiete are,aualt e _ n &attic F�}.c1=r ereiren:allr — t -...EREARM/e a:4 WAY TLASaRi OPERATIONAL Litt tperatr n/protea manuallyMltidhae ariaf E1 WUanaunt Lel'RTOISOCK GRIMM INC PROPERLY S rx7 S rear a r concha-esLyrpete arc-4.,cFatral k cf Lap Bens lat tie Dawes ... x•S Rau hexer csnplee a-rc s:eran rat laner and Outer barrier ewitdr operational ... ri..14C1Iir ER C9AML.Q E NMp OM:RATANAL interim- IFJ, an ra,I PINS a,y a S:.riaareeemed tsaleria tEalimvd. fe e.}.4Grirrtnrfektitbeimaniiprrat!lensyr.:r.arrl►rlarrgwfh the se/thee and when the,tridhientCAC uri IRO ,wir�t- N �I ryl r� — CI"011111111111MMIN C� PIP4 Li tin J t1 Are items in bard mailed SrHersitEarY must to Draught It one identical d the&wander ielmedidefy.The bold tpaelzi a ride des items that;place a veiticts as d sari KW. I declare Spat l have properly;mewled a vehde reeecsar as the vehicle rdicated&awe and have inspected ad:Ranged the i:rsanctian icos..isied above. accord lay. riirer'ssigrs*ure PreT rp ado maul 0 There have been no irtraderrir a academia win this vtefidssince the abare Ei¢red iaplxticr Lti'aees sispriatureMd-Top inideditin 0' Llrmer s Past Trip inspector r: ❑Resimed Techriciaris Sulgnatse ❑reeled'kr tee it 0 Coati rote deplicate prahten Shop Mataoer's SO-Were ❑Replied Driver rxnnber2,Mid-Trip,only has to petfowm awalc around in snection.Only i epeCtNOMwhtend a meek can be places Pararranat Ertl 79 1 A 1 e Exhibit I Accident Form IMPACT AREA.CIRCLE ONE CODE MV Transportation, Inc. VEHICULAR ACCIDENT REPORT COMPLETE ALL BOXES;IF UNKNOWN,PUT"UNK';IF NOT APPLICABLE.PUT'NA' 0.8 0.1 0.2 DATE CF ACCIDENT(MO DAr vet) TIME RU8 NUMBER [MODEL NEAREST CITY OR TOWN 'STATE:OR PFOV. FRONT PArr ON ISTREET OR HIGHWAY) PAT (STREET,HIGHWAY OR OTHER LANDMARK) 0NEAR 0.7 TOP 0.3 TRIP OR TRIP NO OR ROUTE NO FNR0UTE FROM FNROUTE TO 0.0 ROUTE BUS BACK DRIVER NAME DATE HIRED DOB AGE EMPLOYEE NV DIVISION NAME JFULL DWANO £I 52 63 SINCE LASTS 7I TT TIME EXPERIENCE M0. MO. MO CCN$EC.HOURS IRS. ,iRS 0.8 0.4 IOX TWO OF SFY1!ALL TYPES OP YEN. COMNL VEHI,FB BUSES OFP DULY )ry DVTY BNOL LR3 AA19[VALLY4FREN F STIMATED HOLRS OF'ON Door TIME,.SINCE LAST PERIOD OF 8 CONSECUT IVE HOURS CFF 0.TY 0 PART 0.$ TIME p/01'41. e303MRS. 5505HR3 er01HR5. 8.509HRS. p.1x017-iT FIRS 9202NR5 EPOBFIR5. 360GMS 3308NR5 8120 IOHR0. DAMAGE LY$LWNe DAuafe V UPS MULTIPLE AREAS1OVERTURWBOTTOM 10 MV 1v...,,V0HN_Le T17000 EL SHVEH ACCIDENT TYPE RNOLVMG W ','3AM,. E PHONE_ AC,E fEVY; ❑MALL ❑I IOVERTUEN 023 PEDESTRIAN I 1 OFEMALE O 103 BUS OFF ROAD 02A BICYCLIST LEwERsAt,peSO TSTREET B NO.CITY STATE OP FRCN I TREE.IN:NG STATE OR PRO: 0 13 SIDESWIPE 0 2 S.ANIMAL ❑I 2FIXED OEl6CT ❑28 PARKED VEHCLE YEN. COMERS NAME PHMIE rEH.YEAR,AWE&MODEL ❑E S INTERSECTION CI27 MV YARD OR 2 , : PROPERTY O T E REAP END TANNERS ADDRESS C31EEE15)10.,CITY,STATE OR PR.I YEA UC NL SFATE9RPRON 0 0 2.8NMEELCHNR V.7 FRONT ENO ENPEMENT I p _ 0 2 B DESCR18e DAMAGE PAS VEHCLE TONED' OTHFR OiHER MSOMANTA CAJCN RCL)CYNUMBER MOVEMENT 06006 S XAMC PNOXE 523E(ES11 0 MALE /+Lm0.0 DUS nAv I i 0 FEMALE O D 0 3.1 Si1tNGNTAHEAD-PASSIXG aFNr9PSALMS:9(511NEET i N0.OTY,9TATe OR PAN I °PEN 13C.NO 5'.A1e CR Gaps^ U U O 32 STRA+0.,1 AERAD-BONG PASSED O ❑a G3 STPNGHT AHFAO SNOT PASSING OR VEH. DRIERS NAME RHONE YEN YEARMNIE 8 MCOEL MHO PASSED ( ) U D 0 3A MEPGINGII.MME CHANGE 3 U U 0 33 EI,09010i.EeT ONNE Prs AODPEGS(STREET i NO,CITY,STATE ER PROv) VEX UC NO. 'ATE OP PROD. D a 0 36 TUPNINAPtENT pES0PeE DAMAGE U D O 71 800406 wA$rErtiME TCNC(2^ D O 0 38 STOPPEOIN TRAFFIC .N.I.NANGE P'AIDY .. ...... PCYICY NUMEER Li 0 39 STOPPED At RRCPO49NG _ CANER IICSCP€0 DAMAGE D U D 319 wVAs1NG PPS-,PERir ❑ O O 311 SKIOLW1O BUS fC1V VEH.] VEH 3 ❑ O O 312 W%INOSfOE VEHICLEBlCHIC'LF vEH.2 VEH 3 U U❑313 My veroCte.PAR0Y0 D CI 31I OTHER NO.CF PERSCNS P08160 SPEEDUMIT BNCL.COVER) S YN MPF MPN P ESTMATED SPEEP'NNEN PEDESTRIAN/BICYLIST .", MB NO OF PERSONS aA i NL LKING/RICYNG YATH TRAFFIC ACODP T COISWMNG af;11Ji�PI' E DANGER NOTICED MPH NI./ E 042 VAALmORBDYNO ADANtST TRAFFIC PERSONS TRANSPORTED UA2 COMING FROM BEHIND PARKED TEA ESTIMATED SPEFQAT TO HGSPI TN- IMPACT 4344 CROSSING AT INTERSECTION UA£ CROSSING NOT AT INTERSECTION N1Ht3ER Ft PIENS MPH MPH MPX DIE ALIGHTING F 50,L A VEHICLE ADMITTED TO NOSPTAL 434 1 _ PCUCEWVESTIGATE5 FSO,NNE OFOFFICERVNTH BADGE* REPORT NO OTHER' �- 0 YES NO PASSENGER INJURY/FALL w S;,NAME or DEPARTMENT CP PATROL P 31 C,1011 0 S 1 BOARDING VEHICLE 023 ALIGHTING FROM VEHICLE OMy TICQOMOUO NC311 i se.0.,,,,,,,.. O53 CAUGHT IN000R5 DPN3R OFNER USn SEATED C3IDENt gEPx TEC n_M P1-'Q E;ICE NVM3ER p 2 2 IN MORON IN VEHIC E PSNMONTH°IUNF a'/EC ales UEE ANYONE%FANIa�ORiED i�:. 11:>>'AL 4N/r C,-.E TAT[ OTHERHOSPITAL, ❑;F:' ]I. C4 VEMCULAR ACCI094T REPORT (REV.2/10) PARE r 80 MARK"X"WHERE DAMAGE OR CONTACT OCCURRED _ tio„_ 1 Mh 'n} I =} . liar —1 ... Q __R____� �� 3 L 0. Lbi6-A,)• ICJ,)' 1�-.-A., IiY�: l c - Ij i _A.-, G3 INSTRUCTIONS 1.Choose sections of diagram that will show outline of roadway at place of 5.Show RAILROAD by:----.....__.-_----___...__. III I I accident 6.Show TRAFFIC LIGHT by---------------- 2 2.Use solid line to show path 7.Show STOP SIGN by.. -------• ofvehide BEFORE accident —/K•I BUS> 8.Indicate distance and direction from point of impact to nearest bridge, dotted tine AFTER accident: ----►I BUS> culvert or other landmarks. 3.Number each vehicle and show 9.Indicate names of streets or route numbers of roadways. direction of travel by arrow. —4I BUS>< 2 1.1— _ 4.Show PEDESTRIAN by:.. . ...._......-__.... 0 Complete the following diagram showing direction&position of vehicles or property involved,designating clearly point of contact Indicate points of compass N.E.S W. \\___ (7,...-• .......s7.\\ ( r \ \ — ----NN) \ TRAFFIC LANES ROADWAY SIGNALS PAVING WEATHER LIGHT NO.OF LANES 9.1CI LANES YARNED 1O.1 OSTRAW NT WI GORY II 0 STOP SIGN 1210 CEOENT Ill OCLEAR ILIO DAVIS MT Da CI LANES UNORRIED 1010 CURVE 03 010.13.1. 1120 TRAEFC Leff 1220 Ines 13.2 ORION 16.2 a DARK AND.OF:EACN 930 NO ROAD DEFECTS MI DOWN GRADE 109 0MUDDY 11.T 0!OICEO,. 120 a MENA, IDE OSNOW 1620 DUSK 'T' 9.10 NOLES,RDTS.ETC. 10.10 UP GRADE 1E100 SNOWY ILL CINNAMIC SONAL Ill CI GRAVEL 1M 061,2T 16.10 DAWN lane___-__—_ 1160 MGIEOMN,WAS NO HWAY 00WIDED 93O lOOSl NATERNI I0.nOL1N6 0.110 CI 11.90 R.R.GATES LOTHERr LO XTED. 19.6 96 El 1000 ELL CREST 11.60Y10O9GR 0-__ Is.s or ES ❑NO LOrriFFi w leeD.a0 PS_S_,EC_. I1T0_QTHEM___-- ILI CI Da SulUnia0C [Y an a INTERSECTION 130______--__ creels IS It.30 NOT WORKINO III RURAL 11.30 NNW PROPERTYT DRIVER:DESCRIBE ACCIDENT FULLY(CONTINUE ON PAGE THREE IF NECESSARY.) PAGE 81 1 6 A 1 e MARE"X"WHERE DAMAGE OR CONTACT OCCURRED ., 4_IlLU I1 If `r+�v1.1111111111 Mr 0 cam, uf it to INSTRUCTIONS 1.Choose sections of diagram that will show outline of roadway at place of 5-.Show RAILROAD by:_ _ Hill Iaccident S.Show TRAFFIC UGHT by _._ 2.Use solid line to show path -..__ '"' 2 7.Show STOP SIGN by..._.. , ._........._.0 of vehicle BEFORE accident: iI BUS 8.Indicate distance and direction from point of impact to nearest bridge, dotted line AFTER accident ____�I BUS> culled or other landmarks. 3.Number each vehicle and show 9.Indicate names of streets or route numbers of roadways. direction of travel by arrow -0.1 BUS>( 2 14 -- 4.Show PEDESTRIAN by:.. ............ O Complete the following diagram showing direction&position of vehicles or property involved,designating clearly point of contact. Indicate points ____\ \ --.I of compass N.E.S.W. re- \ \ ....._ ,....\\ TRAFFIC LANES ROADWAY SIGNALS PAVING WEATHER LIGHT NO.01 LANES 9.10 LANES MARKED 1O.I OSTRAGHT 10.1 DORY 11.1 ElSTOP SIGN 12.1 0 CEMENT 131 OM EAR ISACI OAn C HT 420 LANES UMW RKED 1O10 CURVE GM OWE,. 11.20 TRAPPC LIGHT 12.201RICK 1120 RAIN 15.20 DARK WGTN OP EACH 420 NO ROAD beers 1OJ0 DOWN CRAPE G9 0 MUOOY 11.20 POLCESVR 1220 ASPHALT 13.3051100 ISO°DUSK PT. 9.10 NOLES,RUS.ETC. 10.10 UP GRADE 10.1O09000e 11.10 WARNING SGWL I2.10 GRAVEL RxIGaTST Is.l❑DAWN 0 PNIOEO 950 LOOSEOATERLL 10.50 LEVEL 0.110 CY II.50 RA.GATE9 12.50_- 1350 rOG IF 00.1K.WA9 HGHWAV 0-_- 9e 10.5O xRLcn6T �TMe, LIGHTED? - mtk 11.50 WELD9GN ..... 15.5 OYES 0NO 10THER) _-Q-'(ryER) E LAOS. la.FUSES,ETC. II.iO IOCATCX DOR IAY00ED Inq -55Tnert)-"-- 11.10 CDT S SU1UNIAx 11.a o INTERSECTG IS.50N p.m.) I1.80 NOT WORKING I130 RURAL I1.10 o�N-INTERS CT. 11.50 PROPERTY DRIVER:DESCRIBE ACCIDENT FULLY(CONTINUE ON PAGE THREE IF NECESSARY.) PAGE 2 82 • ESCRIPPO N.OF ACCIDENT{CONTINU(D) SAFETY MANAGER OR GM SIGNATURE DRIVERS SIGNATURE AND EMPLOYEE NUMBER DATE OF REPORT itftio+e report 8 comp ete cefwe forwarding) SUPERVISOR'S OBSERVATIONS/COMMENTS/FINDINGS; • Road Supervisor Name: Signature: Date: r,-.L.E 83 16A2 WITNESSES-Critical PERSONS OTHER THAN OCCUPANTS OF VEHICLES INVOLVED:LIST PASSERBY,OTHER MOTORISTS OR PERSONS AT SCENE OF ACCIDENT-WHETHER EYE WITNESSES OR NOT NAME AGE HOME PHONE BUSINESS PHONE ADDRESS(STREET&NO.,CITY&STATE OR PROV:) OCCUPANTS OF BUS DO NOT REPEAT NAMES OF THOSE SHOWN ABOVE. NAME AGE HOME PHONE BUSINESS PHONE ADDRESS(STREET&NO.,CITY&STATE OR PROV.) DISTRIBUTION:ORIGINAL TO"RISK MGT.DEPT." COPIES TO:SAFETY,DRIVER FILE,AREA SAFETY DIRECTOR 84 System Safety Program Plan (SSPP) Appendix R Preventative Maintenance Guidelines Preventive Maintenance Service Pros ram Preventative Maintenance Service Overview MV Transportation has developed an extensive Preventive Maintenance Program which is always changing to assure quality inspections and to assure that defects are located and repaired prior to a vehicle being disabled on the service route. We also take pride in operating within budget, while providing the highest quality of inspection and repairs. MV Transportation has developed a PM schedule that works with the life mileage of the vehicle. MV Transportation have a checklist that highlights or emphasizes certain areas that must be inspected and serviced and is indicated as such. We encourage MV's contractor to note all defects in the vehicle no matter how small. The defect is then scheduled for repair. The preventative services are carefully evaluated and modified according to the nature of any contract, State and/or Federal laws. Preventive Maintenance Inspection The inspection is very important. This assures that we know our fleet and what repairs are needed to keep the vehicles in safe operating condition as well as keeping the vehicles to MV Transportation's high level of expectations. Prior to starting the maintenance service, MV Transportation Dispatch personnel are to review the vehicles files and DVI records and communicate findings and concerns to the Outside Service contractor. Services performed See the attached PMI Forms for complete details of services performed. The PMI is ever changing as a Living Breathing Document. WC Lift and Ramp services: Everyday Lift or Ramp is Cycled and checked per operator DVI (ZONAR) In Addition, the Following Services are inspected and performed by MV's Maintenance contractor. Maintenance and Lubrication Schedule Manual Ramp 3 Months or 5,000 miles Manual Ramp Outboard ramp extension hinge and fasteners Inspect ramp inboard pivot points (bolts, screws and bushings/bearings) for positive 4 securement, wear or damage Inspect ramp fold pickup bearing for positive securement, alignment, wear or other damage Inspect ramp fold arm for positive securement, alignment, wear or other damage Inspect ramp fold arm bearing slot for excessive wear or damage securement (loose or missing) General Items Lower slide door track Wheelchair tie down straps, occupant restraint belts and tie down track Inspect removable seat bases for proper engagement of latching mechanisms Clean and lubricate with Light Oil. Re secure or replace fasteners as needed Clean and lubricate with Light Oil. Tighten, replace or correct as needed Replace or correct as needed. If bearing retaining screw is not secure or is removed for service, apply Blue #242 Thread Locker Loctite to retaining screw and tighten. Tighten, replace or correct as needed Replace if needed Resecure, replace or correct as needed Inspect for debris/obstructions and clean (vacuum or blow out debris using compressor) Inspect strap and belt assemblies frequently. Any defects such as strap/belt cuts, fraying or malfunctioning call for replacement of the clean and not worn, bent or otherwise damaged (prohibiting proper strap/belt attachment). If there is any sign of damage, wear, abnormal condition or improper operation of straps, belts, strap/belt hardware (hooks, keepers, latch plate, receptacle), or track, discontinue use and replace components immediately. Follow all inspection and maintenance instructions supplied by the belt manufacturer. Severe conditions (weather, environment, heavy usage, etc.) may require more frequent inspections. Exposure to severe conditions will dramatically reduce the life of the system. Replace or correct as needed Page 6 MAINTENANCE and SERVICE 5 164 2 Maintenance and Lubrication Schedule 6 Months Consecutive 3 Month Intervals Repeat all previously listed inspection, lubrication and maintenance procedures at 3 month intervals. Manual Ramp Remove interior cover and inspect: Top pivot (wall mounting) bracket mounting bolts for securement (loose or missing) Main (spring) housing mounting bolts for securement (loose or missing) Ramp fold arm securement (collar and mounting screws) Torsion spring securement hairpin cotter, external snap ring(s) or key (loose or missing) Inspect Power Source: Vehicle battery, 50 ampere fuse, vehicle engine compartment fuse block and center console fuse block. Swing Out Ramp Inspect: Latch for proper operation (apply Light Oil) Latch mounting hardware for positive securement (loose or missing mounting hardware) Latch pin for positive securement, wear, misalignment, or other damage Missing or damaged ramp top pivot bracket clip) Top and/or bottom ramp pivot points (axles and/or bearing surfaces) for deformation, wear or other damage bearing damaged or missing. Latch release rod for positive securement, alignment, wear, or other damage Resecure, replace damaged parts or otherwise correct as needed. See applicable Manual Ramp exploded views on pages 19A-20B, 23A- 24B or 27A-28B. Resecure, repair or replace Realign, resecure, tighten, lubricate, replace damaged parts or otherwise correct as needed. 6 Braun Century Series Lubrication Diagram and Chart r. t3 Parallel Arm 'fa \-- Pivot Pins(8) t,, PPP �� LO rI 1 Handrail Pivot Pins(2) 'N • ,-" LO . , ..:Nv," , 7 .r, ..,„ , ,, i :ll , , _ it ,j' Inboard Roll Stop ff, .r.^t 10! Pivot Points LO(See ex al ci UHMW r • r t Bearing(4) p DErs«owrA) ` r. red r .$g y v ;ram �r1. 2. Jr ! �," w3:: 1: }a1. Rotating Pivot Slide Arm Pivot Pins LO(See neap.e 4. l/. Platform Fold Axles(2) 0' \- LO tsea.nuSi Platform Pivot Pin (2 Points) ;� 1. LO usee n.ta r el Roll Stop _ `i ems,/ ,1 Latch ufruw..._. ✓?Man t�,wr ,.. K `g LO rs..atmwd Roll Stop' Beaneim._� Side Aen Latch Lever LO wnir pn 1 5 Detail iP+np awe snowrthi vumwm DeiailC H H ope ry , Inboard Slde FoyC .-J. � NaYSrop term j `, Srglporr (N Oomts7 Am {`r GWa,,, -173' Ik m � . s3; riMl Srop" r-pyAzb y� Bucker \, i' '�: I DatapAl ! f (awr CeewPM / �' Foy ''� Y �. Am, /�"' I', Vele.;Atm I' Pr Aoi Step Hive See the Maintenance/Lubrication Schedule for recommended applications per number of cycles or elapsed time. Specified(recommended) Available Braun Lubricant Type Lubricant Amount Part No. LO-Light Oil Light Penetrating Oil LPS2.General Purpose 11 oz. (30 weight or equivalent) Penetrating Oil Aerosol Can 15807 DE-door-Ease Stainless Stick Door-Ease 1 68 oz. 15806 Style(tube) Slick(tube) LG-Light Grease L( uightNlpurpose)Grease Lubnpiate 14 oz. Can 15805 Figure 1 WD40 is not recommended for a lubricant, and will void the lift manufactures warranty. WD40 is a petroleum distillate and will clean all the lubrication from the pivot points in the lift. maintenance staff has been instructed to use high quality silicone spray lubricant to assure long bushing life in all of the wheelchair lifts we operate. 7 1 6 A 1 Z Ricon S-Series and K-Series Lift z ° � fi _ w '� r. l-74 3 .tea Z 4" (/�I O w \` to , a = y " r � y . WZ in . , sEr, i i i' .Ili E ` E a ii.- § ; $ I < isxbO 0 LL1 a U 0. F l/ z r 6 ,,...., _ :. UG2rii,..„: a J •�\/.�J g'. ya re-. f 1`:, f z e % G _4 Q< O ° K le a! 3 e R.\'/ Q cc, F n�w � \ w N i I /. 7(1 / r s: N Z ' i i/ - L N ll 0 it 'I _I 1 s- 0 8 Preventive Maintenance Inspection and Service Checklist Cutaway 5000 REV 1/24/2019 �.• WORK ORDER# Circle Service Type: AB CD includes Annual on ALL Date: Vehicle#: Mileage in: P F Item Inspected P F Item Inspected A)Vehicle drive in inspection(2 miles) 2) Rear blower condition and operation I 1) Driver carpet 3) Defroster operation 2) Driver seat condition and operation 4)Temp gets to 20 deg. F below ambient temp. 3)Drivers door operation and condition 5) Evaporator intake air filter condition 4)Drivers seat belt operation and condition 6) Front heater condition and operation 5)Engine starting and ignition system 7) Rear heater condition and operation 6) Instrument panel gauges&warning lights 8)A/C compressors and condenser fans 7) Instrument panel lighting&condition E)Under hood inspection 8) Horn operation 1) Batteries&charging sys. (load alt B,C,D serv) 9)Steering wheel tight, no excessive play Batt 1 volts: load volts: load amps: 10)Windshield wipers Batt 2 volts: load volts: load amps: 11)Windshield washer Batt 3 volts: load volts: load amps: 12)Sun visor condition and operation (battery min. loaded volts 9.6v, 1/2 CCA for 15 sec) 13)Parking brake operation&condition Alt. 1 min volt: max volt: max amp: 14)Parking and service brake pedal pads Alt.2 min volt: max volt: max amp: 15)Passenger door operation (reference factory service manual for alternator spec) 16)No vibrations, pulsations or noises 2)Wire and hose routing and connections B)Walk around inspection 3)Cooling system, hoses,water pump condition 1)Body damage/Clean 5)Accessory drive belts condition 2)Headlights, high&low beam operation 6) Pulleys and tensioned operation&condition 3) Parking lights operation&condition 7) Brake master cylinder and power booster 4)Marker lights operation&condition 8) Fan and fan clutch operation and condition 5) Directional signals operation&condition 9) Engine oil fluid level and condition 6) Hazard lights operation&condition 10)Transmission oil level and condition 7)Clearance lights operation and condition 11)Power steering fluid level and condition 8) Brake lights operation&condition 12) Brake fluid level and condition 9) License plate lamp operation&condition F)Vehicle rack inspection 10)License plates and tags 1)Steering gear box mount, condition&leaks 11)Backup lights and alarms 2)Steering shaft U joints 12)Reflectors and reflective bumper tape 3)Steering shaft bearings 13)Exterior decals and signage 4)Steering linkages 14)Bumpers secure/in good condition 5) I beam or control arm movements and rivets 15)Exterior mirrors secure/in good condition 6) Radius arm condition and bushings condition 16)Fuel Cap Installed 7)Stabilizer bar condition and bushings condition C)Interior inspection 8) Ball joints or kingpins 1)Passenger door and steps condition 9) Front spring condition and mounting 2)Handrails and stanchions condition 10)Front shock absorber operation&condition 3) Interior and modesty panels condition 11)Trans oil cooler&lines routing and leaks 4) Flooring condition 12)Engine oil cooler&lines routing and leaks 5) Interior lighting operation and condition 13) Heater and A/C hose routing and leaks 6)Windows operation and condition 14) No engine oil leaks and fluid condition 7) Emergency Exits operation&condition 15) Engine mounts, brackets and bolts 8)All Safety Interlocks function 16)Transmission mounts, brackets and bolts 9) Passenger seats operation&condition 17) No transmission oil leaks and fluid condition 10)Passenger seat belts operation&condition 18) Drive shaft condition 11)First aid&body fluid kits complete 19) Universal joints and carrier bearings condition 12)Triangle reflectors complete/good condition 20)No rear differential leaks 13)Stop request operation&condition 21)Rear differential condition and mounting 14)Valid registration, insurance&accident pack 22)Frame and cross members 15) Fire extinguisher in good condition&signed 23)Rear shock absorbers 16) Interior decals and signage(incl.electrical) 24)Rear springs condition and mounting 17)DVI's reviewed, addressed and signed off 25) No fuel leaks 18)Interior clean 26) Fuel tank condition and mounting D)HVAC system inspection 27) No exhaust leaks 1)Front blower condition and operation 28) Exhaust system condition and mounting Page 1 of 2 1111A11 4000 Preventive Maintenance Inspection and Service Checklist 5000 REV 1/24/2019 WORK ORDER# Date: Vehicle#: Mileage in: P F Item Inspected ServType Service Performed Techs Initials 30)Front brake condition and mounting _ A,B,C,D Change oil and filter 31) Front brake lining condition&measurement A,B,C,D Lube chassis and suspension Pads R/F: /32" L/F: /32" A,B,C,D Lube drive shafts and universal joints 32) Rear brake condition and mounting A,B,C,D Lube doors and hood, locks and hinges 33)Rear brake lining condition&measurement A,B,C,D Drain water from separator Pads R/R: /32" L/R: /32" A,B,C,D Rotate tires(recaps on rear) Shoes R/R: /32" L/R: /32" B,C,D Change air filter 34)Tire and wheel condition and measurements B,C,D Change fuel filter If Applicable R/F: /32" L/F: /32" B,C,D Clean or change crank case filter R/RI: /32" URI: /32" C,D Install new wiper blades R/RO: /32" L/RO: /32" C,D Service front wheel bearings 35) Lug nuts condition C,D Change transmission fluid and filter Air pressure adjustment FR. RR. D Replace accessory drive belts Wheel torque specs used: ft. lbs. D Service and flush cooling system G)Lift inspection D Install new spark plugs&wires 1) Lift operation(fully stowed to fully deployed) _ D Clean or change PCV valve 2) Lift control pendant condition and operation D Check and service fuel&evap. System 3) Lift restraint belt condition and operation D Change differential fluid 4)Outer roll stop condition and operation 5) Inner roll stop condition and operation 6) Platform adjustments, condition and mounting ALL Front AC Pressure readings: 7)Standee arm condition and operation ALL Rear AC Pressure readings: 8) Proper signage and decals ALL Post service test drive 2 miles 9)Manual backup pump condition and operation ALL Fire suppresion check sheet performed 10) Lift manual pump handle Initial or"N/A"each service performed per PM type 11) Hydraulic pump condition and operation 12)Hydraulic lines and cylinders condition All items have been inspected and the above indications are 13) Hydraulic fluid level and condition true and correct.All safety related defects have been repaired 14)Base plate and arms welds&pivot points and this vehicle is safe for operational use.All non-safety 15)Lift springs and pins condition and operation related defects not repaired are diagnosed and scheduled for 16) Lift safety switches and adjustments repair with all parts needed pulled from stock or ordered. 17)Hose and wire routing and connections Brake pad linings must be measured from the backing plate. 18)Rollers and pivot point condition&operation Brake shoe linings must be measured from the rivets. 19) Lift to vehicle mounting bolts and brackets 20)Lift doors condition and operation 21)Lift door lights condition and operation Technicians Signature Date 22) Lift interlock operation and condition (lift door open, e-brake down not able to shift) (e-brake off lift door closed no lift power) Supervisor Signature Date 23)W/C tie downs condition and operation 24)Tie down container secure and clean Notes: 25)Tie down floor mounting brackets secure 26)W/C shoulder belt condition and operation 27) Lift clean and no sharp edges 28)Lift shields secure and in good shape 29) Lift moves steady without drifting,jerking, or unusual speeds 30)No unusual lift noises Lube all lift pivot points, barriers, rollers, linkages and bearings cleaning off all excess lube Check,torque or adjust lift base mounting bolts Initial each item if it passes inspection and mark each failed item with an 'X". Any failed item must be written on a PM Defect sheet and signed off as repaired. Inspections must be completed before services are done with all necessary repairs finished after services are complete. All safety related items must be repaired prior to placing the vehicle in service. Page 2 of 2 ft PM Inspection and Service Checklist (Sedan/Minivan - 5000 Miles) rev 1-24-2019----- WORK ORDER# Circle Service Type: A B C D Annual on ALL Date: Vehicle#: Mileage in: Work order ID: P F Item Inspected P F Item Inspected A) Vehicle test drive inspection(1 mile) 6) Fan and fan clutch operation and condition 1) License plates, registration and insurance 7) Brake fluid, master cylinder& power booster 2) DVI's reviewed, addressed and signed off 8) Engine oil fluid level and condition 3) Engine starting and ignition system 9)Transmission oil level and condition 4) Instrument panel gauges, indicators and lights 10) Power steering fluid level and condition 5)Windshield wipers and washer condition F) Under Vehicle Inspection 6) Horn operation 1) Steering gear box condition, mounting, leaks 7)Trans shifting and steering condition and operation 2) Steering linkages condition and mounting 8) Parking/Service brake operation & pedal condition 3) Stabilizer bars and bushings 9) Check vibrations, pulsations or noises 4) Front suspension condition and mounting B) Walk around inspection 6) Engine/transmission mounts, brackets and bolts 1) Body damage/Clean 7) Engine/transmission oil leaks 2) Headlights, high & low beam operation 8) Drive shaft/Axels bearings and retainers 3) Parking lights operation &condition 9) Differential condition & mounting (where applicable) 4) Marker lights operation &condition 10) Frame and cross members 5) Directional signals operation &condition 12) Rear suspension condition and mounting 6) Hazard lights operation &condition 13) Fuel system, tank condition, mounting, leaks 7) Brake lights operation & condition 14) Exhaust system condition, mounting, leaks 8) License plate lamp operation &condition 15) Front brakes and lining condition 9) Backup lights and alarms Pads R/F: /32" L/F: /32" 10) Exterior decals and signage 16) Rear brakes and lining condition 11) Bumpers secure/in good condition Pads R/R: /32" L/R: /32" 12) Exterior mirrors secure/ in good condition Shoes R/R: /32" L/R: /32" 13) Fuel Cap Installed 17) Record Tire tread depth, pressure C) Interior inspection R/F: /32" PSI L/F: /32" PSI 1) Doors, hood and trunk lid operation and condition R/R: /32" PSI L/R: /32" PSI 2) Flooring and/or carpet condition 18) Inspect all wheel condition and mounting 3) Interior lighting operation and condition 19) Lug nuts and studs condition 4)Windows &glass condition and/or operation Wheel torque specs used: ft. lbs. 5) WC Belts, Tie downs, and Anchors. 6) Seats and seat belts operation and condition ServType Service Performed Techs Initials 7)All Safety Interlocks functioning A,B,C,D Change oil and filter 8) Emergency Exits operation &condition A,B,C,D Lube chassis and suspension 9) First aid & body fluid kits complete/secure A,B,C,D Lube doors and hood, locks and hinges 10)Triangle reflectors complete/secure A,B,C,D Perform Manufacturers WC Service Requirements 11) Fire extinguisher condition mounting A,B,C,D Lube all Lift Ramp and parts 12) Interior clean B,C,D Rotate tires D)HVAC system inspection B,C,D Change air filter 1) Front heater and AC condition and operation C,D Change fuel filter 2) Rear heater and AC condition and operation C,D Install new wiper blades 3) Defroster operation C,D Change transmission fluid and filter 4) Evaporator intake air filter condition C,D Eng. Coolant-ck freeze level, test to mfg spec. 5)NC compressor and condenser fan D Replace accessory drive belts 6)Temp gets to 20 deg. F below ambient temp. D Install new spark plugs &wires/ Boots E) Under hood inspection D Change PCV valve 1) Batteries &charging sys. (load alt C,D serv) D Change Engine Coolant Batt volts: load volts: load amps: D Rear Axle Diff Svc if appicable Alt. min volt: max volt: max amp: ALL FRT AC Pressure: Low High 2) Wire and hose routing and connections ALL Rear AC Pressure: Low High 3) Cooling system, hoses, water pump condition ALL Post service test drive (2 miles) 4)Accessory drive belts condition ALL Fire suppresion check sheet performed 5) Pulleys and tensioners operation & condition Initial or "N/A"each service performed per PM type All items have been inspected by the technician and the above indications are true and correct.All safety related defects have been repaired and this vehicle is safe for operational use.All non-safety related defects not repaired are diagnosed and scheduled for repair with all parts needed pulled from stock or ordered.This inspection form has been reviewed and the vehicle has been released by the supervisor. Technicians Signature Date Supervisor Signature Date 0) 0) 0) o (0 co 0) 0) — - C)) Z O 0 0 0 o CO CO 0 CD rn CO 0 0 CO O fV CO � o w � N , N N N N N N j N N 0,) , N V V V V V V V N N V _. -a V j —N. Cl) 1 N.) N no no NJ NJ NJ NJ NJ NJ N..) N 0 l J O O CD O (0 CD CD O CD Z 0 0) W W W N NJ oc...ococrivicol.Z r -, -ri -n „ -n „ -n -T.1 „ -n c ° ° ° ° ° ° ° ° ° o m—1 0 0 0 0 0 0; 0 0, 0 0 0 0 D �7 --Imn 01 m m m. m Tl m m; m -i -I m N 0 x0010 ° 010' � > CTI0 C N O O O, C c O O O Z tp' m -I v No NoN.) NJ N.) N N NJ NJ NJ CI4� , V V V V V V V V V V iii 01 01 01 01 - W W W 01 01 C11 CO (DI 0 0 0 0 0 0 0 00 o 1` .y K 0 0 0 0 ;0 0 0 0 0 O `) r-F, W' 0) 0 O W O V W N 0) N . E V! CJt O N 00 p 0 N O V g'. O (I) O - 0) - ,0 V N 0) W - (MD -j —h co. A co 4 0) 0) N NJ 01 CO O 0 C31- W CO 6) Cs) CO N CO N ro r N I CO D _a. -a -a , Cs) -.N. - .....v co g 03' 0) CO o W 0 V (3) — N ao mC V U1 O N co O N o V -1 o'. � 0) . CO V N OD r W - =.. ?. Y Cl) OD'. A 00 A O)... N 01 Cb V O = O ()1; W 0 0) -� N? C31 N 5° (D D D D D D D D D D 'D - co 0 0 0 co 0 — -. ",-1 NJ _a o -C.) -.arn - o 03 —a _N, CT) CCn ` W W � " CO V ,CO i, N N N N N N N N N N N N C) N N 0 N C) N 0 O ;O 0 O - O CD CDCO - 1 - CD CO CO CO �.I. 0 CO M CO CO ON CO - CO O) CO '., O) - V — :IN. - CO 0) CO — 01 N CO — NJ A 0) V W V CO CO o CO 0 0) 0) W — — - - - 1 W W N s O 00) O — W 0 O V 0 O N INJ System Safety Program Plan (SSPP) Appendix S Hazardous Communication Plan 16A1 .... - - __ - r _ __. __ I , Hazardous Communication Plan samTrans „.i a t' JURIF � 2017 MV TRANSPORTATION, INC. Premier Place I Suite 1145 5910 North Central Expressway I Dallas, TX 75206 www.mvtransit.com We Provide Freedom" Hazardous Communication Plan Table of Contents 1. Introduction 2 2. Responsibilities 3 2.1. Safety Director 3 2.2. Safety Manager 3 2.3. Supervisors 3 2.4. Employees 4 3. Determining Chemical Hazards 5 3.1. Hazardous Chemical Inventory 5 3.2. Labeling Requirements 5 3.3. Safety Data Sheets (SDS) 6 4. Training and Information 8 4.1. Information 8 4.2. Training 8 4.3. Retraining 8 5. Non-Routine Tasks 9 6. Work Performed by Outside Contractors 10 7. Record Keeping 11 Page 1 err r:z,;,�•n,r�,,,>, 16Al2 Hazardous Communication Plan 1. Introduction The basic goal of an effective hazard communication program is to ensure employers and employees know the identities and hazards of chemicals in their workplaces. When employers and employees have such information, it can be used to design and implement appropriate protective measures to reduce the incidence of adverse effects. Due to the seriousness of these safety and health issues, the Occupational Safety and Health Administration (OSHA) has developed the Hazard Communication Standard (HCS), 29 CFR 1910.1200. It requires employers to provide information to employees regarding the hazardous chemicals in the workplace and the hazardous properties of these chemicals. This information must be disseminated through a hazard communication program involving labeling, safety data sheets (SDS), employee training, employee access to written records, and a written hazard communication plan. The implementation of the hazard communication program will ensure all employees the "right-to-know" and "right-to-understand" the hazards and identities of the chemicals with which they work. Note: The references herein to "MV" or "MV Transportation" describe MV Transportation, Inc., to include all its subsidiaries,joint ventures,partnerships, and affiliates. Page 2 We Provide Freedom. Hazardous Communication Plan 2. Responsibilities 2.1. Safety Director The safety director is responsible for the overall management and administration of the hazardous communication program and for supporting its implementation by ensuring all necessary resources are allocated for its development. 2.2. Safety Manager Under the leadership of the safety director, each division's safety manager is responsible for developing and implementing the procedures in this plan. Those responsibilities shall include but are not limited to: • Developing a written hazard communication program. The written program shall describe how the labeling and other forms of warning, safety data sheets, and employee information and training requirements, as outlined in 29 CFR 1910.1200 (f),(g), (h),will be met. • Developing a hazard communication training program. • Ensure SDS are available as required; and made available for medical personnel when treating exposed employees. • Conduct random safety reviews and take immediate corrective action for any deficiencies found. • Maintain a list of hazardous chemicals using the identity that is referenced on the SDS. • Provide information, as requested, concerning the health effects and exposure symptoms listed on the SDS. • Ensure containers are properly labeled, tagged,or marked. • Make this plan available to employees or their designated representative. • Review the hazard communication program, at least annually, and make the necessary changes. 2.3. Supervisors Each supervisor is responsible for implementing and enforcing the hazardous communication program in his/her work area and for: • Creating and maintaining an inventory of all hazardous chemicals stored or used within their area of responsibility. • Ensure all hazardous chemicals/products are clearly labeled, tagged, or marked and comply with current labeling standards. Page 3 We Provide Free 16A 2 Hazardous Communication Plan • Maintain copies of the SDS for each hazardous chemical in the workplace, and ensure they are readily available to employees. ■ Note: The online access to SDS is provided by the 3E company. The telephone access to the records is (800)451-8346. • Ensure employees are trained in the use of personal protective equipment (PPE), that the PPE is available and properly maintained, and ensure that employees wear the appropriate PPE whenever necessary or required. • Develop safe work practices and written procedures for emergencies. • Inform employees about proper performance of non-routine tasks. • Inform outside contractors of chemical hazards that they may be exposed to while working at an MV facility. Inform them of the location of the SDS. 2.4. Employees • Comply with chemical safety requirements of this program. • Attend required hazard communication training. • Use the required PPE and keep it properly maintained and stored. • Review the SDS prior to using a chemical for the first time, then review periodically thereafter as necessary. • Report exposures,injuries,or safety problems to a supervisor or the safety manager. • Monitor and ensure proper storage and use of chemicals by contractor employees. Page 4 We Provide Freedom` Hazardous Communication Plan 3. Determining Chemical Hazards 3.1. Hazardous Chemical Inventory The safety manager and supervisors are required to maintain a list of hazardous chemicals known to be present in each work area. This list should be reviewed and/or updated regularly to ensure it is kept current. The inventory must identify each hazardous chemical by the primary name on the label, the manufacture or distributor of the chemical, the chemical abstract number (CAS), the location (building, room, etc.), quantity, date received, and emergency procedures required, if any. The inventory must be kept in the work area, either on a log sheet or in electronic format. If in electronic format,it should be printed, at least annually or if major changes in the inventory are made. It shall then be posted in the work area. 3.2. Labeling Requirements Supervisors are responsible for ensuring all containers of hazardous chemicals in his/her work area are properly labeled, tagged or marked. Labels or other forms of warnings must be in English,although labels in other languages are acceptable,English is mandatory. Original Containers Original container labels must be maintained. Normally, the original manufacture's label,in good condition, will satisfy this requirement. Supervisors in every work area where containers of hazardous chemicals are present are responsible for assuring the manufacture or supplier's label is not removed or defaced, unless it is illegible or inaccurate. If re- labeling is required, the label must include,at a minimum, the following items: • Warning labels that are legible and in English. • Items found on the SDS. • Name of the chemical. • Pertinent physical and health hazards, including the organs that would be affected and the manufacturer's name,address,and phone number. Secondary Containers When a chemical is transferred from its original container into another container for other than immediate use, it is called a secondary container. Supervisors of every work area are responsible for assuring that secondary containers are labeled with at least the name of the chemical as it appears on the SDS and the appropriate hazard warnings. Page 5 [Ye Pnrvide Freedom?' 16 41 Hazardous Communication Plan Limited Exceptions to Labeling A container may be unlabeled if it is a portable container intended for the immediate use (same work shift) of the employee who transferred the chemical from a properly labeled container. There are no other exceptions under this hazardous communications program. Labeling Format OSHA's Hazard Communication Standard (HCS 1994) specified certain information that must be included on the labels, but did not require any particular format be followed in presenting the information. OSHA's Hazard Communication Standard (HCS 2012) is written as a modification to the existing standard; which will require manufactures to provide labels that include a signal word, pictogram, hazard statement and precautionary statement for each hazard class and category, and the name, address, and phone number of the chemical manufacturer, importer,or other responsible party. Employees working with or are exposed to hazardous chemicals must be fully trained on the new labeling requirements,no later than December 1,2013. No later than June 1, 2015, chemical manufacturers and importers must comply with all the modified provisions. Distributors may ship products labeled by manufactures under the "old system" until December 1,2015. 3.3. Safety Data Sheets (SDS) The purpose of a safety data sheet is to inform employees of the potential hazards associated with materials used or stored in their work area. An SDS also advises employees on the appropriate way to handle hazardous chemicals, what PPE is required for handling the chemical, how to properly store the chemical, and information on handling spill clean- up,etc. A safety data sheet must be kept for every hazardous chemical used and must be readily available to employees at all times. The safety manager and supervisors are responsible for acquiring and updating the SDS for all hazardous chemicals found at their respective division/work area. The employee shall review the SDS prior to the use of any hazardous chemical. The SDS shall be filed alphabetically by chemical name and should be kept in a convenient location. SDS should be reviewed, at least annually, to ensure that they are updated and the latest revisions are available. For chemicals where there have been revisions made to the SDS, the current SDS should be inserted and the old SDS should be archived. To obtain specific SDS,requests should be made to the manufacturer or distributor or copy Page 6 We Provide Freedom" k ► 1 Hazardous Communication Plan them from the website of the manufacture if they are available online. A written record of all SDS requests,whether by phone or formal letter,shall be placed in a special file. Content of a Safety Data Sheet OSHA's Hazard Communication Standard (HCS 1994) specifies certain information that must be included on the SDS, but did not require that any particular format be followed in presenting the information. OSHA's Hazard Communication Standard (HCS 2012) is written as a modification to the existing standard. It will require a new format which will have 16 specific sections, ensuring consistency in presentation of important protection information. For further details regarding these sections see 29 CRF 1910.1200 (g) (2). Appendix D to 29 CRF 1910.1200 identifies the minimum information required for an SDS under each section heading. Section Headings Section 1,Identification Section 2,Hazard(s) identification Section 3, Composition/information on ingredients Section 4,First-aid measures Section 5,Fire-fighting measures Section 6,Accidental release measures Section 7,Handling and storage Section 8,Exposure controls/personal protection Section 9,Physical and chemical properties Section 10,Stability and reactivity Section 11,Toxicological information Section 12,Ecological information Section 13,Disposal considerations Section 14,Transport information Section 15,Regulatory information Section 16,Other information,including date of preparation or last revision 4R16 Page 7 16 A 1 2 Hazardous Communication Plan 4. Training and Information The safety manager or his/her designee shall provide training to ensure that the purpose and function of the hazardous communication program is understood by employees working with hazardous chemicals and that the knowledge and skills required for the safe use and storage are also acquired. Training shall be provided on the following subjects: 4.1. Information • Current labeling and SDS requirements. • Operations in the work area where hazardous chemicals are present. • Location and availability of the written hazard communication plan, including the required list (s) of hazardous chemicals, and safety data sheets (SDS) for all hazardous chemicals in the work area. 4.2. Training • An overview of the requirements contained in the Hazardous Communication Standard, 29 CFR 1910.1200. • Methods and observation techniques used to detect the presence or release of hazardous chemicals. • The physical health hazards of chemicals in the work area and their locations. • How to lessen or prevent exposure to these hazardous chemicals through usage of controls,work practices,and personal protective equipment (PPE). • How to use the information provided on the SDS. • How to read and understand labels. • Contingency plans for medical and accident response. • The proper use,maintenance,and storage of required PPE. • Procedures implemented to provide employee information about chemical hazards for non-routine or special tasks. 4.3. Retraining Additional employee training concerning workplace hazards may be necessary when: • Job duties change with exposure to new chemicals. • When new chemicals are introduced into the workplace. • When job duties change which require special training for a special process with a chemical. • When the safety manager deems necessary. Page 8 7te Prol de Freedom?. Hazardous Communication Plan 5. Non-Routine Tasks Periodically, employees may be required to perform non-routine tasks that involve the use of hazardous chemicals (for instance, cleaning vessels or tanks). The safety manager or his/her designee shall provide information about hazardous chemicals to which employees may be exposed during non-routine tasks prior to the employee (s) starting such tasks. 411;&' Page 9 tie Provide Freed*un 16 41 2 Hazardous Communication Plan 6. Work Performed by Outside Contractors All contractors working at an MV facility shall be notified by the safety manager or his/her designee of the hazardous materials to which the contractor's employees will be exposed to while working. The safety manager shall provide the contractor with the following information: • With a list of chemicals used in the work area (s). • Copies or the location of the SDS. The safety manager shall also find out what chemicals are being brought into the facility by the outside contractor. He/she shall obtain a copy of the contractor's SDS. eGt�� ..... ..,Page 10 We.Provide Freedom^ Hazardous Communication Plan 7. Record Keeping The training manager shall maintain all hazardous communication records. These records must include: • Employee name. ■ Date of training. • Training topics. • Any other information to document the validity of the training. (Rib Page 11 System Safety Program Plan (SSPP) Appendix T Incident Accident Reporting MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide general guidance to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the General Counsel for interpretation. In the event a policy conflicts with the law, regulation or the terms of a contract with a customer, the policy will be subordinate to such law,regulation or contract term. Policies are only effective on the written approval of the Chief Executive Officer, and the endorsement of the Bridges Committee. Policy # Safety Policy S-32 SUBJECT Accident/Incident Reporting Procedures POLICY SCOPE: This policy affects all MV employees who operate company vehicles/buses, as well as managers and supervisors who investigate incidents. POLICY: It is the policy of this Company to minimize injury, damages, pain and suffering for people involved in vehicular mishaps involving MV vehicles, to promptly report and to thoroughly investigate these occurrences. PURPOSE: The guidelines in this policy designate the procedures for all employees to follow when an incident occurs and to ensure accurate and timely incident reporting. An Incident is any MV mishap involving a MV employee, MV passenger, MV vehicle, MV equipment, or the environment. An incident may or may not result in injury or death to a person, damage to vehicles or property, or damage to the environment. This includes alleged incidents which are claimed to be caused by a MV employee, vehicle, or equipment; even though the MV employee, vehicle, or equipment is not affected. PROCEDURE: This procedure applies to all MV losses (other than Workers' Compensation) to include: • Vehicular collision with any person, vehicle, or object • Passenger/Customer/Client Incident/Injury • MV Vehicle Physical Damage (including unknown yard physical damage) • MV Property (buildings/contents) Losses (fire, tornado, 16 A 1 2 flood, hurricane, vandalism, break-in, etc.). • Environmental Exposures (i.e. fuel, oil, antifreeze, or other spills) • Theft of MV vehicles, equipment, or property When an incident could have been avoided, it was a preventable loss. MV Safety investigates "major" preventable incidents (see below for definition) to determine cause; and monitors preventable incidents to spot trends and to determine the trends' root causes. This includes examining driving and work procedures and revising them if found faulty; and identifying violations of MV, OSHA, DOT, FTA, or other procedures, rules or regulations. INCIDENT TYPES Major: An incident involving a transit vehicle or occurring on MV property involving one or more of the following: • Fatality • Pedestrian or Bicyclist incident/injury • Passenger incident/injury involving lift • Passenger incident/injury while entering/exiting vehicle • Passenger incident/injury involving improper wheelchair securement • MV Operator is cited for a moving violation • Any injury (including to MV Operator) requiring immediate medical attention away from the scene • Property damage equal to or exceeding $5,000 • Environmental spills • Vehicle roll-over/lay-over • Vehicle fire • Incidents with Operator allegation of equipment and/or maintenance failure • Events with potential for negative public relations and/or news media coverage • Incidents where Operator drug and/or alcohol use may be involved • Incidents where fault is in question Minor: All other incidents that do not meet the definition of a "major" incident. INCIDENT REPORTING PROCEDURE: 1. All MV incidents shall be immediately reported from the scene. 2. Other than an hourly employee if at all possible it is the responsibility of the General Manager to make sure a person responds to the accident who will ensure care for our driver and equipment, review of accident investigation and proper review of company liability. 3. Operator at scene shall immediately contact Dispatch and provide incident details. 4. Immediately Call Auto Hotline at (866) 688-7475 5. Complete the Initial Accident/Incident Claim Line Information Sheet to assist with gathering the details and to aid in the verbal phone notification. 6. After the phone notification, immediately scan and e-mail this report to claims(a�mvtransit.com. If unable to e-mail, fax to (214) 646-1858. MAJOR INCIDENTS PROCEDURES: In case of major incidents, in addition to the above, managers shall take the additional steps outlined below: 1. Obtain the following basic information: a. Time and Place of incident b. Driver name and Date of Hire c. Vehicle number and type (cut-away, van, bus, sedan, etc.) d. Injuries, if transported from scene —where to and by whom. e. Damage description f. Basic facts of collision, accident or incident. 2. Call and notify the following persons: a. Director of Safety and/or b. Vice President of Safety c. Regional Vice President 3. General Manager or designee submits a "High Priority Event 16 4 1 c' Notification: Go to "Lawson Portal/Procedures and Forms/Safety/Report a Serious Incident" and enter the required information. 4. Director of Safety and/or the Regional Vice President will continue the phone tree to the senior executives listed on a need to know basis. 5. If the Director of Safety and/or the Regional Vice President or Vice President of Safety is not available, please contact the Sr. VP of Safety, or in his absence, the President of Operations. If the President of Operations is not available, contact another Corporate Officer or Director who will then continue the phone tree as necessary. NOTES: • The only information given by MV employees should be to Police Officers present at the scene of the incident. Operator does not discuss incident/loss with witnesses — Operator only discusses with police, MV Safety personnel, MV Risk Management personnel, and/or MV Third-Party Claims Administrator personnel. • Refer all other parties to Risk Management to handle any public and/or media questions. For these situations, please make sure you can provide Risk Management with the name and phone number of the inquiring party. If necessary, Risk Management will involve the Director of Media Relations to communicate to the public and/or media. INCIDENT/ACCIDENT/LOSS PROCEDURES 1. Pre-Planning: a. General Managers/Dispatchers must be aware of all sources of assistance in handling incidents/losses. Before an incident/loss occurs, have contacts on hand for: • Operator's family and/or emergency notification • Local police department and/or local sheriff department • Highway patrol/state police • Local fire department and local ambulance service • Tow truck, heavy equipment, and construction companies MV Risk Management staff and MV Safety staff are excellent sources for help. Have their telephone numbers available. b. General Managers post their home telephone numbers and cell phone numbers so they can be called when an emergency occurs. Emergency Telephone Numbers shall be posted next to all MV telephones and shall be available at all supervisors' home telephones. This should include a list of local and MV telephone numbers used in controlling emergencies. c. Prominently place "reporting" decals in MV vehicles. The decals read, "Should you be involved in an accident or should any other incident occur, immediately contact Dispatch who shall immediately communicate with you and the 24-Hour ClaimLine, (866) 688-7475." Place these stickers on the dash and on the driver-side sun visor. d. Equip MV vehicles with the following items: 1. Three (3) bi-directional emergency reflective triangles (not flares). 2. Incident Reporting Packets and color disposable flash cameras. 3. Fire extinguisher having an Underwriters' Laboratories rating of 5 B:C or more. To order replacement incident reporting packets and cameras, go onto Portal, under Procedures and Forms, and under Risk Management— there is an Incident Reporting Packets bullet point. Click on that bullet point, complete your order information, and submit your order. 2. Incident/Loss Occurs: A. MV Operator: If involved in an incident with an unattended vehicle, a) Try to locate the owner. b) If the owner cannot be located, Operator securely leaves a note on the vehicle with his/her name and address, and the company/division's name, address and phone number. 16 Z c) Operator obtains the vehicle identification number and license plate number of the other vehicle, and includes that information when reporting the incident. d) An Incident Reporting Packet which includes a color disposable flash camera is supplied to Operator. Operator takes pictures of damages. e) Operator delivers used camera to General Manager/Dispatcher. A. If involved in a Hit and Run Incident while on the job or in a company-owned vehicle and you record/obtain the adverse vehicle's license plate number or capture picture of adverse vehicle via camera or Drive Cam, it is mandatory that the police are called and an incident report is filled out and filed with them. Once this is completed, please forward this information to Risk Management. B. If otherwise involved in a vehicular incident, Operator exercises on-scene emergency control until properly relieved by a supervisor or company official. Control will be directed to prevent further threat to human life, damage to the environment, and/or damage to property. For traffic control and to protect others: 1. Stop immediately and shut down vehicle (shift transmission into park, or neutral, shut off engine and set parking brakes). 2. Turn on four-way flashers. 3. Place emergency reflective triangles as soon as possible, but in any event within ten minutes. 4. Detour non-essential traffic. 5. Notify police/fire/ambulance. If necessary, direct a passerby to notify the proper authorities. Be sure to indicate if there are injured people at the emergency scene. Do not leave the scene except in an extreme emergency. 6. Do not move MV vehicle (unless there is a fire or spillage that may spread) until authorities arrive. 7. Do not allow any other vehicles to be moved until someone in authority arrives to verify the positions of the vehicles and the lengths and positions of skid marks. Calm down. Try to detach yourself from what has happened so you can be as objective and unemotional as possible. Don't smoke and caution others to not smoke; as there may be fumes that could cause an explosion or fire. 8. If safe, extinguish any controllable fire and/or shut off any leak. 9. Assist injured or endangered persons, but do not move them or permit them to get up unless absolutely necessary. Keep them warm and quiet until emergency help arrives. 10.Prevent fires by turning off ignitions, disconnecting battery cables, prohibiting smoking, or taking any other indicated action. 11.Prevent contact with spilled materials. 12.Do not touch (or permit others to touch) vehicles/objects in contact with downed power lines. Keep occupants in vehicles. 13.Keep sightseers back/away from emergency scene. 14.Follow the Incident Handling Procedure/Instructions contained in the Incident Reporting Packet. 3. Report incident/loss to dispatch and 24 hour Claim Line: MV Operator at scene shall immediately contact Dispatch who shall immediately communicate with the Operator and 24-Hour Claim Line, (866) 688-7475 (See Incident reporting procedures above). • Operator should never try to handle things alone. • Call while the emergency is small and controllable. • Dispatch shall provide a telephone number at which the Operator can be contacted. Usually this is the Dispatch number. • Dispatch and Operator shall stay in telephone contact with the 24-Hour Claim Line until released. 4. Operator Takes Pictures of Scene and Damages: MV vehicles are equipped with color disposable flash cameras: a. Photograph the causes of the incident. b. Photograph the incident scene before vehicles are towed or moved. Include surrounding landmarks / reference points in the pictures. c. If skid marks are long, start photographing 150 feet before skid marks begin and continue as you walk closer to the vehicle. 16 4 1 2 d. Photograph vehicles, including points of impact, damaged areas, undamaged areas, and spilled materials. e. Do not photograph bloody or gory details. f. Make a sketch of the scene before any vehicles are moved. The important thing is to show the positions of the vehicles as they approached the scene and where they were following the collision. 5. Equipment Recovery: Division ensures proper damaged equipment handling and securement. 6. Operator Identifies Himself/Herself: Operator gives any other involved party his/her name, division name, division address, and division phone number; and if requested, insurance information from Insurance Identification Card located in glove box. 7. Operator Provides Local Authorities and Emergency Responders Details of Incident/Loss: a. Operator obtains any reports from authorities/police or emergency responders that must be completed. b. Operator cooperates with police officials, but does not admit any responsibility to anyone except MV Risk Management personnel, MV Safety personnel, and/or MV Third-Party Claims Administrator personnel. c. Operator does not give a formal statement (written or recorded) to anyone until Operator has contacted MV Risk Management, and then, not unless approved by MV Risk Management. Operator never discusses incident with reporters. Supervisor who may respond will support this. d. Operator always notifies the police, no matter how minor an incident or collision may seem to be, even if it's just a minor "fender bender." Always report it to the police. If other party just wants to exchange information and not call the police, Operator calls in a report anyway. 8. Operator Obtains Names and Addresses of Witnesses: a. Operator gets names and addresses of all witnesses to the incident using Courtesy Information Cards contained in Incident Reporting Packet. b. Operator does not discuss incident with witnesses — Operator only discusses with police, MV Safety personnel, MV Risk Management personnel, and/or MV Third-Party Claims Administrator personnel. 9. Operator Completes Incident Report: Operator completes "Incident Report" before leaving the incident scene. This report is critical, as it captures MV information, third- party claimant information, client/passenger information, police information, an incident description, an incident diagram, etc. 10. Operator Delivers: Incident Report, Used Camera, Courtesy Information Cards, and any other Incident Reporting Packet Items to General Manager/Dispatcher. Operator gives General Manager/Dispatcher Incident Report, Courtesy Information Cards, used camera, diagrams, sketches, etc. 11. General Manager/Dispatcher Forwards Items to MV Risk Management: 1. General Manager/Dispatcher immediately scans and e-mails items to claimsmvtransit.com. • If unable to e-mail, fax to (214) 646-1858. • General Managers retain originals for his/her records. • Several other reports may be completed from the information on these items, so it is important that the information is complete and accurate. 2. General Manager uploads any revenant photos and videos to OneDrive. Note: OneDrive Procedure attached as an appendix to this policy. 3. General Manager/Dispatcher ensures that safety items in MV vehicles are immediately replaced/recharged prior to next dispatch: Incident Reporting Packet with l4Sg1 color disposable flash camera, fire extinguisher, 3 bi- directional emergency reflective triangles, etc. 12. Loss Handling: a. MV Risk Management directs loss handling. General Managers ensure that all losses are immediately and properly reported. MV Risk Management or MV's Third- Party Claims Administrator initiates all claim filings. Except for thefts, break-ins, and stolen vehicles, General Managers shall not file reports or other information with local, state or federal authorities. b. Whenever there is any possibility of serious liability, the General Manager: 1. Sends complete maintenance file on the vehicle to MV Risk Management 2. Sends Operator's logs/time sheets to MV Risk Management 3. Prints electronic control module data (if applicable) and sends to MV Risk Management 4. Risk Management ensures Drive Cam event (if applicable) is obtained 13. Damaged Equipment: A. Probable Total Losses: General Manager obtains repair estimate and scans and e-mails it to claims(a�mvtransit.com. 1. If unable to e-mail, fax to (214) 646-1858. MV Risk Management contacts Fixed Assets and determines if MV vehicle is a total loss. 2. If MV vehicle is deemed a total loss, General Manager has any valuable/usable parts removed and then obtains salvage bids. 3. General Manager obtains approval from MV Risk Management before selling salvage. 4. General Manager processes Fixed Asset Action Form and forwards for required approvals. 5. When General Manager receives salvage proceeds, General Manager faxes copy of check to MV Risk Management and forwards check to Accounts Receivable utilizing the applicable MV Lockbox Remittance Form. B. Repairable Losses: General Manager contacts Maintenance Manager. Maintenance Manager authorizes and controls all repairs following maintenance protocols. MV Risk Management distributes weekly reports that include its internal claim number for the damaged or total loss vehicle. General Manager approves all MV vehicle repair invoices. General Manager codes vehicle repair invoices to GL#7090 or GL#6150. General Manager forwards approved and coded MV vehicle repair invoices to Accounts Payable. C. The following information explains what GL code to assign and what additional information will be required to avoid delaying payment. 1. 7090 Collision — This GL number should be used for all MV vehicle repairs made and/or parts purchased due to some type of collision. The MV Risk Management internal claim number is required to be on each invoice that is assigned this GL number. Failure to provide the claim number will prevent Risk Management from approving the invoice for payment and will delay timely payment to the vendor. 2. 6150 Outside Services — This GL number should be used for all MV vehicle body repairs made and/or parts purchased due to wear and tear over time. Examples would be rusted areas and faded paint. Repairs made to a vehicle that was purchased with pre-existing damage can also be coded to this GL number. An explanation will be required for each vehicle body repair invoice that is coded to this GL number. Invoices coded "6150" do not require a MV Risk Management internal claim number. 16 D. MV vehicle repairs (MV Damage): Effective 1/1/08, the division is responsible for the full amount of the repairs. These invoices must be approved for payment by Risk Management. E. MV Damage Subrogation: If it is possible that MV can collect for damages caused by a responsible third party, General Manager scans and e-mails all information related to the incident to claimsAmvtransit.com. If unable to e-mail, fax to (214) 646-1858. 1. Obtain a repair estimate and submit the estimate and photographs of the damage to Risk Management. These items will be used as documentation for MV's subrogation demand. 2. In addition to the damages, MV Risk Management will also attempt to collect "loss of use" from the responsible third party. 3. MV Risk Management compiles a formal claim for damages for submission to the responsible party. MV Risk Management follows up on collection. Damages and/or loss of use recovered through subrogation efforts will be credited to the division. 4. If an insurance company or its representative requests repair cost information, General Manager refers that person to MV Risk Management. Do not release cost information. 14. Alleged Equipment/Maintenance Failure: Claims of equipment or maintenance failure are always referred to as "alleged" failure until an inspection of suspect systems by qualified personnel verifies or denies such claims. The following steps are followed in instances of alleged equipment or maintenance failure: 1. If Operator alleges a failure, contact MV Risk Management immediately. 2. Arrange to have vehicle towed to nearest MV division or area where vehicle can be secured. Do not let vehicle be driven. 3. Secure vehicle. Don't let anyone tamper with vehicle, including MV personnel. 4. Call MV Risk Management to direct investigation activity. 5. MV Risk Management will set up inspection with manufacturer's representative, expert (if applicable), and MV personnel. 6. Notify and coordinate inspection with field personnel. 7. Assist in the inspection of vehicle at formal inspection. 8. Send complete maintenance file on vehicle to MV Risk Management. 9. Send Operator's logs/time sheets to MV Risk Management. 10. Print electronic control module data and send to MV Risk Management. 11 . Risk Management ensures Drive Cam event (if applicable) is obtained. 15. Stolen MV Vehicle. A. General Manager/Dispatcher immediately reports loss to MV Risk Management. B. General Manager/Dispatcher immediately reports the loss to local police authorities. Direct the police authorities to enter the stolen vehicle on the NCIC. Note: If vehicle is ultimately recovered, General Manager/Dispatcher immediately reports recovery to local police authorities, and directs them to remove from the NCIC; and General Manager/Dispatcher immediately reports recovery to MV Risk Management. C. General Manager obtains a copy of police report and faxes it to MV Risk Management. D. Instruct MV Operators on the following: a) If anyone tries to take a vehicle, let them have it. Do not get into an altercation with them. b) If a vehicle is taken or is missing, immediately phone MV Risk Management. 16A1 c) Report any suspicious activity to General Manager/Dispatcher. E. Depending on the circumstances regarding the missing vehicle, MV Risk Management may notify FBI, appropriate state Highway Patrol, FTA, and Federal DOT. 16. Break-Ins and other Property Losses. A. General Manager/Dispatcher immediately reports loss to MV Risk Management. B. General Manager/Dispatcher immediately reports loss to local police authorities. C. General Manager obtains a copy of police report and faxes it to MV Risk Management. 17. Post-Loss Procedures, Reports, and Correspondence. A. General Manager forwards all correspondence relating to an incident/loss to MV Risk Management. General Manager identifies the correspondence to MV Risk Management by indicating the Operator's name and the date of the loss. B. If lawsuit papers are received, General Manager immediately telephones MV Risk Management at (866) 665-1426. General Manager forwards the papers via overnight mail to: EVP, c/o MV Risk Management, 2024 College Street, Elk Horn, IA 51531, with a memo stating the person served and the date and time of service. The EVP of Risk Management can also be reached by telephone at (712) 764-3720. 18. Post-Accident Alcohol and Controlled Substances Testing a. Fatal Accidents: As soon as practicable following an accident involving the loss of human life, an employer shall conduct drug and alcohol tests on each surviving covered employee operating the transit vehicle at the time of the accident. The employer shall also drug and alcohol test any other covered employee whose performance could have contributed to the accident, as determined by the employer using the best information available at the time of the decision. b. Non-Fatal Accidents: As soon as practicable following an accident not involving the loss of human life in which a transit vehicle is involved, the employer shall drug and alcohol test each covered employee operating the transit vehicle at the time of the accident unless the employer determines, using the best information available at the time of the decision, that the covered employee's performance can be completely discounted as a contributing factor to the accident. The employer shall also drug and alcohol test any other covered employee whose performance could have contributed to the accident, as determined by the employer using the best information available at the time of the decision. c. "Accident" Definition: "Accident" means an occurrence associated with the operation of a vehicle (including operation of its lift), if as a result: • A Fatality; or • An individual suffers bodily injury and immediately receives medical attention away from the scene of the accident; or • With respect to an occurrence in which the transit vehicle involved is a bus, electric bus, van, or automobile, one or more vehicles (including non- FTA funded vehicles) incurs disabling damage as the result of the occurrence and such vehicle or vehicles are transported away from the scene by a tow truck or other vehicle; or • with respect to an occurrence in which the transit vehicle involved is a rail car, trolley car, trolley bus, or vessel, the transit vehicle is removed from operation. d. MV Division Management coordinates/arranges post-accident testing. If reasonable suspicion is suspected, all reasonable suspicion testing guidelines will be followed. e. Test Results Obtained. Test results are obtained by Elk Horn Qualification and reported to MV Division Management, or vice versa. General Manager 16A1 contacts MV Management concerning disposition of Operator. Effective Date Review Date RELATED TOPICS FORMS BRIDGES Date ENDORSEMENT APPROVED BY Date: Appendix A—OneDrive Upload Procedures a 'I. MV Safety OneDrive Upload Procedures Distribution: Safety Managers Category: OneDrive Section No.: '6 By: Shane Shelton To By: s = a a Date: 8/16/2016 ¢ Date: Email: Shane.shelton@mvtransit.com Status: PENDING (active,inactive,pending) Revision Date: 8/18/2016 PLEASE NOTE:Any changes to this document will require manager-level approval 1.0 PURPOSE: To give safety manager instructions on how to upload videos, photos and documents to the Claims Department via Microsoft OneDrive 2.0 RESPONSIBLE PARTIES: MV Infrastructure Team 3.0 PROCEDURE INFORMATION: User Provisioning (for the Claims Team Only): 1. The IT Infrastructure team will get a ticket from the Auto Claims Manager requesting that a user be given access to a divisional folder via the Help Desk. 2. The user will be provisioned according to the tickets directions. 3. The same process will be used for user moves and deletions. End User Access Instructions: 1. Upon successful provisioning of the end user's account, the end user will receive an email from no-reoly@sharepointonline.com with the Subject of"Sys_ClaimsMgmt has shared 'Division Number— riWed 8t10t2016 3=52 Pm no-reply@sharepointonline.com SysClaimsMgmt has shared'121' ro a Stlin25hcltore ©Follow up. Start by Wednesday,August 10,2016_ Due by Wednesday.August 10.2016. Upload your videos here. Go to 121 Get the OneDrive mobile appl Available for a 16Aj 2. The end user can click the"Division Number"hyperlink in the email body to go to the One Drive Login page. The example above shows you'd click the blue"121"number in the body of the email for Division 121. 3. This will take you to a sign-on page with your default browser. MV IT recommends you use Internet Explorer or Google Chrome of the best results. al Office 365 Work or school, or personal Microsoft account Irma:( or phone PassApfd ❑Keep me signed in Sign in Can't access your account? Don't have an account assigned by your work or school? Sign in with a Microsoft account 4. To sign in, use your MV Transportation email address: firstname.lastname©amvtransit.com. If your name is John Doe, your email will be john.doe©mvtransit.com. Once you've entered your email address into the email field, your browser will redirect you to the MV Transportation Office 365 login page as seen below. t tAila Sign in with your organizational account shaneshelton@mvtransit.corn Sign in 5. Your email address will already be populated,just enter your domain password. This is the same password you use to log into your MV desktop or laptop. Click Sign in. 6. This will then take you to the OneDrive folder you have access to. You will notice if you click outside of your folder, you will receive access denied messages. You will ONLY have access to the division you were assigned by the Auto Claims Manager. 4 C i,ttp;://mvtransit-my.sharepoint.com 1 mt n vtrart;ir onro i ar, 1 <a.':i`.. ;;-M1`'I- '4 • .,.I MV J Mire Personal Q APC Management C- Authenticating APC ... Office 365 OneDrive P Search U New v 2 Upload Share afl Get a link Sync Sys ClaimsMgmt Files > Claims > Southwest > 121 Files Name Modified ModAed By Fie Size Sror ng Our filet a Documents ••• 6 days ago Sys_CleimsMgmt ate Shared ig Photos ••• 6 days ago Sys CtaimsMgent aft Shared El Videos ••• 6 days ago Syr_ClaimsMgmt fF Shared Drag files here to upload 7. From here you can open the folders you would need to upload into. Further instructions on uploading files are below. You can bookmark the page you accessed in step 6 to streamline logging in in the future. Uploading Files: 1. Once youv'e completed Steps 1 —7 above under the"End User Access Instructions", you can now start to upload files. To do so, click the folder you want to upload to (in this example well use a photo upload). Click on the Photos Folder. 16 A 1 P Search (—+) New v ± Upload v 0 Share = Get a link Z. Sync Sys_ClaimsMgmt Files > Claims > Southwest > 121 Files Narre Modified Our files Documents 6 days ag, Eg Photos 6 days ag, eg Videos 6 days ag, 2. This will take ou the Photos folder. Office 365 OneDrive P Search (4.) New v Is Upload 0 Share clip Get a link Ct Sync Sys_ClaimsMgmt Claims > Southwest 121 > Photos Files Our files 3. To upload a photo, click Upload -> Files ..•. Office 365 OneDrive P Search t,-i31 New Is Upload v 0 Share c142 Get a link Sync > Sys_ClairrisMgrnt Photos Folder Files Ow files ;#► 4. Browse to the location on your computer of the file you want to upload. In this example, we are uploading the one MV logo picture. Click on the file(s)you want to upload, you can upload multiple if need be at a time. Click Open to start the upload. This PC a Pictures> OneDme lest L P Orgmf¢e" New folder 0 aF Quid access �. >r Desktop Downloads t nWer.S ogaw. ne n Pg Documents I Personal I Claims .:Job Descriptions Org Policies OneDrive•MY Trans{ nG OneDrive-MY Trans{ ,$OneDnve-Personal This PC 4 Network File name jmvlrans_ogo w_nameipg Open Cancel e 5. Your file will then upload into the folder you were in before you clicked the Upload -> Files button in step 3. We were in the Photos folder in this example, so the file uploaded into the Photos folder. If you want to upload a Video, start from the Videos folder and the same for the Documents folder. 6. That's it. You've now uploaded a file to Claims for review. Labeling Uploaded Documents to OneDrive: Please prefix all documents uploaded into OneDrive with the following coding. Please note that all photos need to be saved on a Word document. Then uploaded to OneDrive with the proper label; Pic— M 16XXXX or Pic—"Ref Number". The MV claimant number is provided on the Daily Incident Report or Weekly Incident Report. 1. Division Reports— DR-M166403 or DR-CG122 2. Police Report—PR-M166403 or PR-CG122 3. Photos—Pic-M166403 or Pic—CG122 4. Estimate—Est-M166403 or Est-CG122 5. Letter— Ltr-M166403 or Ltr—CG122 6. Video—Video-M166403 or Video-CG122 7. Invoice—Inv-M166403 or Inv-CG122 8. Tender—Tender-M 166403 or Tender-CG122 4.0 REFERENCE DOCUMENTATION: "MV"is to be understood as MV Transportation and/or its affiliated companies (collectively "Company"). ig A l 5.0 DOCUMENT CHANGE LOG: Version I Date Author I Change Description-1 1.0 8/16/2016 Shane Shelton Original draft W 1.1 8/18/2016 Shane Shelton Added Coding 1.2 12/20/2016 Shane Shelton Added photo saving wording under labeling System Safety Program Plan (SSPP) Appendix U Medical Examination Form MCSA 5875 & 5876 j41Al � Form MCSA-5875 OMB No.2126-0006 Expiration Date:11/30/2021 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 2126-0006.Public reporting for this collection of information is estimated to be approximately 25 minutes per response,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 mandatory.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. U.S.Department of Transportation Medical Examination Report Form Federal Motor Carrier Safety Administration (for Commercial Driver Medical Certification) MEDICAL RECORD# SECTION 1.Driver Information(to be filled out by the driver) (or sticker) PERSONAL INFORMATION Last Name: First Name: Middle Initial: Date of Birth: Age: Street Address: City: State/Province: Zip Code: Driver's License Number: Issuing State/Province: Phone: Gender: 0 M 0 F E-mail(optional): CLP/CDL Applicant/Holder*: 0 Yes 0 No Driver ID Verified By**: Has your USDOT/FMCSA medical certificate ever been denied or issued for less than 2 years? 0 Yes 0 No 0 Not Sure *CLP/CDL Applicant/Holder:See instructions for definitions. **Driver ID Verified By:Record what type of photo ID was used to verify the identity of the driver,e.g.,COL,driver's license,passport. DRIVER HEALTH HISTORY Have you ever had surgery?If"yes,'please list and explain below. 0 Yes 0 No 0 Not Sure Are you currently taking medications(prescription,over-the-counter,herbal remedies,diet supplements)? 0 Yes 0 No0 Not Sure If"yes,'please describe below. (Attach additional sheets if necessary) **This document contains sensitive information and is for official use only. Improper handling of this information could negatively affect individuals. Handle and secure this information appropriately to prevent inadvertent disclosure by keeping the documents under the control of authorized persons. Properly dispose of this document when no longer required to be maintained by regulatory requirements.** Page 1 e Form MCSA-5875 OMB No.2126-0006 Expiration Date:11/30/2021 Last Name: First Name: DOB: Exam Date: DRIVER HEALTH HISTORY(continued) Not Not Do you have or have you ever had: Yes No Sure Yes No Sure 1.Head/brain injuries or illnesses(e.g.,concussion) 0 0 0 16.Dizziness,headaches,numbness,tingling,or memory 0 0 0 2.Seizures,epilepsy 0 0 0 loss 3.Eye problems(except glasses or contacts) 0 0 0 17.Unexplained weight loss 0 0 0 4.Ear and/or hearing problems 0 0 0 18.Stroke,mini-stroke(TIA),paralysis,or weakness 0 0 0 5.Heart disease,heart attack,bypass,or other heart 0 0 0 19.Missing or limited use of arm,hand,finger,leg,foot,toe 0 0 0 problems 20.Neck or back problems 0 0 0 6.Pacemaker,stents,implantable devices,or other heart 0 0 0 21.Bone,muscle,joint,or nerve problems 0 0 0 procedures 22.Blood clots or bleeding problems 0 0 0 7.High blood pressure 0 0 0 23.Cancer 0 0 0 8.High cholesterol 0 0 0 24.Chronic(long-term)infection or other chronic diseases 0 0 0 9.Chronic(long-term)cough,shortness of breath,or other 0 0 0 25.Sleep disorders,pauses in breathing while asleep, 0 0 0 breathing problems daytime sleepiness,loud snoring 10.Lung disease(e.g.,asthma) 0 0 0 26.Have you ever had a sleep test(e.g.,sleep apnea)? 0 0 0 11.Kidney problems,kidney stones,or pain/problems with 0 0 0 27.Have you ever spent a night in the hospital? 0 0 0 urination 28.Have you ever had a broken bone? 0 0 0 12.Stomach,liver,or digestive problems 0 0 0 29.Have you ever used or do you now use tobacco? 0 0 0 13.Diabetes or blood sugar problems 0 0 0 30.Do you currently drink alcohol? 0 0 0 Insulin used 0 0 0 31.Have you used an illegal substance within the past two 0 0 0 14.Anxiety,depression,nervousness,other mental health 0 0 0 years? problems 32.Have you ever failed a drug test or been dependent on 0 0 0 15.Fainting or passing out 0 0 0 an illegal substance? Other health condition(s)not described above: 0 Yes 0 No 0 Not Sure Did you answer"yes"to any of questions 1-32?If so,please comment further on those health conditions below. 0 Yes 0 No 0 Not Sure (Attach additional sheets if necessary) CMV DRIVER'S SIGNATURE I certify that the above information is accurate and complete.I understand that inaccurate,false or missing information may invalidate the examination and my Medical Examiner's Certificate,that submission of fraudulent or intentionally false information is a violation of 49 CFR 390.35,and that submission of fraudulent or intentionally false information may subject me to civil or criminal penalties under 49 CFR 390.37 and 49 CFR 386 Appendices A and B. Driver's Signature: Date: SECTION 2.Examination Report(to be filled out by the medical examiner) DRIVER HEALTH HISTORY REVIEW Review and discuss pertinent driver answers and any available medical records.Comment on the driver's responses to the"health history"questions that may affect the driver's safe operation of a commercial motor vehicle(CMV). (Attach additional sheets if necessary) Page 2 1 Form MCSA-5875 OMB No.2126-0006 Expiration at�11/30/20Z1 2 Last Name: First Name: DOB: Exam Date: TESTING Pulse rate: Pulse rhythm regular:0 Yes 0 No Height:_feet inches Weight: pounds Blood Pressure Systolic Diastolic Urinalysis Sp.Gr. Protein Blood Sugar Sitting Urinalysis is required. Second reading Numerical readings (optional) must be recorded. Other testing if indicated Protein,blood,or sugar in the urine may bean indication for further testing to rule out any underlying medical problem. Vision Hearing Standard is at least 20/40 acuity(Snellen)in each eye with or without correction.At Standard:Must first perceive whispered voice at not less than 5 feet OR average least 70°field of vision in horizontal meridian measured in each eye.The use of cor- hearing loss of less than or equal to 40 dB,in better ear(with or without hearing aid). rective lenses should be noted on the Medical Examiner's Certificate. Acuity Uncorrected Corrected Horizontal Field of Vision Check if hearing aid used for test: ❑Right Ear ❑Left Ear ❑Neither Whisper Test Results Right Ear Left Ear Right Eye: 20/ 20/ Right Eye: degrees Record distance(in feet)from driver at which a forced Left Eye: 20/ 20/ Left Eye: degrees whispered voice can first be heard Both Eyes: 20/ 20/ Yes No OR Applicant can recognize and distinguish among traffic control 0 0 Audiometric Test Results signals and devices showing red,green,and amber colors Right Ear Left Ear Monocular vision 0 0 500 Hz 1000 Hz 2000 Hz 500 Hz 1000 Hz 2000 Hz Referred to ophthalmologist or optometrist? 0 0 Received documentation from ophthalmologist or optometrist? 0 0 Average(right): Average(left): PHYSICAL EXAMINATION The presence of a certain condition may not necessarily disqualify a driver,particularly if the condition is controlled adequately,is not likely to worsen,or is readily amenable to treatment.Even if a condition does not disqualify a driver,the Medical Examiner may consider deferring the driver temporarily. Also,the driver should be advised to take the necessary steps to correct the condition as soon as possible,particularly if neglecting the condition could result in a more serious illness that might affect driving. Check the body systems for abnormalities. Body System Normal Abnormal Body System Normal Abnormal 1.General 0 0 8.Abdomen 0 0 2.Skin 0 0 9.Genito-urinary system including hernias 0 0 3.Eyes 0 0 10.Back/Spine 0 0 4.Ears 0 0 11.Extremities/joints 0 0 5.Mouth/throat 0 0 12.Neurological system including reflexes 0 0 6.Cardiovascular 0 0 13.Gait 0 0 7.Lungs/chest 0 0 14.Vascular system 0 0 Discuss any abnormal answers in detail in the space below and indicate whether it would affect the driver's ability to operate a CMV. Enter applicable item number before each comment. (Attach additional sheets if necessary) Page 3 Form MCSA-5875 OMB No.2126-0006 Expiration Date:11/30/2021 Last Name: First Name: DOB: Exam Date: Please complete only one of the following(Federal or State)Medical Examiner Determination sections: MEDICAL EXAMINER DETERMINATION(Federal) Use this section for examinations performed in accordance with the Federal Motor Carrier Safety Regulations(49 CFR 391.41-391.49): Q Does not meet standards(specify reason): Q Meets standards in 49 CFR 391.41;qualifies for 2-year certificate Q Meets standards,but periodic monitoring required(specify reason): Driver qualified for: Q 3 months Q 6 months Q 1 year Q other(specify): ❑Wearing corrective lenses ❑Wearing hearing aid ❑Accompanied bya waiver/exemption(specify type): ❑Accompanied by a Skill Performance Evaluation(SPE)Certificate ❑Qualified by operation of 49 CFR 391.64(Federal) ❑Driving within an exempt intracity zone(see 49CFR 391.62)(Federal) ❑Determination pending(specify reason): ❑Return to medical exam office for follow-up on(must be 45 days or less): ❑Medical Examination Report amended(specify reason): (if amended)Medical Examiner's Signature: Date: ❑Incomplete examination(specify reason): If the driver meets the standards outlined in 49 CFR 391.41,then complete a Medical Examiner's Certificate as stated in 49 CFR 391.43(h),as appropriate. I have performed this evaluation for certification.I have personally reviewed all available records and recorded information pertaining to this evaluation, and attest that to the best of my knowledge,I believe it to be true and correct. Medical Examiner's Signature: Medical Examiner's Name(please print or type): Medical Examiner's Address: City: State: Zip Code: Medical Examiner's Telephone Number: Date Certificate Signed: Medical Examiner's State License,Certificate,or Registration Number: Issuing State: ❑MD ❑DO ❑Physician Assistant ❑Chiropractor ❑Advanced Practice Nurse ❑Other Practitioner(specify): National Registry Number: Medical Examiner's Certificate Expiration Date: Page 4 16Al2 Form MCSA-5875 OMB No.2126-0006 Expiration Date:11/30/2021 Last Name: First Name: DOB: Exam Date: MEDICAL EXAMINER DETERMINATION(State) Use this section for examinations performed in accordance with the Federal Motor Carrier Safety Regulations(49 CFR 391.41-391.49)with any applicable State variances(which will only be valid for intrastate operations): Q Does not meet standards in 49 CFR 391.41 with any applicable State variances(specify reason): Q Meets standards in 49 CFR 391.41 with any applicable State variances Q Meets standards,but periodic monitoring required(specify reason): Driver qualified for: 0 3 months 0 6 months 0 1 year 0 other(specify): ❑Wearing corrective lenses ❑Wearing hearing aid ❑Accompanied by a waiver/exemption(specify type): ❑Accompanied by a Skill Performance Evaluation(SPE)Certificate ❑Grandfathered from State requirements(State) If the driver meets the standards outlined in 49 CFR 391.41,with applicable State variances,then complete a Medical Examiner's Certificate,as appropriate. I have performed this evaluation for certification.I have personally reviewed all available records and recorded information pertaining to this evaluation, and attest that to the best of my knowledge,I believe it to be true and correct. Medical Examiner's Signature: Medical Examiner's Name(please print or type): Medical Examiner's Address: City: State: Zip Code: Medical Examiner's Telephone Number: Date Certificate Signed: Medical Examiner's State License,Certificate,or Registration Number: Issuing State: ❑MD ❑DO ❑Physician Assistant ❑Chiropractor ❑Advanced Practice Nurse ❑Other Practitioner(specify): National Registry Number: Medical Examiner's Certificate Expiration Date: Page 5 ek. Instructions MCSA-5875 Instructions for Completing the Medical Examination Report Form (MCSA-5875) I. Step-By-Step Instructions Driver: Section 1: Driver information • Personal Information: Please complete this section using your name as written on your driver's license,your current address and phone number,your date of birth,age,gender,driver's license number and issuing state. o CLP/CDL Applicant/Holder: Check "yes" if you are a commercial learner's permit(CLP) or com- mercial driver's license (CDL) holder, or are applying for a CLP or CDL. CDL means a license issued by a State or the District of Columbia which authorizes the individual to operate a class of a commercial motor vehicle (CMV).A CMV that requires a CDL is one that: (1)has a gross combina- tion weight rating or gross combination weight of 26,001 pounds or more inclusive of a towed unit with a gross vehicle weight rating (GVWR) or gross vehicle weight(GVW) of more than 10,000 pounds; or(2) has a GVWR or GVW of 26,001 pounds or more; or(3) is designed to transport 16 or more passengers, including the driver; or(4) is used to transport either hazardous materials requiring hazardous materials placards on the vehicle or any quantity of a select agent or toxin. o Driver ID Verified By:The Medical Examiner/staff completes this item and notes the type of photo ID used to verify the driver's identity such as,commercial driver's license,driver's license, or passport, etc. o Question: Has your USDOT/FMCSA medical certificate ever been denied or issued for less than two years? Please check the correct box"yes"or"no" and if you aren't sure check the"not sure"box. • Driver Health History: o Have you ever had surgery: Please check"yes" if you have ever had surgery and provide a written explanation of the details (type of surgery, date of surgery, etc.) o Are you currently taking medications (prescription, over-the-counter, herbal remedies, diet supplements): Please check"yes" if you are taking any diet supplements, herbal remedies, or prescription or over the counter medications. In the box below the question, indicate the name of the medication and the dosage. o #1-32: Please complete this section by checking the"yes"box to indicate that you have,or have ever had, the health condition listed or the"No"box if you have not. Check the"not sure"box if you are unsure. o Other Health Conditions not described above: If you have, or have had, any other health condi- tions not listed in the section above, check"Yes" and in the box provided and list those condition(s). o Any yes answers to questions#1-32 above: If you have answered"yes"to any of the questions in the Driver Health History section above,please explain your answers further in the box below the question. For example, if you answered"yes"to question#5 regarding heart disease, heart attack, bypass, or other heart problem, indicate which type of heart condition. If you checked"yes"to ques- tion#23 regarding cancer, indicate the type of cancer. Please add any information that will be helpful to the Medical Examiner. • CMV Driver Signature and Date: Please read the certification statement, sign and date it, indicating that the information you provided in Section 1 is accurate and complete. Page 6 Instructions MCSA-5875 16 A 1 2 Medical Examiner: Section 2: Examination Report • Driver Health History Review: Review answers provided by the driver in the driver health history section and discuss any "yes" and"not sure" responses. In addition, be sure to compare the medication list to the health history responses ensuring that the medication list matches the medical conditions noted. Explore with the driver any answers that seem unclear. Record any information that the driver omitted.As the Medical Examiner conducting the driver's physical examination you are required to complete the entire medical examination even if you detect a medical condition that you consider disqualifying, such as deafness. Medical Examiners are expected to determine the driver's physical qualification for operating a commercial vehicle safely. Thus, if you find a disqualifying condition for which a driver may receive a Federal Motor Carrier Safety Administration medical exemption,please record that on the driver's Medical Examiner's Certificate, Form MCSA-5876, as well as on the Medical Examination Report Form, MCSA-5875. • Testing: o Pulse rate and rhythm, height, and weight: record these as indicated on the form. o Blood Pressure: record the blood pressure (systolic and diastolic) of the driver being examined. A second reading is optional and should be recorded if found to be necessary. o Urinalysis: record the numerical readings for the specific gravity,protein, blood and sugar. o Vision: The current vision standard is provided on the form. When other than the Snellen chart is used, give test results in Snellen-comparable values. When recording distance vision, use 20 feet as normal. Record the vision acuity results and indicate if the driver can recognize and distinguish among traffic control signals and devices showing red, green, and amber colors; has monocular vision; has been referred to an ophthalmologist or optometrist; and if documentation has been received from an ophthalmologist or optometrist. o Hearing: The current hearing standard is provided on the form. Hearing can be tested using either a whisper test or audiometric test. Record the test results in the corresponding section for the test used. • Physical Examination: Check the body systems for abnormalities and indicate normal or abnormal for each body system listed. Discuss any abnormal answers in detail in the space provided and indicate whether it would affect the driver's ability to safely operate a commercial motor vehicle. In this next section,you will be completing either the Federal or State determination, not both. • Medical Examiner Determination (Federal): Use this section for examinations performed in accordance with the FMCSRs(49 CFR 391.41-391.49). Complete the medical examiner determination section completely. When determining a driver's physical qualification,please note that English language proficiency (49 CFR part 391.11: General qualifications of drivers) is not factored into that determination. o Does not meet standards: Select this option when a driver is determined to be not qualified and provide an explanation of why the driver does not meet the standards in 49 CFR 391.41. o Meets standards in 49 CFR 391.41; qualifies for 2-year certification: Select this option when a driver is determined to be qualified and will be issued a 2-year Medical Examiner's Certificate. Page 7 Instructions MCSA-5875 o Meets standards, but periodic monitoring is required: Select this option when a driver is deter- mined to be qualified but needs periodic monitoring and provide an explanation of why periodic monitoring is required. Select the corresponding time frame that the driver is qualified and if select- ing other, specify the time frame. • Determination that driver meets standards: Select all categories that apply to the driver's certification(e.g., wearing corrective lenses, accompanied by a waiver/exemption, driving within an exempt intracity zone, etc.). o Determination pending: Select this option when more information is needed to make a qualification decision and specify a date,on or before the 45 day expiration date, for the driver to return to the medical exam office for follow-up.This will allow for a delay of the qualification decision for as many as 45 days. If the disposition of the pending examination is not updated via the National Regis- try on or before the 45 day expiration date,FMCSA will notify the examining medical examiner and the driver in writing that the examination is no longer valid and that the driver is required to be re- examined. • MER amended: A Medical Examination Report Form(MER), MCSA-5875,may only be amended while in determination pending status for situations where new information(e.g.,test results,etc.)has been received or there has been a change in the driver's medical status since the initial examination,but prior to a final qualification determination. Select this option when a Medic- al Examination Report Form,MCSA-5875, is being amended;provide the reason for the amendm- ent,sign and date. In addition, initial and date any changes made on the Medical Examination Report Form,MCSA-5875.A Medical Examination Report Form,MCSA-5875,cannot be amended after an examination has been in determination pending status for more than 45 days or after a final qualification determination has been made.The driver is required to obtain a new phys- ical examination and a new Medical Examination Report Form,MCSA-5875,should be completed. o Incomplete examination: Select this when the physical examination is not completed for any reason (e.g., driver decides they do not want to continue with the examination and leaves) other than situations outlined under determination pending. o Medical Examiner information,signature and date: Provide your name, address,phone number, occupation, license, certificate, or registration number and issuing state, national registry number, signature and date. o Medical Examiner's Certificate Expiration Date: Enter the date the driver's Medical Examiner's Certificate (MEC) expires. • Medical Examiner Determination (State): Use this section for examinations performed in accordance with the FMCSRs(49 CFR 391.41-391.49)with any applicable State variances (which will only be valid for intrastate operations). Complete the medical examiner determination section completely. o Does not meet standards in 49 CFR 391.41 with any applicable State variances: Select this option when a driver is determined to be not qualified and provide an explanation of why the driver does not meet the standards in 49 CFR 391.41 with any applicable State variances. o Meets standards in 49 CFR 391.41 with any applicable State variances: Select this option when a driver is determined to be qualified and will be issued a 2-year Medical Examiner's Certificate. o Meets standards, but periodic monitoring is required: Select this option when a driver is deter- mined to be qualified but needs periodic monitoring and provide an explanation of why periodic monitoring is required. Select the corresponding time frame that the driver is qualified and if select- ing other, specify the time frame. • Determination that driver meets standards: Select all categories that apply to the driver's certification (e.g.,wearing corrective lenses, accompanied by a waiver/exemption, etc.). Page 8 Instructions MCSA-5875 16 A l 2 o Medical Examiner information, signature and date: Provide your name, address, phone number, occupation, license, certificate, or registration number and issuing state, national registry number, signature and date. o Medical Examiner's Certificate Expiration Date: Enter the date the driver's Medical Examiner's Certificate (MEC) expires. II. If updating an existing exam,you must resubmit the new exam results,via the Medical Examination Results Form, MCSA-5850, to the National Registry, and the most recent dated exam will take precedence. III. 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To ensure that all employees are being safe and providing the best customer service available by Improving roadway safety for all vehicle operators, vehicle passengers, bicyclists, pedestrians, and other road users. MV Transportation and its subcontractors have adopted a zero-tolerance policy in regard to cell phones, texting while driving, emails, and all other personal electronic devices including Bluetooth and all other hands free operation devices in conjunction with Florida's Rule 14.90 Wireless Communication, and wireless communication device prohibition under the Florida Statutes 316.305 Florida Ban on "Texting while Driving Law". Rule 14: 90 states: a. The use of a personal wireless communication device is prohibited while the transit vehicle is in motion, and b. All personal wireless communications devices are turned off with any earpieces removed from the operator's ear while occupying the driver's seat. During an emergency the Operator must step away from the Driver's seat and call dispatch for immediate assistance. All Operators will be provided Training on the requirements of wireless communication, MV Policy, and 14:90 rule upon hiring. By adopting this statute MV Transportation and Sub-Contractors will prevent crashes related to the act of text messaging while driving a motor vehicle. It is Mandatory that any and all cellphones, Bluetooth, wireless devices, ear pieces, electronic devices are to be put away and not on your persons during work hours. This includes, but not limited to any work performing 16Al2 call-taking, scheduling, dispatch, GPS, customer service functions and/or any other administrative duties while the behind the wheel of a vehicle. Failure to adhere to the above may result in disciplinary action up to and including termination. Employee Signature Date Supervisor Signature Date cc. ee file System Safety Program Plan (SSPP) Appendix W Annual Review of Driving Records-Drivers 16A1C MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide general guidance to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the General Counsel for interpretation. In the event a policy conflicts with the law, regulation or the terms of a contract with a customer, the policy will be subordinate to such law, regulation or contract term. Policies are only effective on the written approval of the Chief Executive Officer, and the endorsement of the Bridges Committee. Policy # Safety Policy S-13 SUBJECT DRIVER'S ANNUAL REVIEW OF DRIVING RECORD POLICY SCOPE: This policy applies to all drivers for MV Transportation, Inc., including road call mechanics. PURPOSE: The purpose of this policy is to achieve compliance with the Federal and State Motor Carrier Safety Regulations. POLICY: It is the policy of this Company that all drivers submit, on an annual basis, a record of all violations of traffic laws committed while operating any type vehicle, other than parking violations, for which the driver has been convicted or forfeited bond during the preceding twelve (12) months, and that such record be reviewed by the Division General Manager and compared with the driver's Motor Vehicle Record. PROCEDURE: The General Manager will request each driver's Motor Vehicle Record at least annually and review it with the driving record submitted by each driver to determine whether the driver meets the minimal requirements for safe driving and be certain the driver is not disqualified from operating a motor vehicle. The General Manager will review each driver's entire record including accident experience, road and ride observations, and the Driver Record of Violations submitted for the previous twelve months. The review will be completed by August 15 each year and the record retained in the driver's DOT qualification file. The driver's manager/supervisor will conduct interviews with drivers whose records warrant counseling and corrective measures including refresher training. In considering counseling, great weight must be given to violations such as speeding, following too closely, reckless driving and improper or erratic lane changes. This counseling process will be properly and thoroughly documented. Drivers convicted of two serious traffic violations as defined by the FMCSR, in a three-year period will be advised that they are subject to disqualification by the State issuing their drivers' licenses. Supervisors will remind drivers that they are to notify the company of any moving violation they receive during the year, whether on or off-duty. Effective Date Review Date RELATED TOPICS FORMS BRIDGES Date: ENDORSEMENT APPROVED BY Date: 1641 System Safety Program Plan (SSPP) Appendix X Annual DOT Driving Record Review Form Annual Driving Record Review Review Period: 200_ through 200_ MV Transportation, Inc. MOTOR VEHICLE DRIVER'S CERTIFICATION (As Required by D.O.T. Regulation 391.27) 1. 2. 3. 4. 5. )Driver's Name—Last,First,Middle Int.—Print) (SSN#) f Date of Birth) (Date—Last D.O.T.Physical Examination) )Employee Number) 6, 7 8 9. Home Address) fCity) State )Division Name and Number) List below your driver's license by number, state, expiration date. 10. 11. 12. )License Number) (State) )Expiration Date) I certify that the following is a true and complete list of ALL traffic violations (other than parking violations)for which I have been convicted or forfeited bond or collateral during the past 12 months. (As required by D.O.T. Regulation 391.27) NOTE: This record must cover both personal and company driving. TYPE OF VEHICLE DATEJ,$ ) OFFENSE u LOCATION CITY&STATEu OPERATED Has your license been revoked or suspended in the last 12 months? (17.)Yes No Are you presently driving with a restricted license(including eyeglasses and hearing aids)? fYes No For any YES answers on(17.)or(18),please explain on space below: f19.) If no violations are listed above, I certify that I have not been convicted or forfeited bond or collateral on account of any violation to be listed during the past 12 months. I hereby authorize a representative of the company to check my driving record with any state in which I am licensed to drive and authorize release of such information and records to the company. 120.1 J21.) SUPERVISOR ANNUAL REVIEW OF DRIVING RECORD (As Required by D.O.T. Regulation 391.25) MV Transportation, Division Address Review of driving record performed on . The driver is qualified not qualified (Date) (check one either) under 49CFR Part 383.51 and 391.15. A check of the driver's file was done to verify the information for the 12 month review period. (Reviewed by: Print Name) Signature Title Form SF-2(MVR REVIEW FORM(Rev.08/04/2009) 16A1 2 4. Please return the completed MVR Review Form to your supervisor or manager as soon as possible INSTRUCTIONS 1. Fill in Your name(last name,first name, and middle initial if you have one) a. Eg: Joe G. Driver would be written as Driver, Joe G. 2. Fill in your Social Security number 3. Fill in your date of birth 4. Fill in the date of your last DOT physical exam, NOT THE EXPIRATION DATE (if you are not sure look on your DOT Physical card) 5. Fill in your MV employee number 6. Fill in your home address(need an address of where you live not a P.O. Box, unless that's the only address you have) 7. Fill in the city that you live in that matches the address for#6 8. Fill in the State that you live in that matches the address for#6 9. Fill in your home division (preferably the Division name and number) 10. Fill in your current drivers license Number 11. Fill in the state of the license in#10 12. Fill in the expiration date of your drivers license in#10 13. Fill in the date, offense, location city&state, and type of vehicle(private or commercial)of any and ALL traffic violations (other than parking violations)for which you have been convicted or forfeited bond or collateral during the past 12 months. (If you are not sure if it will show up on your MVR, put it down) 14. If your license has been revoked or suspended, in the past year, for any reason check"yes", otherwise check"no" 15. If you have any restrictions on your license check"yes"otherwise check"no" 16. If you checked"yes"for questions 17 or 18, please explain in detail on the space provided 17. Please sign your name and fill in the date you signed it Please return the completed MVR Review Form to your supervisor or manager as soon as possible 16A1 2 System Safety Program Plan (SSPP) Appendix Y S-10 Compliance with Regulations MV TRANSPORTATION, INC. CORPORATE POLICY STATEMENT General policies of MV Transportation, Inc. are issued from time to time and are designed to provide general guidance to company managers in the conduct of the business. Policies may, from time to time, become dated or may no longer apply. In the event of questions, the policy should be referred to the General Counsel for interpretation. In the event a policy conflicts with the law, regulation or the terms of a contract with a customer, the policy will be subordinate to such law,regulation or contract term. Policies are only effective on the written approval of the Chief Executive Officer, and the endorsement of the Bridges Committee. Policy # Safety S-10 SUBJECT COMPLIANCE WITH FEDERAL AND STATE SAFETY REGULATIONS POLICY SCOPE: These regulations govern all driving and non-driving operations at MV Transportation, Inc. POLICY: It is the policy of MV Transportation, Inc. that company operations and all personnel will comply with all applicable requirements of Title 49 Code of Federal Regulations and in particular with the Federal Motor Carrier Safety Regulations' Parts 40, 325, 382, 383, 385-387, 390-396, 399 and 640 (or their individual States' equivalent) and with the provisions of Part 1910 of the Occupational Safety and Health Administration regulations. PROCEDURE: Personnel will refer to the Regulations for interpretation of any covered rules regarding MV Transportation, Inc. driving and maintenance operations. The Safety Department is available to provide further assistance. Effective Date 16412 Review Date RELATED TOPICS FORMS BRIDGES Date: ENDORSEMENT APPROVED BY Date: System Safety Program Plan (SSPP) Appendix Z Sam baSafety DRM State Support MatriX 16Al2 ' ..4 o �J `� . >> .0 cc) ca o rim c -�° c N .Q�) •> CO ��j o z c L •U) o 0 - x O >' E n{ co O c 3 O U co O ° ° m L to O E a) 3 E c d o o N > (II m o � > • QLo a > L a) c +r a) O 7 N N COo O ° ° ! m U) o (U N ai a) ° c`a o 'x z ff�° .N N O > N N N N N i > N O V1 a) • > i E N_ _ O C O C 1- a) C -O La cn "o ca "- .- O) a) o_'- '- z o C >, ._. + C Q c O W (a (n '� C C N ca) W Q ° CO j vi U N u>i W .jpo, rnZ w ° > >, � o Q o Li N a) - W ca a) o W y. +' O w CO � E � Cl.) O O >+ N C C � � Z 1.9 is O C 4- vi = Cl) m U N a) U + L U O 0 N -. 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E - , , , e -) •C »,_ _1 _ ° W ° _ _ ° ■ ° a • o E;2 . . . , 313 m t t 1 ° 2 0 § 2 5 [ q i Efit § rn!/ ° § \ 2 Z z 2 z o o o I E 3 2 i- F 5 > >[> >1� �1> 4141 A 1 2 System Safety Program Plan (SSPP) Appendix AA Internal Safety Audit Checklist IrIIIIIC�AIAI� GM Monthly Facility Audit MM/YY LOCATION: Naples 271 DATE: SAFETY MANAGEMENT PRACTICES Yes No N/A Comments Maintains MVT standardized Accident Log updated and current Performs New Hires 45/75 day assessements as required Division's instructors(class and BTW)are properly ICP certified Division utilizes the standard MVT training program(AVATAR) Division follows minimum training program requirements(hours,protocols,materials,etc.) Division manages DriveCam Program per DC Program Management Plan - -#Vehicles Out Of Sevice #Vehicles Overdue for Download #DC events overdue for coaching/retraining — Division follows disciplinary requirments outlined in Handbook/CBA Safety Meetings attendance tracked and documented on Form SF-6 and filed Drivers retrained per Safety Retraining Policy(Policy#12) Exterior Are exterior lights functioning properly? Landscaping well maintained Trash not overflowing from dumpster Park lot free of debris Park lot in good repair and free of trip hazards Building and fencing free of graffiti Does fuel island have spill kit(if applicable) Is fuel island free of leaks(if applicable) Fuel hose hung properly(if applicable) Fuel nozzle trigger lock removed(if applicable) Vehicles • Exterior of vehicle clean(wheels,windows ect) Interior free of trash,debris and graffiti DVIs properly filled out Current insurance and registration located in vehicle Maintenance Area is Facility clean Is the maintenance floor clear of free oil spills or slick spots? Are maintenance personnel wearing safety glasses? Is proper footwear being worn? Are all machinery fitted with proper guards? Electrical cords intact and free of cuts/repair? Inventory stored properly and organized Are hoses rolled up when not in use? • Are Lockout/Tagout procedures in place? Is waste area clean and orderly? Are aerosol cans stored in fire proof cabinets? Are oily rags disposed of in their proper container(covered metal waste cans)? Are safety glasses for visitors provided in accessible an area? Are all facility/shop lights operational and functional? Are exits properly marked? Is first aid kit stocked Eyewash installed and inspected monthly Electrical panel area free of clutter(3x3) Are facility/shop areas free of"trip&falls"hazards? Are all storage drums covered and labeled? Are all air/water hoses clean,free of defects and properly stored? A Are all drop lights clean,serviceable,and properly stored? Is signage permanently mounted? Are locker room floors free of debris and uniforms? Are there accurate"Days without an Injury" and"Days without Incident"signs posted? Is proper personal protective equipment(PPE)used by employees in the shop areas? Tools and Equipment Jack stand in good condition Jack stand being used when applicable Tires and wheels secure Batteries secured and stored with secondary containment Vehicle lifts in good condition Vehicle wash area clean and organized Water hoses rolled up when not in use(wash area) Pit area clean and organized(where applicable) Are fire extinguishers inspected monthly basis Appropriate signs posted for PPE,fire ext.restricted area ect Office Administrative Areas Are floor clean and free of clutter? Are exits properly marked? Electrical cords not daisy chained? Restrooms clean and sanitary? Are restrooms clean,orderly,and stocked? Pluming fixtures functioning properly Tables and chairs serviceable,functional and free of hazards? Driver bulletin board current not cluttered Is all necessary signage required by customer,local,state or federal regulations posted? Are evacuation maps posted in conspicuous area? Are employees aware of designated assembly? Are stairwells and stairways clear with serviceable handrails&treads n; iTE OSHA 300 log up to date(includes light duty report). Site Specific Equipment/Areas 4.C.` General Manager's Name(Print): Date: Safety Inspection Comments/Remediation action(s)taken: System Safety Program Plan (SSPP) Appendix AB Bus Transit System Annual Safety and Security Certification Form Co -le-r County Public Services Department Public Transit & Neighborhood Enhancement Division January 22, 2020 Michele Forestt,Transit Support Consultant ATKINS on behalf of FDOT, District One 801 North Broadway Ave Bartow, FL 33830 Re: Annual Transit System Safety and Security Certification (SSPP) Dear Ms. Forestt, Enclosed you will find the Collier Area Transit Annual Transit System Safety and Security Certification as required by Florida Rule 14-90. If you have any questions please do not hesitate to contact me at(239) 252-4996 Omar eon ---�� Transit Manager "r Pub iC 1 ransit&Neighborhood Enhancnrnent•3299 Tamiami Trail E.,Suite 103•Naples,Florida 34112-5746.239-252-5840•FAX 239-252-6628•www.colliergov.net COLLIER AREA TRANSIT 8300 Radio Road Naples, Florida 34104 Collier Area Transit Annual Certification Requirement per 14-90.010 Bus Transit Operational Certification In accordance with Florida Rule Chapter 14-90.004 Bus Transit System Operational Standards, specifically subchapter 14-90.010 Certification, as amended, the following certifications are provided to the Florida Department of Transportation. It is hereby certified that: Collier Area Transit operating as CAT has adopted a transit bus system safety program plan (SSPP) in accordance with the established standards set forth in Florida Rule Chapter 14-90.004 Bus Transit System Operational Standards and has adopted a System Security Program Plan (SSPP). Collier Area Transit certifies the performance of safety inspections on all buses operated by the Collier Area Transit system in accordance with Florida Rule Chapter 14-90.004 Bus Transit System Operational Standards. Collier Area Transit certifies that a review of the Collier Area Transit System Safety Program Plan (SSPP) and Security Program Plan (SPP) is conducted periodically to ensure that the program plans remain in compliance. This certification is provided by Collier Area Transit which has performed the required bus safety inspections. Collier Area Transit 8300 Radio Road Naples, Florida 34104 The following certification is provided on behalf of Collier Area Transit by its Transit Manager who is directly responsible for the management of the bus transit system and attests to this agency's compliance with Florida Rule Chapter 14-90 Bus System Operational Standards for Bus Transit Systems, as amended. Date: / 1 Signed: Omar De Leon Collier Area Transit 16A1 2 Bus Transit System Annual Safety and Security Certification Certifying Compliance with Rule 14-90,FAC to the Florida Department of Transportation (FDOT) January 13,2020. MV Contract Transportation,Inc. 8300 Radio Rd Naples,H.34104 The Bus Transit System (Agency)named above hereby certifies the following: 1. The Agency has adopted a System Safety Program Plan (SSPP) and a Security Program Plan (SPP) pursuant to the standards set forth in Rule Chapter 14-90, Florida Administrative Code. 2, The Agency is in compliance with its adopted SSPP and SPP. 3. The Agency has performed annual safety inspections on all operational vehicles in accordance with Rule Chapter 14-90,Florida Administrative Code. 4. The Agency has conducted revi 9f SSPP and SPP and the plans are up to date. Blue Ink Signature. r Date: I45/2i) (Individual Responsible uranc of Compliance) Name:Braian Morales Title: General Manager Name and address of entity(ies)which has(have)performed bus safety inspections and security assessments: Name: MV Contract Transportation, Inc. Address: 8300 Radio Rd Naples,FL 34104 Name of Qualified Mechanic zoho Performed Annual Inspections: All Out Automotive Rodney Batcher Note:Please do not edit or otherwise change this form. 3 System Safety Program Plan (SSPP) Appendix AC SSPP Addendurns (placeholder for future updates) 1iAl2 System Safety Program Plan (SSPP) Appendix AD Text Formatting Palette System Safety Program Plan (SSPP) Formatting/Styles Report margins: Top margin = 1" Bottom margin = 1" Left margin = 1.25" Right margin = .75" Heading levels: Heading One Arial 18 pt bold; centered; paragraph spacing = 20 pt after Heading 2 Arial 12 pt bold; left-aligned; line spacing-single; paragraph spacing = 6 pt before, 14 pt after Body Text: Arial 11, single spaced, one blank line between paragraphs. • Bulleted List: Arial 11 pt; line spacing-single; paragraph spacing = 6 pt before General Instructions How to Update Table of Contents: Right click on table of contents and choose update field—you will then have the option of updating the entire table of contents or just the page numbers. How to Add New Section: Under Page Layout Menu, choose Breaks, then Section Break, then Next Page. Heading numbers should update automatically in new section. 1tg12 System Safety Program Plan (SSPP) MV SMS Plan 43 16ai2 MV TRANSPORTATION, INC. Safety Management System (SMS) Plan 1.Safety Management Policy 3 Safety Management System(SMS)Policy Statement 3 1.1 Commitment to Safety Statement 5 1.2 Safety Management System Development 6 1.3 Operations and Maintenance Procedures 6 1.4 Employment and Recruitment Selection 8 1.5 Drug and Alcohol Programs 8 1.6 Workplace Violence Program 8 1.7 Fitness for Duty 9 1.8 Policies and Procedures Review 9 1.9 Employee Safety Reporting Program(ESRP) 9 1.10 Authorities,Accountabilities&Responsibilities 11 1.11 Emergency Management Integration and Procedures 12 1.12 Communication of the Safety Management Policy 12 2.Safety Risk Management 12 2.1 Accident and Incident Reporting 13 2.2 Safety Hazard Identification and Analysis 14 2.3 Evaluation,Mitigation and Communication of Safety Risk 16 3.Safety Assurance 16 3.1 Safety Performance Monitoring and Measuring 17 3.2 Management of Change 17 3.3 Continuous Improvement 18 4.Safety Promotion 18 4.1 Competencies and Training 18 4.2 Safety Communication 20 5.Supporting Resources 21 6.Plan Development 22 6.1 Approval and Updates 22 6.2 Version Updates 22 6.3 Annual Review of Plan 23 PTASP Addendum 24 Transit Agency Information 24 Safety Performance Targets 24 Safety Performance Target Coordination 25 1 16 { AI2 Attachment A 26 Attachment B 27 1 2 b 1. Safety Management Policy Safety Management System (SMS) Policy Statement MV Transportation, Inc. is committed to providing the highest level of safety for the public, our employees and contractors. Satisfying our customers' special needs with 100% regulatory compliance and the lowest possible risk is our first operational priority. We will never increase our risk of accident or injury to solve operational problems in the course of providing the Best Customer Experience. To meet that commitment, MV Transportation has adopted the Safety Management System (SMS) and developed safety policies and activities in support of an effective SMS. This plan is based on the four components of SMS: Safety Management Policy, Safety Risk Management, Safety Assurance, and Safety Promotion. Every employee and contractor are directed and empowered to administer the SMS and its specific activities for the prevention, control, and resolution of unsafe conditions and actions. The primary objectives of this SMS plan are to proactively identify and mitigate safety hazards and risks, promote a positive safety culture, and maintain regulatory compliance. Our safety objectives are to: • Ensure that effective safety management systems and processes are integrated into all of our activities. • Designate an individual responsible for the safety function who reports directly to the Chief Executive Officer of the company and authorize that individual to develop and implement programs to promote safety. • Ensure all employees and contractors are aware that safety is their primary responsibility and they are held accountable for delivering the highest level of safety in their daily work activities. • Clearly define the safety accountabilities and responsibilities to all employees and contractors, including the responsibility of managers and supervisors to develop, implement, and enforce safety rules and procedures in their respective work areas. • Provide all employees and contractors with appropriate safety information and skills training; ensure employee and contractor competence in all safety matters related to their position with the company. • Develop and embrace a positive safety culture in all of our activities that recognizes the importance and value of effective safety management and acknowledges that safety is the number one operating value in everything we do. • Ensure a culture of open reporting of all safety hazards, ensuring that no action will be taken against any employee who discloses a safety concern through the proper chain of command, unless such disclosure indicates, beyond any reasonable doubt, an illegal act,gross negligence, or a deliberate or willful disregard of regulations or procedures. 3 id • Promote and maintain a positive safety culture with positive recognition and reinforcement of safe behaviors. • Ensure that all equipment, systems and services meet our safety performance standards through periodic audits and inspections. • Establish performance metrics and measures of our safety performance against our safety performance indicators and safety performance targets. • Continually develop and improve our safety processes through actively monitoring, measuring, and reviewing our performance against our objectives and targets. • Conduct safety and management reviews to improve our safety performance and ensure that relevant and corrective actions are taken. • Comply with all state and federal regulatory requirements and standards. Signe • Date: / ,_ ,7 r-'a241 ,�' Thomas Egan, Chief Executive Officer 4 X 1.1 Commitment to Safety Statement Providing the highest level of safety for all MV Transportation employees, passengers, and the communities we serve is our core operating value. Safety is at the forefront of delivering the Best Customer Experience and is the first of our key components of successful performance. Doing work safely must be the foundation of all operational activities. Safety standards will never be compromised, subordinated or diminished by any other goal. Safety is the process that drives all functions and activities and is at the center of everything we do at MV Transportation. MV Transportation is committed to being the safest organization possible and is committed to an incident and injury free workplace and security excellence. We will review and continually improve our practices to continuously drive improvements in safety, health, environmental, and security performance. Accountability is fundamental to our mission. Every individual at MV is responsible for working and acting safely and embracing safety as a lifestyle. Compliance with this Commitment, applicable laws,and other requirements is the responsibility of every employee and contractor acting on our behalf. Safety leadership is a core responsibility of management and is the company's most important management value. Managers at all levels will set the standard in our industry,from the Chief Executive Officer to the first-level supervisor. Every employee is responsible to: • Promote and maintain a safe work environment for all personnel and our passengers. • Act consistently to influence safe behaviors and eliminate unsafe behaviors, actions and decisions. • Go above and beyond the minimum safety standards of his/her job. • Directly participate in all aspects of our safety program. • Abide by all applicable safety rules and regulations. • Work with management to decrease our exposure to risk. • Immediately report all incidents/accidents and hazards. • Complete all assigned safety training programs to continuously enhance safety skillset. • Intervene in an activity if it is observed that its being conducted with an unacceptable level of risk. • Encourage and reinforce the safe behaviors of others. • Resolve circumstances responsibly that require corrective action. • Insist upon an unwavering commitment to safety. MV leadership is committed to supporting this statement with the resources and accountability necessary to achieve safety excellence. -714,i(A Tom Egan Mark Collins Chief Executive Officer 5 President and Chief Operating Officer 16141 �, Contractor Management It is the responsibility of MV Transportation to ensure that contractor work practices meet established safety standards of the agency and any and all federal,state, and local regulations and requirements. (Safety Policy S-10). MV Transportation will monitor contractor compliance through scheduled and unscheduled safety audits of equipment, work sites and practices, regulatory compliance, and required records. Significant violations, especially in areas of safety, will be addressed by the appropriate management person, and may include termination of the contract or other legal action. 1.2 Safety Management System Development This Safety Management System (SMS) plan was developed to outline our systematic procedures, practices, and policies for managing risks and hazards. Additional plan elements are available as references to support the information outlined in this document. Key definitions of our process throughout our Safety Risk Management includes the following: • A hazard is a condition or object with the potential of causing injuries to personnel,damage to equipment or structures, loss of material, or reduction of ability to perform a prescribed function. The potential for harm is defined as safety risk. It refers to the chance that people,equipment,or the environment could be harmed by the consequences of a hazard. • What is done to address and reduce that risk is mitigation. • Consequence means an effect of a hazard, involving injury, illness, or death; damage to or loss of the facilities, equipment, rolling stock, or infrastructure of a public transportation system; or damage to the environment. • Event means any accident, incident, or occurrence. This SMS plan will be reviewed periodically to continuously improve in our mitigation of safety risk. We will review and continuously improve our practices to drive continuous improvement. Effectiveness at the site level will be determined at least annually through the Safety Director audit. Reviews may occur more frequently. This plan outlines the SMS activities for all employees and contractors employed by MV Transportation. Additional manuals and procedures should be referenced for more in-depth procedural detail. We will work with the transit agency at the site-location level to ensure these activities are also featured in their Agency Safety Plan. 1.3 Operations and Maintenance Procedures It is the policy of MV Transportation that company operations and all personnel will comply with all applicable requirements federal and state safety regulations (Safety Policy S-10). The system will be monitored for compliance with and sufficiency of operations and maintenance procedures. Non-compliance will be addressed through training, coaching, and management oversight, among other approaches. Non-compliance may result in disciplinary action, in 6 accordance with our policies and procedures. Insufficient procedures will be addressed through the Safety Risk Management process outlined in this plan. Any task that cannot be done safely should not be attempted until it can be done safely. It is the responsibility of the operator to perform thorough Daily Vehicle Inspections (DVIs) and submit those reports to dispatch personnel. It is the responsibility of the mechanics to review and repair all defects before the vehicle goes back into service. The procedure is listed out in greater detail in our Maintenance Manual. Monthly audits of facilities including yard and surrounding areas will also be conducted to verify OSHA compliance and hazard identification, mitigation and resolution. A vehicle with a safety defect is reported immediately by the operator. The vehicle shall be removed from service and not returned until repaired or replaced as soon as possible. In cases when the defect prevents the vehicle from being safely driven back to the garage, it is towed using a contracted service. No operator or other authorized employee is asked, required, or permitted to drive a vehicle with a known major safety defect and is required to wear a safety vest as well as any other appropriate PPE. As outlined in our Maintenance Manual, it is the responsibility of the maintenance manager to provide the general manager with a detailed account of the day's vehicle status and maintenance activities. The maintenance manager shall ensure the operations manager is kept up-to-date on all daily meetings and reports. It is the policy of MV Transportation that maintenance managers are responsible to ensure all fleet vehicles are systematically inspected, maintained, and repaired. The preventative maintenance intervals shall conform to the OEM service specifications, FTA standards, and contractual requirements. (MP-03-02—Preventative Maintenance). All seasonable maintenance services are to be conducted in accordance with OEM standards. (MP-03-10—Seasonal Maintenance). Please refer to the Maintenance Shop Safety Manual and Maintenance Manual for further detail outlining policies and procedures, as well as our Safety Vest Policy S-46 and Yard Safety Procedures. Safety in Design,Acquisition and Procurement Operational safety and passenger safety are the highest priorities when defining vehicle and facility design requirements. Design criteria are established to ensure the equipment meets or exceeds all safety, flammability and environmental requirements and meets all state and federal standards and regulations. MV Transportation's Procurement Department owns the procurement process and works closely with all impacted departments. Conditions covered in the Contract Specifications include verification of compliance, commencing with the design phase and periodic inspections and testing during the construction phase performed by qualified consultants. A thorough inspection and system testing is performed before the equipment is conditionally accepted. The Procurement Group works in conjunction with the maintenance, safety, and operations department when purchasing personal protective equipment for employees, controlling 7 16Al2 chemicals and other hazards in the workplace, mandating safety requirements in specific contracts and requiring compliance from specific vendors and clients with MV Transportation's safety requirements. 1.4 Employment and Recruitment Selection MV Transportation follows industry practices when hiring employees and contractors, including employment, criminal background, and MVR reports as required. Our hiring practices are compliant with FTA regulations on pre-employment/new hire testing and onboarding. 1.5 Drug and Alcohol Program The Drug and Alcohol Program Manager is responsible for administering the corporate program. The location Designated Employer Representative (DER) are responsible for location program compliance. The policies and procedures conform to the drug and alcohol regulations of the United States Department of Transportation's (DOT), Federal Transit Administration (FTA) and/or the Federal Motor Carrier Safety Association (FMCSA), based on the service environment that the agency and contract operates under. The policy identifies that employees are subject to testing and includes the testing requirements, prohibited behavior, consequences of positive results and resources for employee assistance and rehabilitation. MV Transportation is committed to a Drug and Alcohol free workplace through a Zero Tolerance policy. Participation by covered employees in MV Transportation's prohibited drug use and alcohol misuse program is a condition of employment. Supervisors must not permit a safety- sensitive employee to perform his/her job function if the employee has violated any provision of the Policy. Our Drug and Alcohol-Free policy extends to contractor personnel in safety-sensitive positions. 1.6 Workplace Violence Program MV Transportation is firmly committed to providing a workplace free from acts of violence or threats of violence. In keeping with this commitment, the Company has established a policy strictly prohibiting any employee from threatening or committing an act of violence in the workplace, while on duty, while on company related business, or while operating any vehicle or equipment owned or leased by the Company. Assistance is needed from all employees to achieve a workplace secure and free from violence. MV is committed to a "zero tolerance" policy and compliance with this policy in respect to workplace violence is every employee's responsibility. Any and all incidents involving an act or threat of violence must be reported immediately to the employee's supervisor or the Human Resources department. Any employee may do so without fear of retaliation of any kind. After the incident is reported to a supervisor, he/she will report the matter to the Human Resources department, who will conduct an investigation and take appropriate action. 8 Any employee who engages in or contributes to violent or threatening behavior may be subject to disciplinary action, up to and including termination. 1.7 Fitness for Duty Fitness for duty is determined by Human Resources and Safety Management. It is the policy of MV Transportation that all drivers are professionals that manage fatigue and come to work well rested and prepared to provide a full measure of safe and reliable customer service (Safety Policy S-18). All employees that take medical leave must provide a return to work release from his/her health care provider prior to returning to work. The return to work statement should be submitted to the Leaves Manager in the Benefits department. Employees returning to work after 30 days or more break in service will be required to undergo a background check, return-to-work physical and drug test, as permitted or required by applicable federal or state law which includes but is not limited to regulations and requirements set forth by the DOT, FTA, FMCSA, OSHA and ADA. 1.8 Policies and Procedures Review All policies and procedures require periodic reviews for applicability and accuracy. Policies and procedures include a revision date to ensure that all copies of the document are current. Specific policies and procedures are reviewed by department managers with the assistance of the Human Resources Department. Changes to policies and procedures will be made at the corporate level after a thorough review has been performed. The contractor's safety policies and procedures will also be reviewed periodically for accuracy and compatibility with MV Transportation policies and procedures. To submit a request for revision, individuals must complete a Change Request. Details of the request must include the policy or procedure, description of the requested process change, any known impact, and implementation efforts. 1.9 Employee Safety Reporting Program (ESRP) Our front line employees are our best source of information for identifying hazards. Nobody knows more about the actual safety performance of the transit system than the employees who deliver the service. The Employee Safety Reporting Program (ESRP) is intended to help the Accountable Executive and other senior managers get important safety information from across the transit agency. It can be an agency's most important source of safety data. There are two types of safety reporting programs: mandatory and voluntary. 9 • Mandatory: Employees must report hazards that are compliance-based and address regulatory issues. Employees are required to immediately report every incident and accident. An employee's failure to report or provide false information of an unsafe hazard or act could result in disciplinary action. • Voluntary: Employees are strongly encouraged to report hazards and can report anonymously. Every employee is empowered to report any unsafe hazard / risk to their supervisor or senior management without fear of retribution or penalty. Employees will have the option to report anonymously to maintain confidentiality. The ESRP is non-punitive and employees will not be disciplined for the act of reporting the Hazard or Near Miss. However, employees must report hazards that are compliance-based and address regulatory issues. Record falsification, Drug & Alcohol violations, gross negligent behavior, and failure to report accidents/incidents and serious safety hazards are examples of employee behaviors that may result in disciplinary action. Forms of reporting can include submitting a completed SMS Hazard/Risk Report Form (found in the Appendix) or utilizing a centrally located Safety Suggestion Box at the division location. The transit agency may also have an additional form of Employee Safety Reporting. The Hazard/Risk Report Form shall be completed immediately, so proactive measures can be taken as soon as possible. Depending on the perceived level of risk and severity, the report shall be submitted immediately or by the end of their shift. Input by employees into the ESRP can include safety concern reporting, operational system description, hazard identification,safety deficiencies, risk assessments, potential consequences of hazards, or recommended safety risk mitigations. Examples of reports may include the following; • Safety hazards in the operating environment (for example, county road conditions) • Policies and procedures that aren't working as intended (for example, insufficient time to complete pre-trip inspections) • Events that senior managers might not otherwise know about (for example, near misses) • Information about why a safety event occurred (for example, radio communication challenges contributed to an incident) The information we receive through this source will help us resolve the reported hazard and notify the supervisor or senior management of changes that may need to be made to mitigate safety hazards in the future. The Safety Department will lead the effort on collection, analysis, resolution, and monitoring of hazards and feedback entered through the ESRP. The Safety Department will take the lead on the Safety Risk Management process, with inputs from subject-matter experts in operations and maintenance. Information collected through our ESRP will feed into our hazard identification and analysis process. Please reference that section of the plan for further information on mitigation, resolution, and communication. 10 'F 1.10 Authorities, Accountabilities & Responsibilities Safety accountabilities and responsibilities span from corporate organizational roles to contract management and front-line employees. All employees are responsible for safe operations, as outlined in our Commitment to Safety statement. The CEO provides strategic direction and has the responsibility for providing the leadership and resources to carry out the Safety Management System plan. Agency Leadership and Executive Management are tasked and authorized with making sure that the organization safety policies and procedures are followed and communicated to their direct reports, general managers, managers and front-line supervisors. They will provide positive leadership and direction in maintaining the safety policy as a major priority in all operations.This group is responsible for providing resources to acquire and maintain safety and health equipment, devices and programs. They will support safety standards and behaviors ensuring that steps are made to identify and mitigate hazard and risk. The Safety Leadership team, including the Chief Safety Officer,VP of Safety, or Director of Safety, has the authority and responsibility for making sure the safety policies and procedures are adhered by and promoted by senior management, department supervisors and managers, area safety directors and key safety team members.The Safety Leadership team will stay informed of law changes or updates concerning employee safety and record keeping and will amend safety policies as required. This group will conduct periodic reviews of safety standards to remain current with federal and state requirements. They will provide guidance in maintaining a high standard of safety training programs and assist in analyzing safety data to identify future mitigation strategies.The Directors of Safety will conduct an annual audit to ensure compliance with Federal, State and Local rules and regulations as well as company policies and procedures. Key Staff, including Department Supervisors, Managers and all other employees, are tasked with following all company safety policies to include, but not limited to, FTA, FMCSA, USDOT, ADA safety regulations. Managers and Supervisors are responsible for staying current on all internal and external safety training.They are also responsible with reporting or responding to accidents, injuries, near misses, unsafe working conditions and potential hazards within their scope of influence. Supervisors and Managers will evaluate employee performance ensuring each employee's safe behavior and work methods and coach, retrain and discipline as required. They will conduct monthly facility audits to ensure compliance. They are also responsible for promoting the ESRP and reviewing and resolving all submissions responsibility. In addition to the above overview of safety roles and responsibilities by group, the following highlights the site-specific roles and responsibilities. This is in addition to the responsibilities listed out in our Commitment to Safety (page 4) and SMS plan objectives (page 2). General Manager: Ultimate responsibility for the safety performance of the location and authorizes activities to support an effective SMS. Operations Manager: Responsible for promoting operational safety and adhering to our policies and procedures. Safety and Training Manager: Responsible for the day-to-day implementation and operation of the SMS. 11 111Az Maintenance Manager: Responsible for OSHA compliance and site-specific maintenance activities. Trainers / Instructors: Responsible for ensuring that we are training every employee to proficiency in accordance with our performance standards. Supervisors: Responsible for playing an active role in SMS activities, including sufficient road observations and identifying potential safety hazards with recommended solutions. Location Safety Committee: Responsible for ensuring that reported safety items are reviewed and addressed, as well as discussing proactive measures to mitigate future risk. 1.11 Emergency Management Integration and Procedures Every site location is to maintain an updated Emergency Action Plan (Safety Policy S-21). The purpose of the Emergency Action Plan is to assist employees and management in making quality decisions during times of crisis, and to comply with regulatory standards for Emergency Action Plans. The Facility Emergency Action Plan will be reviewed and updated annually. Certain practice drills are to be planned and carried out for preparedness during emergency scenarios. The Emergency Action Plan is available on our intranet site and should be printed and stored in the division. 1.12 SMS Documentation and Records Processes that require documentation or forms to support an effective SMS are listed out in this plan within the corresponding section. Site locations that are subject to the PTASP Final Rule will be required to maintain documentation and recordkeeping for a minimum of 3 years. 2. Safety Risk Management The FTA defines Safety Risk Management as a process within the agency's Public Transportation Agency Plan for identifying hazards and analyzing, assessing, and mitigating the safety risk. Through risk identification and assessment, a determination is made of the probability and severity of potential losses. Safety and loss control programs are developed to modify and eliminate or reduce the risks of these exposures. 12 2.1 Accident and Incident Reporting and Response It is the policy of MV Transportation to minimize injury, damages, pain and suffering for people involved in vehicular mishaps involving MV vehicles, to promptly respond, report and to thoroughly investigate these occurrences. (Safety Policy S-32) All incidents, including near misses and minor events, should be reported as soon as possible — whether or not the incident did or could have resulted in personnel injuries, illnesses, or property damage. The incidents shall be immediately reported from the scene. Operator at scene shall immediately contact Dispatch and provide incident details. When possible, it is the responsibility of the General Manager to make sure that a manager or supervisor responds to the accident to ensure care for our driver and equipment, secure the incident site, preserve evidence, review of accident investigation and proper review of company liability. The initial accident/incident claim line information sheet should be completed with details to convey to our claims hotline. Accident and incident response procedures will vary depending on the severity of an incident ("major" vs. "minor" definition thresholds outlined in Safety Policy S-32). All employees, supervisors and managers should be knowledgeable on response procedures outlined in Risk Management SAF-001 Accident Procedures guideline and High Priority Event notification procedures. The General Manager and Safety Manager are responsible for ensuring a timely investigation and report is completed. Reports are reviewed by the department manager, who determines preventability (Safety Policy S-1). Reports may also be reviewed by Risk Management and the Director of Safety. Additional actions and activities may be requested from the Risk Management department or Regional Director of Safety. Copies of the accident/incident reports and a summary are kept for review and reporting as necessary. Work Injuries Work injuries include any injury, occupational disease, or disability that arises out of, or in the course of, any work-related activity and requires first aid or medical treatment. Worker's compensation OSHA-related injuries are considered work injuries for the purpose of this policy. Injuries should be reported by the injured employee or a witness to dispatch or his/her immediate supervisor as soon as possible. If the injured employee needs medical attention, the appropriate response by coworkers (dispatch, supervisor, manager) is to: • Assess the injury. • Call 911 if necessary. • Begin emergency medical treatment, if willing and able. 13 16Al2 • Continue treatment until emergency responders arrive. • Inform Management or Director of Safety. • Complete a written report as soon as possible. The injured employee must complete an Employee Injury Report for the Human Resources and Safety department as soon as possible. In compliance with OSHA regulations, all reportable employee injuries will be recorded by a representative from the Safety department and a summary will be posted from February 1 to April each year for employee review. The Supervisor will conduct an investigation to determine the root cause of the incident surrounding the injury (Safety Policy S-30). The Supervisor will issue a written report for review by Risk Management, Regional Manager - Maintenance, General Manager and Area Safety Director. Recommendations may be issued and will follow normal channels of communication. Investigative resources will include the Employee Injury Report, eyewitness accounts, employee interviews, equipment testing, and any other reasonable means to determine root causes. Injury reports will be kept on file for future analysis. Accident and Incident Investigation It is the policy of MV Transportation to investigate all incidents/injuries,to identify causes, and to correct deficiencies, if any (Safety Policy S-1). Effective incident investigation is an essential step towards making improvements in the system or process that can prevent future incidents from similar causes. It is the key to correcting and improving unsafe behavior in the workplace. Identifying all factors that came into play to cause an incident, accident, or injury, and getting down to the root cause, is the only way to ensure proper steps will be taken to prevent a recurrence. This includes examining driving and work procedures and revising them if found faulty;and identifying violations of MV, OSHA, DOT, FTA,or other procedures, rules or regulations. (Safety Policy S-32) After corrective actions have been identified and put in place, the management team or Regional Safety Director will follow-up to ensure that corrective actions remain in place and have effectively corrected incident causes. 2.2 Safety Hazard Identification and Analysis Hazards identifications could be submitted directly, or could be derived from trends or other data analyses. Hazards can be identified through a variety of sources, including; 1. Reviews 2. Observations 3. Investigations 4. ESRP 5. Passenger feedback 14 When a hazard has been identified, it will be tracked in a Safety Risk Register log, using the FTA template provided. This includes the description of the risk,rating of the risk,the action to address it, and how we are going to monitor that action for its effectiveness. The hazard will be rated with an "as reported" risk assessment ranking, which will be followed up for a re-evaluation after a mitigation strategy has been implemented. Reviews • DriveCam scored or coachable events — driver specific or aggregated trends of at-risk behaviors • Monthly performance or quarterly reviews of both leading and lagging indicators Observations • Road observations and ride checks • Mystery rider program (if applicable at the site location) • Customer/passenger comments • Third-party notifications Audits and Inspections • Monthly facility inspection • Daily walk-through • Pull-out procedures • New driver assessments (Safety Policy S-37) • Refresher training (Safety Policy S-12) • Annual safety director audit • Maintenance audit Investigations • Accident and incident investigation • Injury root cause investigation Hazard Analysis Once a hazard has been identified, it must then be analyzed. Analysis may include a description of the hazard, supporting results documents, photos, and/or suggestions for resolution. Unless a hazard can be eliminated, it's safety risk must then be managed. We analyze this in terms of how likely it is to happen (probability or frequency) and how bad it could be (severity). Hazard Probability Categories and Hazard Resolution Matrix, see Attachment A, and then by determining the best method for remediation. Near Miss reporting will be collected through Dash Camera Systems,as well as encouraged through the ESRP. If not captured through a Dash Camera System, Near Miss reporting can be completed on the Hazard Risk Form and reported to the location Safety Manager or Supervisor. 15 16A1 2 2.3 Evaluation, Mitigation and Communication of Safety Risk The last step is to develop possible mitigation strategies that address identified safety risks. In evaluating safety risks, identifying what is being done now vs.what can be done in the future is an important consideration. The review must identify facts, establish root causes, and suggest methods for mitigating or preventing recurrence. Statistics from accident and incidents are tracked and compared to performance measures and targets to identify where mitigations may or may not be effective. The identified hazards are reviewed and assessed, and a priority is set based on severity of risk using the Hazard Resolution Matrix. The Location Safety Committee plays an important part of hazard reduction and hazard resolution. The committee should provide inputs/ideas to ensure a safe work environment is established and maintained. (Safety Policy S-39). Hazard Resolution and Communication When the safety hazard and analysis has been completed,the location supervisor or manager who will then coordinate efforts with essential personnel to resolve the hazard in a timely manner. In cases where an immediate threat to safety exists, work will be immediately suspended by the location management while the hazard is addressed and mitigated. Many hazards can be resolved through more than one means, but the general process for determining the best method should be by considering engineering controls, administrative work practices, or employee actions. Communication of resolution and status of SMS activities is listed out in section 4 of this plan. 3. Safety Assurance The FTA defines Safety Risk Management as a series of processes within a transit agency's Safety Management System that function to ensure the implementation and effectiveness of safety risk mitigation, and to ensure that the transit agency meets or exceeds its safety objectives through the collection, analysis, and assessment of information. Safety Assurance subcomponents includes: 1. Safety Performance and Monitoring and Measurement 2. Management of Change 3. Continuous Improvement 16 3.1 Safety Performance and Monitoring and Measurement Data is constantly collected through the transit agency's Safety Assurance activities. This will include both leading and lagging indicators. Leading indicators are used to anticipate and prevent injuries and accidents. This data source can include information collected from road observations, ride checks, mobile blitzes, or the ESRP. Our behavior-based indicators, as measured by DriveCam or another safety monitoring technology, is one of our best indicators for future success, as it measures the unsafe behaviors present in our operation. Our lagging indicators measures what has happened, including accidents and injuries. This metric allows you to analyze historical information,as well as view in real-time if your risk mitigation plans are reducing the accidents and injuries. Safety performance indicators will help measure inputs, outputs, outcomes, or impacts. It is a signal or early warning sign. Safety performance targets are quantifiable and is the expected change over a period of time. Daily monitoring will be conducted through inspections, observations, and evaluations. Safety Performance Targets are spelled out in the PTASP addendum of this plan. Mitigation Monitoring The Mitigation Monitoring plan helps ensure safety performance monitoring and measurement activities are performed to confirm that mitigations are effective, appropriate, and fully implemented. A Mitigation Monitoring plan may include the selected safety risk mitigation, the indicators or targets, description of how it will be monitored,timeframe, responsibility, and updates. While the Mitigation Monitoring plan addresses the mitigation and monitoring activities, the Corrective Action Plan documents the corrective action and helps address short-term defects or compliance issues. The Corrective Action Plan is intended to eliminate the behavior that caused the event, while Mitigation Monitoring is to continuously monitor the hazard. The Mitigation Monitoring process is owned by the location's management team, with assistance from the Regional Safety Director. The Mitigation Monitoring process requires periodic reviews to ensure that the risk level is being mitigated and reduction of the frequency of the hazard is taking place. A periodic audit of contractor safety plans,Safety Data Sheets, and Personal Protective Equipment requirements will be conducted by the Safety Team and the General Manager. 3.2 Management of Change Our operating environment has many areas that can and will be subject to a change. Prior to implementation of a proposed change, an assessment will be performed by using the Hazard/Risk 17 Report form to determine if the change will impact safety performance or if there are any new hazards that will be present. If a new hazard is identified, it is put through the SRM process and evaluated. A risk mitigation strategy will be created or modified to mitigate risk for that change. Once the change is made it will be monitored for effectiveness. The size and scope of the change can vary from something small to something as large as new service or routes. Efforts will be made to assess if there is a possible impact to safety prior to operations taking place. 3.3 Continuous Improvement The overall safety performance of the system and the performance of SMS activities will be continuously measured and evaluated to determine the effectiveness and appropriateness of risk mitigations. The data and information that will be collected through Safety Assurance activities will tell us how we are doing and what areas we can improve on. Insight through these sources may trigger more frequent reviews and a revised strategy to ensure that mitigations are effective. Local management will work with the agency to determine frequency of meetings with the contractor management to review the SMS process. 4. Safety Promotion 4.1 Competencies &Training It is the policy of MV Transportation that all employees will undergo new hire training based upon type of service and experience level. Mastery is verified through evaluations prior to being released to revenue service. Job-specific training programs have been developed to enhance safety skills necessary for safe, secure, and reliable customer service. This includes training for operators, trainers, supervisors, maintenance staff, operations, and management personnel. MV Transportation maintains a continuous safety communication campaign through the form of safety meetings (Safety Policy S-27). Every month, a fleet safety and injury prevention topic will be reviewed to refresh the fundamentals and key learning points. Annual refresher training on key areas will also be conducted along with periodic promotion of prevention activities. Maintenance monthly training will focus on OSHA compliance for shop safety. The training complies with current state and federal standards and covers potential safety and health hazards as well as safe work practices and procedures to eliminate or minimize hazards. Information concerning safety hazards or issues is provided to employees through new hire orientation, location safety committee meeting minutes, company-wide or departmental 18 it meetings, Safety Team briefings, monthly safety meetings, bulletin board postings, memos, or other written communications. All MV operators will receive refresher or remedial training, as necessary, throughout their employment with the Company (Safety Policy S-12). This can include, but is not limited to, defensive driving techniques, ADA and Wheelchair Securement activities, Fatigue Management, Pedestrian and Bicyclist awareness, as well as hands-on training. This training provides a procedure for evaluation job skills and determining subsequent retraining needs or employees who are returning to work after an extended leave, employees who have been involved in an accident and refresher skill training. Training, retraining, proficiency checks, and safety meeting attendance will be recorded and documented. Training records are kept by the department supervisors and managers and will include: • Date of training • Employee names • Copies of training materials • Training subject • Location of training • Name of trainer • Signature of trainer and trainee A training audit and training needs assessment will be conducted at least bi-annually, or as a result of activities that come out of the SRM process. Safety Culture Our Vision is to deliver the Best Customer Experience with industry-leading Safety, Reliability, and Innovation. Our fundamental safety belief is that Safety is a core business value and there is nothing more important than promoting and maintaining a safe operation. Our Safety Culture Guide outlines the importance of implementing initiatives at the local level to promote a positive safety culture. To foster a positive safety culture, supervisors and management should make every effort to demonstrate their commitment to safety, offering the highest level of respect and dignity and a genuine concern for the welfare of their workers. Supervisors and management will exhibit the behaviors they want to see as part of their location's safety culture. Elements of our Safety Culture Guide include: • Employee engagement and buy-in • Accountability and ownership of employees • Positive recognition • Reinforcement of safe behaviors • Safety award programs • Administration of the Katherine McClary Safe Operator Award program • Safety campaigns and blitzes • Incentive and reward contests 19 i‘ e Supervisors and managers will pay attention to, measure, and publicly acknowledge the desired behaviors and performance outcomes by workers. The purpose of this and other safety-related programs is to focus our employees on working safely, and then reward them for their success. 4.2 Safety Communication Communication of the SMS A variety of methods may be used to communicate the SMS plan, including updates or memos. Communication can include updates related to SMS concerns/issues, lessons learned, analysis, new requirements or tracking mechanisms, and/or roles and responsibilities. It is the responsibility of the location management to train employees on how to identify and report hazards. Management and supervisors will encourage employees to report their safety concerns or hazards. Safety actions that are taken in response to reports submitted through the ESRP will be communicated to employees during the safety meetings or posted in a common area. Our Policy and Commitment to Safety statement will be distributed to all managers to be reviewed with all employees during initial onboarding. This will be reviewed at least annually to continuously promote a safe work environment and communicate our commitment to an incident and injury free workplace. Our policies, procedures,written statements, and formalized plans that support our SMS activities are available to all managers through our intranet site. Continuous Awareness and Safety Communication Management and supervisors will facilitate in daily safety communication and planning engagement blitzes and campaigns accordingly. Dispatchers will play an active role in this process by delivering safety radio announcements. The Daily Safety Message will be printed and posted throughout the facility. Material that supports the monthly fleet safety topic and/or injury prevention topic that is distributed from corporate will be displayed throughout the facility. Additional means of communication includes: • New Hire Orientation Training • Safety Bulletin Board • Operational Safety Calls • Safety Committees • Safety Meetings • Posters, Flyers, & Memos • One-on-one dialogue between • E-mail Communications supervisors and employees • Internal Websites • Safety Briefings/Toolbox Talks • Video/TV Displays 20 S. Supporting Resources General Procedures&Regulatory Maintenance,Facility&Fleet Operator Safety Compliance Maintenance Shop Safety Employee Handbook Code of Federal Regulations(CFR) Handbook Safety Manual Crime Prevention Environmental Vehicle Maintenance Plan(PM) Design(CPTED) New Hire Orientation Aerial Platform Certification Emergency Action Plan Fitness for Duty Evaluation Powered Industrial Truck Fire Prevention Plan (Forklift)Certification Operations Policies and Procedures Handbook HAZCOM Plan Clean Air Act(608,609) Recruiting and Hiring Practices Hearing Conservation Program Noise Protection Incident Management and Heat Illness Prevention Lock Out/Tag Out Investigation Lockout Tagout Program Personal Protective Equipment Safety Audits/Inspections Safety and Security Program Respiratory Protection Safety Reports and Forms System Safety Program Plan Welding,Cutting and Brazing Safety Communication TV Displays System security and Emergency Safety Wheelchair Certifications Preparedness Plan OSHA 10-Hour Defensive Driving Program KMA Safe Driver Award Program OSHA 30-Hour Operator Refresher Training Monthly Safety Meetings Heat Stress Safety Committees Customer Service Training Housekeeping Safety Calendar—Weekly&Monthly Continuity of Operations Plan HAZCOM Topics Blood borne Pathogens Bi-monthly Safety Stand-down 21 16A L 6. Plan Development 6.1 Approval and Updates Name of Entity That Drafted MV Transportation This Plan Signature of Accountable Executive Date of Signature Signature by the Accountable Executive Name of Individual/Entity That Approved This Plan Date of Approval Approval by the Board of Directors or an Equivalent Authority Relevant Documentation(title and location) Name of Individual/Entity That Certified This Plan Date of Certification Certification of Compliance Relevant Documentation(title and location) 6.2 Version Updates Version Number and Updates Record the complete history of successive versions of this plan. Version Section/Pages Affected Reason for Change Date Issued Number 1 Creation 10/2019 99 • \ 6.3 Annual Audit and Review of Plan Annual Audit&Review and Update of the Safety Management Systems Plan Describe the process and timeline for conducting an annual review and update of the Safety Management Systems Plan. During the final quarter the Safety Plan Committee will meet and review current SMS plan and make changes accordingly and update this SMS document.A communication will be sent out with an explanation of changes and a pdf copy of the updated plan will be made available vie e-mail or web. 23 PTASP Addendum Transit Agency Information Transit Agency Name Transit Agency Address Name and Title of Accountable Executive Name of Chief Safety Officer or SMS Executive Mode(s)of Service Covered List All FTA Funding Types by This Plan (e.g.,5307,5310,5311) Mode(s)of Service Provided by the Transit Agency (Directly operated or contracted service) Does the agency provide transit services on behalf of Description of another transit agency or Arrangement(s) entity? Name and Address of Transit Agency(ies)or Entity(ies)for Which Service Is Provided Safety Performance Safety Performance Targets Safety Performance Targets Specify performance targets and definitions based on the safety performance measures established under the National Public Transportation Safety Plan.The table below provides targets for fatality rate(reportable fatalities per revenue mile);injury rate(reportable injuries per revenue mile);safety event rate(reportable safety event per revenue mile);and system reliability(revenue miles between major mechanical failures). Preventable Fatalities Mode of Transit Employee Injuries Safety System Service Accidents per 100K miles (Rate) (Rate) Events(Rate) Reliability(Rate) 24 Safety Performance Target Coordination Safety Performance Target Coordination MV Transportation will work with the agency to support them in their PTASP which includes analyzing historical trends to establish safety performance targets.Agency will coordinate directly with MPO and MV will help in this process as needed. Name Date Targets Transmitted Targets transmitted to stakeholders 25 1i4e Attachment A 1 HAZARD PROBABILITY TABLE Probability Level Description Likely to occur frequently. Continually experienced in the A—Frequent fleet/inventory. Likely to occur several times in life of an item. B—Probable Likely to occur frequently in the fleet/inventory. Likely to occur sometime in life of an item. C—Occasional Likely to occur several times in the fleet/inventory. D—Remote Unlikely, but possible to occur in the life of an item. Reasonably expected in the fleet/inventory. So unlikely, occurrence is not expected. i E—Improbable Unlikely to occur, but possible in the fleet/inventory. 2 RISK ASSESSMENT FREQUENCY/SEVERITY MATRIX Severity Frequency 1 2 3 4 Catastrophic Critical Marginal Negligible A— Frequent 1/A 2/A 3/A 4/A B—Probable 1/B 2/B 3/B 4/B C—Occasional 1/C 2/C 3/C 4/C D— Remote 1/D 2/D 3/D 4/D E—Improbable 1/E 2/E 3/E 4/E 3 HAZARD RESOLUTION TABLE Severity/Frequency Resolution 1/A I 1/B I 1/C 12/A I 2/B 13/A I Unacceptable—correction required. 1/D 12/C I 2/D I 3/B I 3/C I Unacceptable—correction may be required after review by CEO. 1/E I 2/E I 3/D I 3/E I 4/A 14/B I Acceptable—with review by CEO. 4/C I 4/D I 4/E I Acceptable—without review. 26 Attachment B MV Transportation SMS Hazard/Risk Report Form This report 0 Hazard 0 Risk ❑ Near Miss ❑ Other concerns: Hazard Type: ❑ Policy/Procedure ❑ Operational 0 Environmental ❑ Equipment/Design ❑Training REPORTED BY: ElEmployee ❑ Customer/Passenger ElOther: Ie:PDorFD NAME: LOCATION: Description of Safety Concern: PHOTOS: ❑ Yes ❑ No Hazard Analysis: According to Hazard Severity Matrix ❑ 1 Catastrophic ❑ 2 Critical ❑ 3 Marginal 0 4 Negligible Recommended Safety Risk Mitigation: Supervisor/Safety Manager Comments/Actions: Supervisor/Safety Manager: ?7 1 A Hazard/Risk Resolution ❑ No If the answer is"No"then proceed with the steps below: Is Hazard/Risk corrected"On the Spot"? El Yes This report must be forwarded to the SAFETY DEPARTMENT;report is assigned to specific department(s)for hazard rectification; report is assigned a priority Priority: ❑ High ❑ Medium ❑ Low Hazard/Risk/Near Miss deficiency corrected? ElYes ElNo Date closed if"Yes" Date If answer is NO, notify Safety department to begin continuing action for resolution,and send to the Safety Team or Staff for recommendations. List how the Hazard/Risk/Near Miss was resolved Date Resolved Date 28 Appendix Please add any relevant contract documentation specific to plan. 29