Current Employee Review Grid Most Prior Year Prior Year Total Total is: Total is: Recent 2 3 Year # of Major 2 or more? 2 or more? Violations (Category 2 YES NO or 3) # of 2 or more? 2 or more? Preventable Accidents YES NO # of Other 4 or more? 4 or more? (Non-Major) Violations YES NO (Category 1) # of 4 or more? 4 or more? Accidents YES NO Note: Any yes answer makes the record unacceptable. Evaluation Summary: Record has only answers and is Acceptable “No” Record has one or more answers and is Not Acceptable “Yes” Evaluation completed by: (Name)________________________________ Date__________________________________
Current Employee Review Grid Most Recent Year Prior Year 2 Prior Year 3 Total Total is: Total is: # of Major Violations (Category 2 or 3) 2 or more? YES 2 or more? NO # of Preventable Accidents 2 or more? YES 2 or more? NO # of Other (Non-Major) Violations (Category 1) 4 or more? YES 4 or more? NO # of Accidents 4 or more? YES 4 or more? NO Note: Any yes answer makes the record unacceptable. Evaluation Summary: Record has only “No” answers and is Acceptable Record has one or more “Yes” answers and is Not Acceptable Evaluation completed by: (Name)________________________________ Date__________________________________
Driver%20Motor%20Vehicle%20Record%20Acceptability%20Checklist%20ACCESSIBLE_1.docx