Sample Trucking Company LLC
Vehicle Seat Belt and Occupant Restraint Policy
Seat belts must be used at all times while driving or riding as a passenger in any Sample Trucking
Company vehicle. Furthermore, seat belts must be used at all times while driving or riding as a
passenger in a personal vehicle while on company business or performing any travel that has a
connection to work with Sample Trucking Company. The seat belt requirements are in effect
regardless of seating position in the vehicle. (Even those in rear seats must wear seatbelts.)
Sample Trucking Company will treat instances where seat belts are not worn properly the same as an
instance where they are not worn at all. Seat belts are not worn properly when they are not properly
adjusted (if the vehicle allows for such adjusting), properly positioned on the body (i.e., shoulder strap
not being worn over the shoulder), have had their retractor / locking mechanism locked thus creating
slack in the shoulder belt, or have otherwise been altered or improperly fitted.
For sleeper berths, occupant restraint systems installed by the manufacturer must be used, whether
the system is at the entry point of the berth or incorporated as a belt-type restraint within the berth
Failure to comply with Sample Trucking Company’s Seat Belt and Occupant Restraint Policy will be
considered a violation of company policy. Consequences for violating Sample Trucking Company’s
Seat Belt and Occupant Restraint Policy will be disciplinary action leading up to and including
termination in accordance with Sample Trucking Company’s progressive discipline policy.
This sample policy has been adapted from material contained in the following publication:
Increasing Seat Belt Use in Your Company. U.S. Dept. of Transportation, Federal Highway
Safety Administration. FMSCA-ESO- 06-0011, www.fmcsa.dot.gov/safetybelt. 2006.
Additional materials, including a training presentation may be found at the preceding website.
Sample Trucking Company LLC
Seat Belt and Occupant Restraint Policy
ACKNOWLEDGEMENT AND PLEDGE
I, ____________________________________ , have received a copy of Sample Trucking Company
LLC’s Seat Belt and Occupant Restraint policy. I have read this policy and / or had the policy verbally
read to me, and I have had the opportunity to ask any questions that I may have. I fully understand
the company’s penalty for violation of this policy and what my responsibilities are for complying with
I hereby pledge that I will use safety belts whenever driving or riding in a company vehicle or in any
other vehicle when on company business. I also pledge that I will ensure that passengers of vehicles
that I am driving will wear their seat belts.
[Signature of Employee] [Date]
[Signature of Supervisor] [Date]