ClaimShield · Zivaan Trans Inc · USDOT 4348958

On-Site Safety Audit Prep

A few items the FMCSA auditor needs before the on-site visit. Should take ~15 minutes. Saved automatically when you submit.

One thing to do separately, in your inbox: please open the email titled "ClaimShield: Drug & Alcohol Policy update — please re-sign" and click the link to e-sign the updated policy. That doesn't go through this form.

Carrier Basics

Pulled from the Articles of Incorporation and your tax filing.

Exact incorporation date From the Articles of Incorporation. State of incorporation

Gross revenue (most recent fiscal year)

Fiscal year date range

Total miles operated last 12 months If your most recent MCS-150 number (100,000) is still current, just leave it. Fax number

Operations

Last interstate trip required The most recent trip that crossed a state line.

Driver counts

Within 150 air-mile radius

Beyond 150 air-mile radius

Owner-operators leased to you

Vehicles

Trailer GVWR comes from the metal data plate (usually on the front bulkhead or driver-side rail).

Trailer 419 (Utility 2016, VIN 1UYVS2539GU481028) — GVWR from data plate Trailer 1136 (Great Dane, VIN 1GRAA0627KW120023) — GVWR from data plate Trailer 1136 actual year Cab card says 2019, but VIN decode suggests 1989. Which is right? MCS-150 update — confirmation # or screenshot FMCSA portal currently shows 1 power unit / 1 driver. Please file an MCS-150 update at portal.fmcsa.dot.gov reflecting 2 tractors / 3 drivers / current cargo, then upload the confirmation here.

Documents to upload

Photos from your phone are fine. PDFs preferred where possible.

Articles of Incorporation GEICO Marine insurance declaration page Shows policy effective and expiration dates. The MCS-90 alone doesn't. Lease agreement with Dabas Trans Inc Both active tractors are owned by Dabas. Auditor will ask for the lease. Annual periodic inspections (49 CFR 396.17) One PDF per truck/trailer. Combine into one ZIP if easier. Maintenance files Repair logs, oil changes, tire records, etc. for each active vehicle. GEICO Marine police report from 4/16/2025 crash (if available) Call your GEICO claims rep — they have the police report in the loss file. Free, same day. Insurance loss run (if available) Anything else you think the auditor will want

Audit-day logistics

I have a desk/table with a power outlet for the auditor's laptop and printer. All driver qualification files, ELD logs, and maintenance records will be on-site or accessible at the audit. I understand ClaimShield has identified items that may be cited regardless of preparation, and we have discussed how to address them.

Notes

Anything else to flag for ClaimShield before the audit?

ClaimShield will be notified the moment you click submit.

Got it — thank you, Krishan.

ClaimShield has been notified. We'll review what you sent and follow up if anything else is needed before the audit.