Driver Qualification · Free Form
Safety Performance History Inquiry Log
Track requests, responses, and good-faith follow-up for previous-employer safety performance history investigations.
Who It’s For
Hiring teams tracking required previous-employer safety inquiries.
How to Use It
Use one sheet per previous DOT-regulated employer. Keep the inquiry, response, and supporting correspondence in the restricted driver investigation history file. This log tracks the process; it does not replace the inquiry, required authorizations, driver notices, or returned information.
What’s Included
- Employer and request details
- Contact-attempt and response log
- Thirty-day review and missing-record follow-up
Under 391.23, required responses or documentation of good-faith efforts belong in the driver investigation history file within 30 days after employment begins. The rule does not make a fixed number of unanswered calls automatically sufficient.
Apply the current Clearinghouse and other-DOT-employer rules when determining how prior drug-and-alcohol history is obtained. Do not place test results or medical details on this general tracking sheet.
Put It into Practice
Need help applying this to your operation? Build a driver-specific DQ checklist.
Related Downloads
Official References
Check the applicable requirements alongside your company procedures.
Using This Download
Is this a fillable PDF?
This is a printable 1-page PDF. Complete it by hand after printing, or add text with a PDF editor. It does not contain interactive form fields.
Can MSM customize it for our company?
Yes. MSM clients can ask their MSM team to adapt the resource to company procedures, reporting contacts, equipment, and branding. The standard public download is available to everyone.
Reviewed October 26, 2026. These resources support U.S. trucking safety work. Apply the rules, exceptions, equipment instructions, and state requirements relevant to your operation. A completed form does not by itself establish compliance.