SAFETY POLICY ACKNOWLEDGMENT

Driver acknowledgment form · BOF Transportation Safety Program

Driver Information

Name: Kenji Tanaka

Driver ID: DRV-005

CDL Number: DLN-00005 (OH)

Policy Version: BOF-SAF-2026.2 · Issue Date: 2026-05-14

Acknowledgment

I acknowledge receipt of BOF Transportation safety policies and agree to operate in compliance with DOT/FMCSA requirements and carrier procedures.

[X] Hours of Service policy reviewed

[X] Pre/Post trip inspection policy reviewed

[X] Cargo securement policy reviewed

[X] Incident reporting requirements reviewed

Kenji Tanaka

Driver Signature

Michael Brown

Safety Officer Signature

James Wilson

Carrier Representative Signature