Once an applicant completes the hiring process, it is time to begin in-service training. In-service training allows the company to prepare new employees to begin to adapt the company’s safety culture. This is an opportunity to explain what safety means in an organization. It allows the employee to learn:

· The company’s expectations regarding safe driving

· Employee accountability measures

· That they have the authority to ensure a safe environment For NEMT drivers, this means they have been given the knowledge and tools to do their work safely, the responsibility to notify management of unsafe conditions and the personal authority to act if they, their passengers or others are in imminent danger.

Training should be developed to teach new skills or knowledge during in-service or periodic refresher classes, including but not limited to:

· Company safety and health policies and procedures review

· Defensive driving training course

· Passenger safe handling procedures, including: – Use of specialized equipment such as wheelchair lifts – Ramps

· Seatbelts or wheelchair securement.

· In-transit passenger monitoring procedures.

· Emergency procedures for accidents or injuries.

· Testing to ensure effectiveness of training programs.

· Drug and alcohol testing.