Objective The research aimed to understand the impact of telematics in reducing traffic violations and crashes among drivers working in parcel delivery and the perceived utility, effectiveness, and acceptability of telematics among drivers using them. The objective was to carry out an online survey among drivers who have telematics versus drivers who do not and compare their behaviors in terms of risks and violations controlling for key demographics an exposure. Methods An online anonymous survey was conducted of 780 home delivery drivers of which 430 used telematics in 2022. The survey was conducted by a fieldwork company and participants were compensated for their time. Univariate and multivariate analysis was conducted on the data. Results Telematics users did not report less crashes than drivers who did not use telematics. Most drivers, irrespective of telematics use agreed that the time pressure of delivery work increased speed limit violations and unsafe or hazardous parking. Multivariate analysis indicated that damage collisions for all drivers were associated with factors such as, driving medium to large vans, hazardous behavior related to parking, and having penalties for violations, especially related to speed. Delivery drivers, while generally facing pressure to speed and take risks to meet delivery schedules, did perceive telematics as a tool for safety enhancement and information dissemination, as well as for the management of performance. Non-telematics users viewed it with skepticism. Conclusions Telematics alone may not ensure the safety of last-mile deliveries and could potentially increase the pressure of deliveries. This research underscores the need for a holistic approach to road safety in the home delivery sector, combining telematics technology with a proactive safety culture.