Title Page

  • Outbase name

  • Conducted on

  • Prepared by

  • Location
  • Driver Name

  • Crew Number

  • Multicrew name (enter ST if not a multicrew driver)

  • Vehicle Type

  • Vehicle Registration

  • Assessment start time

Guidelines and questions for assessor before, during and after drive

  • Identify and speak with driver about reason for assessment

  • Has the driver completed any Thrive training before the assessment? (Details of package taken)

  • Issue the driver a vehicle checksheet and observe the check. Did they check tyres, fluid levels and have they checked the rear to check load security?

  • Did the driver adjust seat and check wing mirrors before setting off?

  • What SATNAV system is the driver using? Is it up to date? Is it set to the correct vehicle type? Have they correctly mounted it? Are they using bluetooth to connect to vehicles onboard system?

  • Has the driver asked you to act as a banksman?

Observations - 0 = Not observed 1 = Developmental area 2 = Awareness raised 3 = Competent

Decision Making/Human Factor

  • Self-awareness

  • Responsibility

  • Consideration/Co-operation

  • Managing distractions

  • Blind area

  • Banksman used

Managing Space

  • Ahead

  • Behind

  • To the sides

  • For escape

Communication

  • Lights/Signals/Horn

  • Brake lights

  • Vehicle checks

Control

  • Acceleration

  • Brakes

  • Steering

  • Stability

  • Gear Selection

Speed

  • On Site

  • Built up areas

  • Motorway

  • Rural roads

  • For road conditions

Positioning

  • Safety

  • View

  • Communication

  • Stability

Maneuvering

  • Use of space

  • Observation and use of information

  • Choice of method

  • Choice of space

  • Use of mirrors

Overtaking

  • Method

  • Use of mirrors

  • Timing

Outcome of assessment

  • Action

  • Additional comments

  • Assessor's Signature

  • Driver's Signature

  • Assessment Finish Time

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.