Title Page

Assessment Details

  • Name

  • Licence Number

  • Location
  • Start Date & Time

  • Vehicle

  • Assessor

Vehicle & Pre drive checks

  • Has the driver have access to a copy of the CET Company Driving Policy, FORS Policy Manual and the CET Road Safety Policy?

  • Does the driver have access to Smarter Driver vehicle inspection report and are they completing the daily inspections?

  • Is the driver aware they must NOT use mobile phones whilst driving?

  • The vehicle is fitted with reversing alarms, camera systems and proximity sensors.<br>Does the driver know how to operate them correctly and safely?

  • Does the driver know how to secure loads properly?<br>And do they have enough straps to do this?

Eye sight test

  • Can the driver read a number plate at 20 metres?

Personal Safety around the vehicle

  • Is the driver aware of the risk from slips and falls while exiting the vehicle - Uneven surfaces, Potholes and Kerbs - Three points of contact rule - clean up spills and dirt - defect checks - keep soles of footwear clean - follow safe systems of work for loading and unloading.

  • Is the driver aware of the most common security and terrorism threats, including fuel theft through syphoning - load theft through use of unsafe parking locations - diversion theft - hijacking and physical attacks on drivers - use of vehicles as a mobile weapon.

Safety consideration for passenger, pedestrians and other road users

  • Was the driver considerate to other road users including cyclists?

Speed

  • Did the driver obey the speed limits, if not please specify the road(s) where the speed limit was exceeded.

  • Did the driver use the correct speed in relation to the road conditions

Space management - between other vehicles and cyclists

  • Traffic queues

  • Urban areas

  • Rural areas

  • Open road

  • Motorway

Vehicle sympathy

  • Overall smoothness

  • Brakes

  • Acceleration

Defensive driving

  • Observation

  • Mirror and signals

  • Road position

  • Hazard Identification

  • Concentration

Attitude

  • Did the driver have the a calm disposition towards driving?

Highway questions

  • What shape is a stop sign?

  • What shape is a give way sign?

  • On a road with no speed limit signs how do you know the speed limit?

  • What is the speed limit for a van on a dual carriageway?

  • What gap should we leave from the car in front when driving normally?

  • What gap should we leave behind the car in front at a junction?

Post assessment comments

  • Did you as the assessor feel safe whilst accompanying the driver?

  • Assessor comments

  • Driver comments

  • Assessor Signature

  • Driver signature

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.