Driver Assessment

• Driver Name:

• Conducted on:

  Date

• Driver Trainer:

• Location:
  Address

• Driver Assessment Details (Lesson/Assessment Information):

Vehicle inspection list

• Vehicle Registration Number

• Odometer reading- start recorded

  Recorded

  Not Recorded

• Odometer reading finish recorded

  Recorded

  Not Recorded

• Vehicle functions tested- steering, horn, brakes, brake assists completed

  Yes

  No

  N/A

• Vehicle checked for leaks wear and levels- oil, water, fuel completed

  Yes

  No

  N/A

• Daily check conducted - lights, reflectors, windscreen, mirrors, washers, wipers, Tyres,wheels and structure, body work and correct signs (L plates) Completed

  Yes

  No

  N/A

• Faults found?

  Yes

  No

  N/A

Cabin drill

• Licence checked

  Yes

  No

  N/A

• Correct knowledge of Vehicle dimensions and vehicle functions

  Yes

  No

  N/A

• Correctly locate and activate lights including high beam

  Yes

  No

  N/A

• Correctly locate and activate vehicle horn

  Yes

  No

  N/A

• Correctly activated wipers and washers

  Yes

  No

  N/A

• Correctly identify and activate hazard lights

  Yes

  No

  N/A

• Locate and activate demisters <br>

  Yes

  No

  N/A

• Locate and activate air conditioning

  Yes

  No

  N/A

• Seat and mirror adjustment

  Yes

  No

  N/A

Vehicle operations

• Accelerator

  Yes

  No

  N/A

• Gears

  Yes

  No

  N/A

• Clutch

  Yes

  No

  N/A

• Steering control

  Yes

  No

  N/A

• Steering operations

  Yes

  No

  N/A

• Braking

  Yes

  No

  N/A

• Road position

  Yes

  No

  N/A

• Manoeuvre positions before and after turn

  Yes

  No

  N/A

Hazard recognition/ decisions

• Observation/ scanning

  Yes

  No

  N/A

• Shoulder checks

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Signalling

  Yes

  No

  N/A

• Traffic hazard

  Yes

  No

  N/A

• Judgment

  Yes

  No

  N/A

• Safety margins

  Yes

  No

  N/A

• Progress

  Yes

  No

  N/A

• Signals / signs / markings

  Yes

  No

  N/A

Speed

• Minor speeding <2.5mph over

  Yes

  No

  N/A

• Major speeding >3mph over

  Yes

  No

  N/A

Maneuvers

• Hill start

  Yes

  No

  N/A

• Reverse exercise

  Yes

  No

  N/A

• Traffic lights

  Yes

  No

  N/A

• Roundabouts

  Yes

  No

  N/A

Final comments

• Drive adequate?

  Yes

  No

  N/A

• Driver Signature: By signing this from you declare that you have completed your lesson and have received useful feedback from the assessor on the outcome

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• Assessor/Trainers Signature: By signing this form you are certifying that the vehicle is road worthy to the limits of the inspection, and all checks were carried out as per the inspection checklist.

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