Information

  • Audit Title

  • Client

  • Assessment Conducted On

  • Assessor Name

  • Driver Name

Assessment Route

  • Leave J2 and head towards the M60 motorway, follow the signs for Ramsbottom.
    Head along the motorway for approximately 6.8 miles where the motorway ends and turns onto the A56.
    Follow the slip road to the left heading towards Haslingden then follow the signs for Bury / Edensfield.
    Follow the signs for Bury on Manchester Road for approximately 8 miles towards Bury town centre.
    At the junction turn left and follow the road to the right for approximately 1.2 miles towards J2.

    The suggested route gives motorway and urban driving experience, the route gives all types of hazards that could be encountered when driving their vehicle.

Vehicle Details

  • Make of Vehicle

  • Model

  • Vehicle Registration

  • Fuel Status

  • Full

  • 3/4 Full

  • 1/2 Full

  • 1/4 Full

  • Near Empty

Department

  • Reactive Engineer

  • Clean & Service

Pre Driving Assessment and Instruction

  • Has the driver been fully briefed, and understands their requirements?

  • Can the driver produce their driving licence?

  • The driver has been breath tested and is safe to drive?

  • The driver can read a number plate from 20.5m?

Vehicle Checks

  • P.O.W.D.E.R.S. Check?

  • P. Petrol / Diesel?

  • O. Oil levels?

  • W. Water's (Coolant & Screen Wash)?

  • D. Damage to the vehicle?

  • E. Electrics, all warning lights out and light checks?

  • R. Rubbers, tyres and windscreen wipers?

  • S. Security, has the driver checked that his vehicle is safe and secure?

Driving Assessment

  • Safe Engine Start Process?

  • Rolling Brake Test?

  • Moving off & Stopping Safely?

  • Use of Controls?

  • Driver Attitude?

  • Forward Observation & Planning?

  • Giving Information?

  • Use of Speed?

  • Management of Space Around Vehicle?

  • Vehicle Positioning?

  • Manoeuvring?

  • System Driving?

Assessment Results, Comments & Recommendations

  • Assessment Results

  • Comments

  • Recommendations

Signature

  • Assessor's 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.