Driver Assessment Report V6

• Assessment Title

• Client

• Assessment Conducted On

  Date

• Assessor's Name

• Driver's Name

Assessment Route

• The route will include the following areas for the assessment.
  1. Motorways
  2. Dual carriageways
  3. Urban driving with changes in speed requirements at 30, 40 and 50mph.

Weather Conditions

• Assessment weather conditions?

  Select Sunny Raining Windy Icy Snow Dark Morning Overcast

  • Sunny
  • Raining
  • Windy
  • Icy
  • Snow
  • Dark Morning
  • Overcast

Drivers Details

• Drivers picture

  Media

• Licence picture

  Media

Vehicle Details

• Make of vehicle

  Select Mercedes Volkswagen Audi

  • Mercedes
  • Volkswagen
  • Audi

• Model

  Select Vito Sprinter Golf Caddy A3 A4

  • Vito
  • Sprinter
  • Golf
  • Caddy
  • A3
  • A4

• Vehicle Registration

• Vehicle Status

  Select Vehicle is fully loaded Vehicle is not loaded

  • Vehicle is fully loaded
  • Vehicle is not loaded

• Fuel Status

  Full

  3/4 Full

  1/2 Full

  1/4 Full

Department

• Employee department

  Reactive engineer

  Clean and service

  Insalations

  Transport

  Other

• If other please state

Pre Driving Assessment and Instruction

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

  Yes

  No

• Can the driver produce their driving licence?

  Yes

  No

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

  Yes

  No

Vehicle Checks

• Has the driver carried out the required vehicle checks?

  Yes

  No

Manoeuvring / Reversing

• Did the driver check the area for safety prior to carrying out the manoeuvre?

  Yes

  No

• Was the driver constantly checking his mirrors during the manoeuvre?

  Yes

  No

• Manoeuvring standard?

  Good

  Average

  Poor

Driving Assessment

• Moving off & Stopping Safely?

  Good

  Average

  Poor

• Hill starts?

  Good

  Average

  Poor

• Use of Indicators?

  Good

  Average

  Poor

• Use of mirrors?

  Good

  Average

  Poor

• Use of clutch control?

  Good

  Average

  Poor

• Use of gears?

  Good

  Average

  Poor

• Forward Observation & Planning?

  Good

  Average

  Poor

• Keeps a safe distance to the vehicle in front?

  Good

  Average

  Poor

• Giving Information on traffic signs and hazards?

  Good

  Average

  Poor

• Braking?

  Good

  Average

  Poor

• Acceleration?

  Good

  Average

  Poor

• Correct speed limit for the type of road?

  Good

  Average

  Poor

• Adjusts driving speed to meet changing conditions of the weather and road?

  Good

  Average

  Poor

• Cornering?

  Good

  Average

  Poor

• Road Positioning?

  Good

  Average

  Poor

• Alertness during the assessment?

  Good

  Average

  Poor

• Gives right of way when required?

  Good

  Average

  Poor

• Management of Space Around Vehicle?

  Good

  Average

  Poor

• Negotiating junctions?

  Good

  Average

  Poor

• Negotiating roundabouts?

  Good

  Average

  Poor

• Negotiating traffic lights?

  Good

  Average

  Poor

• Consideration for other road users?

  Good

  Average

  Poor

• Shoulder checks?

  Yes

  No

• Driver Attitude?

  Good

  Average

  Poor

Assessment Results, Comments.

• Assessment Results

  Pass

  Fail

• Assessors report

Signature

• Drivers Signature

  Sign

• Assessor's Signature

  Sign