• Driver Name and Employee ID:

  • Driver origin:

  • Driver picture:

  • Vehicle Type :

  • Indonesian lisence applicable

  • Vehicle Transmission type:

  • Weather Conditions:

  • Eye condition right:

  • Eye condition left:

Before Driving

  • Knows and checks all important items (oil, water, brake fluid, batteries & tires pressure)

  • Seat adjustment (Distance to pedal & steering wheel) / Seating Posture

  • Mirror Adjustment

  • Used the safety belt and be sure the passengers too

  • Positive check of gauges, dash board warnings & operate controls commands

  • Vehicle Character check (Brake, power & steering)

  • Check and ensure parking brake is on

  • Vehicle Character check (Brake, power & steering)

  • Check and ensure gear is neutral prior to start the engine with gear 1

While Driving

  • Looks as far as he can see

  • Looks regularly in mirrors (every 5 to 8 sec)

  • Moves eyes from side to side (every 2 sec)

  • Checks mirrors prior to maneuver (when starting, braking & indicating)

  • Glance over the shoulder when changing lane

  • Stops Completely at Stop Signs and Red Lights?

  • Clears blind spot (Be sure & Careful)

  • Obeys All Traffic Laws?

  • Looks for indications (look far for steady traffic light, wheel of parked vehicle / on coming vehicles)

  • Checks deep inside cross road (between building, trees & traffic)

  • Keeps vehicle away from being trap (keep safety cushion all around the vehicle)

  • Maintains following distances ( 3 seconds rule)

  • Stops at good distance behind vehicle (able to see the back wheels of vehicle ahead)

  • Waits when vehicle in front move (3 seconds rule)

  • Uses the right communication device (indicator, lights, brake lights, horn & warning signal)

  • Uses signals well in advance (when turning, overtaking & stopping)

  • Overtakes safely ( speed & space)

  • Uses clutch only when needed (remove foot out of the clutch when not needed)

  • Brakes smoothly & release brake just before stopping

  • Selects gears according to conditions (according to engine rpm & environment)

  • Keeps hands correctly on steering wheel (never put hand / finger inside wheel)

  • Modifies speed in advance (before traffic lights, obstructions & bends)

  • Follows traffic regulations (Traffic light, speed limit..)

  • Keeps good position on the road & Uses proper lane

  • Commentary driving

ADD ON

  • Obeys All Traffic Laws?

  • Backs Safely?

  • Merges Smoothly Into Traffic?

  • Changes Lanes in a Controlled Manner?

  • Avoids Following Oversized Vehicles?

  • Avoids Driving in Other Driver's Blind Spots?

  • Shows Awareness of Pedestrians and Cyclists?

  • Reacts Early Enough to Respond to Potential Hazards?

  • Avoids Distractions? (Cell Phones/Eating/Conversations)

  • Hand position 9-3

  • Steering wheel pull&push

  • Module 1 forward slalom

  • Module 2 backward slalom

  • Module 3 Parking

  • Module 4 circle around

  • Module 5 breaking

  • Module 6 turning

  • Module 7 uphill start

  • Module 8 downhill start

  • Module 9 mud escape

  • Module 10 water escape

  • Driver Signature:

  • Assessors Signature

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