Driver Observation

• Company Name:

• Location/Terminal

• Assessment Date / Time

  Date

• Assessor

• Location
  Address

• Weather Conditions

Vehicle Details

• Is this a company vehicle ?

  Yes

  No

• Vehicle Model

• Trailer ID #

• Distance Followed:

Observations

• Brake Lights

  Yes

  No

• Running Lights

  Yes

  No

• Tire Tread, Pressure & Safe Condition

  Yes

  No

Hazard Awareness

• Forward Planning<br>

  Safe

  At Risk

  N/A

• Speed

  Safe

  At Risk

  N/A

• Signalling

  Safe

  At Risk

  N/A

• Mirror Usage

  Safe

  At Risk

  N/A

• Shoulder checks

  Safe

  At Risk

  N/A

• Judgment

  Safe

  At Risk

  N/A

• Safety Margins

  Safe

  At Risk

  N/A

• Distractions

  Safe

  At Risk

  N/A

• Backing

  Yes

  No

  N/A

• Entering/Exiting Vehicle

  Safe

  At Risk

  N/A

Final comments

• Assessor Comments & Recommendations