Information

  • Document No.

  • Client

  • Location
  • Conducted on

  • Candidate

Details

Candidate

  • First Name

  • Middle Name/s

  • Surname

  • SADC

  • Nationality

  • Passport Number

  • Contact Number

  • Please add a copy of the candidates
    Licence / PrDp, Identity book or card
    If not SA citizens add Passport

  • Documentation copy's

  • Licence Code

  • Expiry date

  • PrDP

  • Expiry date

  • International Driving Permit

  • Expiry date

  • ID Number

  • Contact Number

  • Please add a copy of the candidates
    Licence / PrDp, Identity book or card
    If not SA citizens add Passport

  • Documentation copy's

  • Licence Code

  • Expiry date

  • PrDP

  • Expiry date

Vehicle

  • Vehicle Make / Model

  • Vehicle Registration Number

  • Gearbox & Retardation

  • Vehicle Type

  • Vehicle Code

Road & Weather Conditions

  • Conditions

Assessor

  • Assessor Name and details

Evaluation

Theoretical evaluation

  • We strongly recommend a Theoretical Evaluation which includes
    Rules, Regulations, Road Signs, Signals & Markings

  • Score

  • - Below 80% - Failed

PRELIMINARIES

  • Vehicle check (Outside)

  • Checked

  • Errors

  • Vehicle check (Inside)

  • Checked

  • Errors

  • Brake Test

  • Errors

MANIPULATION OF CONTROLS

  • Deportment

  • Errors

  • Vehicle Sympathy

  • Errors

  • Use of Clutch

  • Errors

  • Use of Gears

  • Errors

  • Use of Mirrors

  • Errors

  • Use of Indicators

  • Errors

  • Use of Brakes

  • Errors

  • Use of gears at hazards

  • Errors

  • Acceleration sense

  • Errors

  • Pedal balance

  • Errors

  • Steering

  • Errors

  • Use of Horn

  • Errors

ROAD SENSE

  • Road Observation

  • Errors

  • Use of System

  • Errors

  • Overtaking

  • Errors

  • Assessment of hazards

  • Errors

  • Positioning

  • Errors

  • Restraint

  • Errors

  • Confidence

  • Errors

  • Speed and Distance

  • Errors

  • Cornering

  • Errors

  • Initiative

  • Errors

  • Use of Speed

  • Errors

  • Road Courtesy

  • Errors

  • Emergency

  • Reaction

MANEUVERING

  • Reversing

  • Parking

Summary & Sign Off

  • Would you like to include OHS&E Section

OCCUPATIONAL HALTH AND SAFETY ACT, 1993

  • Compliance Training

  • Done

  • Outstanding

  • Adherence to OHS Rules, Regulations and Procedures and company policies

  • Hazard Identification & Risk Assessment

  • Would you like to include Illegal or Dangerous Action

Illegal or Dangerous Action Performed

  • For the following reasons listed below the evaluation was aborted.

  • Details

  • If available Supporting Photos

Assessor recommendation

  • Poor - Below 70% - Learner Driver or Driver with no experience.

    Below Average - Below 80% - Limited Driving experience. No formal training.

    Average - 80% - 86% - Professional Driver. Drives well but needs formal training

    Above Average - Above 86% - Advanced Professional Driver.
    Has had formal training and drives in a Professional and courteous manner.

  • Recommendation

  • Competent. Well done keep up the good work.

    Please Focus on the issues hi-lighted by the assessor.

  • Competent with minor errors
    Further training is recommended.

  • Not Yet Competent.

    Does not meet the requirements of a Professional Driver
    Further training and or experience is recommended.

  • Not Yet Competent.

    Not Recommended
    Does not meet the requirements of a Professional Driver
    Further training and or experience is recommended.

  • Assessment Aborted

Signatures

  • I acknowledge that the evaluation process has been explained to me and I understood what was expected of me.

  • Candidate signature

  • Assessor Signature

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