Information
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Document No.
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Client
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Location
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Conducted on
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Candidate
Details
Candidate
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First Name
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Middle Name/s
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Surname
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SADC
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Nationality
- Angola
- Botswana
- Democratic Republic of Congo
- Lesotho
- Malawi
- Mozambique
- Namibia
- Swaziland
- Zambia
- Zimbabwe
- United Republic of Tanzania
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Passport Number
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Contact Number
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Please add a copy of the candidates
Licence / PrDp, Identity book or card
If not SA citizens add Passport -
Documentation copy's
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Licence Code
- S.A.D.C.
- A -Motorcycle
- A1 - Motorcycle less than 125cc
- B - Vehicle GVM less than 3,500kg
- C - Vehicle GVM more than 16,000kg
- C1 - Vehicle GVM between 3,500kg and 16,000kg
- EB - Articulated vehicle GCM mass less than 3,500kg (Trailer GVM more than 750kg)
- EC - Articulated vehicle GCM mass more than 16,000kg (Trailer GVM more than 750kg)
- EC1 -Articulated vehicle GCM mass between 3,500kg and 16,000kg (Trailer GVM more than 750kg)
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Expiry date
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PrDP
- D - Dangerous Goods
- G - Goods
- P - Passengers
- None
- S.A.D.C.
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Expiry date
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International Driving Permit
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Expiry date
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ID Number
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Contact Number
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Please add a copy of the candidates
Licence / PrDp, Identity book or card
If not SA citizens add Passport -
Documentation copy's
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Licence Code
- S.A.D.C.
- A -Motorcycle
- A1 - Motorcycle less than 125cc
- B - Vehicle GVM less than 3,500kg
- C - Vehicle GVM more than 16,000kg
- C1 - Vehicle GVM between 3,500kg and 16,000kg
- EB - Articulated vehicle GCM mass less than 3,500kg (Trailer GVM more than 750kg)
- EC - Articulated vehicle GCM mass more than 16,000kg (Trailer GVM more than 750kg)
- EC1 -Articulated vehicle GCM mass between 3,500kg and 16,000kg (Trailer GVM more than 750kg)
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Expiry date
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PrDP
- D - Dangerous Goods
- G - Goods
- P - Passengers
- None
- S.A.D.C.
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Expiry date
Vehicle
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Vehicle Make / Model
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Vehicle Registration Number
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Gearbox & Retardation
- Manual
- Automatic
- Synchromesh
- Not Synchromesh
- Exhaust Brake
- Retarder
- Splitter
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Vehicle Type
- Rigid
- Articulated
- Combination
- Bus
- Car / LDV
- Trailer
- Interlink
- Superlink
- Flat Deck
- Curtain Sides
- Tipper
- Side Tpper
- Tanker
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Vehicle Code
- S.A.D.C.
- A -Motorcycle
- A1 - Motorcycle less than 125cc
- B - Vehicle GVM less than 3,500kg
- C - Vehicle GVM more than 16,000kg
- C1 - Vehicle GVM between 3,500kg and 16,000kg
- EB - Articulated vehicle GCM mass less than 3,500kg (Trailer GVM more than 750kg)
- EC - Articulated vehicle GCM mass more than 16,000kg (Trailer GVM more than 750kg)
- EC1 -Articulated vehicle GCM mass between 3,500kg and 16,000kg (Trailer GVM more than 750kg)
Road & Weather Conditions
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Conditions
- City
- Freeway
- Residential
- Tar
- Gravel
- Clear Sunshine
- Overcast
- Raining
Assessor
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- Leon du Plessis (TETA ASSR08-1727)
- Paul du Plessis (TETA ASSR12-48)
- Francis du Plessis (TETA ASSR14-530)
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Assessor Name and details
Evaluation
Theoretical evaluation
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We strongly recommend a Theoretical Evaluation which includes
Rules, Regulations, Road Signs, Signals & Markings -
- Below 80% - Failed
PRELIMINARIES
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Vehicle check (Outside)
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Checked
- On approach look for dripping fluids, loose objects and obstructions
- Battery Terminals
- Body damage
- Emergency Triangle
- Fanbelt
- Jack and Wheel Spanner
- Fire Extinguisher
- Lights and lenses Front
- Lights and lenses Rear
- Mirrors
- Number Plates
- Oil
- Tyre pressure
- Tyre Sidewall damage
- Tyre tread
- Water
- Wipers and Blades
- Wheel nuts
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Errors
- Not complete
- Not Systematic
- Vital parts neglected
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Vehicle check (Inside)
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Checked
- Handbrake on and in Park or Neutral before start
- Horn
- Instruments at rest
- Instruments Ignition On
- Instruments After starting
- Lights and Indicators operation
- Obstructions
- Operation of Brake, Clutch, and Accelerator
- Seat
- Seat Belt
- Set all Mirrors
- Steering Play
- Wiper operation
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Errors
- Not complete
- Not Systematic
- Vital parts neglected
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Brake Test
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Errors
- Attempt of no value
- Conditions not suitable
- Not linked to mirrors
- Speed too low
MANIPULATION OF CONTROLS
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Deportment
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Errors
- Arm rests on window ledge
- Has to move to use mirrors
- Hunched over steering
- Sloppy
- Too far/close from controls
- Too Tense
- Uncomfortable
- Too much movement while driving
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Vehicle Sympathy
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Errors
- Contacts kerb
- Contacts objects next to road
- Fails to react to poor road surface
- Over Rev's Vehicle
- Labour's Vehicle
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Use of Clutch
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Errors
- Coasts on decline
- Coasts when cornering
- De-clutches too early for stop
- Jerky
- Poor control
- Rides clutch
- Slips clutch
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Use of Gears
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Errors
- Allows engine to labour
- Applied as braking device
- Changes and brakes simultaneously
- Changes sluggishly
- Fails to recognise sound for change
- Fails to utilize Ratio
- Grates gears
- Incorrect selection
- Looks down at controls
- Rests hand on lever too long
- Sloppy grip on lever
- Low gears to build up speed
- Wrong gear for descent / assent
- Disengages, resulting in coasting
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Use of Mirrors
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Errors
- Both
- Left
- Right
- Seldom used
- Rarely used
- Not to Full extent
- Not used when starting off
- Fails to check Blind Spots
- Blind spot check not linked to mirrors
- Not deep enough to check blind spot
- Checks wrong blind spot
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Use of Indicators
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Errors
- Cancels late
- Fails to cancel
- Late in applying
- Not used as required
- Not used when pulling off
- Not linked to Mirrors
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Use of Brakes
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Errors
- Application harsh
- Application too early
- Application too late
- Braking not smooth
- Fails to warn following vehicles
- Handbrake not properly utilized
- Harsh on gravel
- Incorrect braking on decline
- Not linked to mirrors
- Used instead of decelerating
- Secondary braking applied unnecessarily
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Use of gears at hazards
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Errors
- Changes down after cornering
- Changes down excessively
- Changes down whilst cornering
- Fails to change down
- Starts change down too early
- Starts change down too late
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Acceleration sense
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Errors
- Accelerates fiercely
- Application not positive
- Application not smooth
- Fails to vary speed with accelerator
- Not deliberate when overtaking or changing lanes
- Often over-revs
- Poor when cornering
- Slow away from hazards
- Erratic use
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Pedal balance
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Errors
- Discrepancy between accelerator and clutch
- Discrepancy between Clutch and Gears
- Discrepancy between Foot brake and clutch
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Steering
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Errors
- At times both hands off steering
- Crosses Arms
- Fails to Push & Pull
- Hands too high or low for control
- Steers with one hand
- Jerky
- Grip too loose
- Grip too tense
- Holds spoke
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Use of Horn
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Errors
- Not used when required
- Used aggressively
- Application ineffective
- Used but not required
- Timing out for road conditions
ROAD SENSE
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Road Observation
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Errors
- Fails to compensate for blind spots
- Fails to anticipate intentions of others
- Ignores actions of other road users
- Ignores changes in weather conditions
- Lapses in concentration
- Limited Ahead
- Limited Rear
- Looks down at controls
- Poor Ahead
- Poor Rear
- Poor Sides
- Ignores road signs
- Fails to check safety at junctions
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Use of System
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Errors
- Erratic application
- Hesitantly used
- Incorrect sequence
- Not applied at all
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Overtaking
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Errors
- Accelerates when overtaken
- Cuts in after passing
- Fails to back down
- Fails to check safety ahead
- Fails to indicate
- Fails to keep left when overtaken
- Hesitates
- Moves out late
- Slow in manoeuvring
- Not linked to mirrors
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Assessment of hazards
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Errors
- Approaches green traffic lights too fast
- Fails to appreciate degree of road deviation
- Fails to recognise hidden Hazards
- Fails to recognise potential Hazards
- Lack of anticipation
- Lacks planning
- Observes and reacts late
- Observes but fails to react
- Observes but makes poor appreciation
- Observes but reacts too late
- Poor negotiation
- Fails to time traffic lights
- Allows vehicle to roll
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Positioning
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Errors
- Crosses stop line
- Fails to maintain clear space
- Hesitant in selecting course
- Late in selecting course
- Not linked to mirrors
- Poor lane discipline
- Tends to wander
- Too far from stop line
- Too far left for right turn
- Too far right for left turn
- Travels too close to left of road
- Travels too close to crown of road
- Follows vehicle too closely
- Allows Vehicle to roll
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Restraint
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Errors
- Aggressive attitude
- Impatient
- Lacks Restraint
- Neglects clear space Rear
- No allowance for negligence of others
- Not inclined to cede right of way
- No allowance for negligence of others
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Confidence
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Errors
- Nervous
- Over Confident
- Under Confident
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Speed and Distance
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Errors
- Crosses stop line
- Fails to maintain clear space
- Follows vehicles too closely
- Lingers too long at stops
- Over estimates speed of others
- Stops too close to vehicle ahead
- Too far from stop line
- Under estimates speed of others
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Cornering
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Errors
- Coasts around corner
- Cuts corner Left
- Cuts corner Right
- Loses control
- Overseers Left
- Overseers Right
- Sluggish
- Too slow
- Turns Left without squaring
- Turns Right without squaring
- Under steers Left
- Under steers Right
- Mounts kerb
- Too fast
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Initiative
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Errors
- Concentration fades
- Fails to assist other road users
- Fails to make use of opportunities
- Slow in making decisions
- Slow in making decisions
- Lacks deliberation
- Over confident
- Under confident
- Concentration fades
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Use of Speed
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Errors
- Exceeds limit
- Fails to vary according to conditions
- Not related to vehicle that is strange to him
- Too fast for conditions
- Too slow for conditions
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Road Courtesy
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Errors
- Fails to acknowledge courtesies
- Fails to yield to pedestrians
- Ignores needs of other road users
- Wrong approach to cyclists
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Emergency
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Reaction
- Assessment slow
- No reaction
- Wrong action taken
MANEUVERING
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Reversing
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Parking
Summary & Sign Off
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Would you like to include OHS&E Section
OCCUPATIONAL HALTH AND SAFETY ACT, 1993
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Compliance Training
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Done
- Induction
- Occupational Health and Safety Act
- First Aid
- Fire Fighting
- Working @ Heights
- Hazard Identification & Risk Assessment
- Vehicle specific equipment
- None
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Outstanding
- Induction
- Occupational Health and Safety Act
- First Aid
- Fire Fighting
- Working @ Heights
- Hazard Identification & Risk Assessment
- Vehicle specific equipment
- None
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Adherence to OHS Rules, Regulations and Procedures and company policies
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- Performs duties in a safe manner
- Wore prescribed PPE
- PPE was clean and in serviceable condition
- Used 3 point contact to enter and leave cab
- Wore Seatbelt as prescribed
- The vehicle and cab was clean and tidy
- No loose objects laying around in cab
- Does not perform duties in a safe manner
- Did NOT Wear prescribed PPE
- PPE was NOT clean and in serviceable condition
- DID NOT used 3 point contact to enter and leave cab
- DID NOT wear Seatbelt as prescribed
- The vehicle and cab was NOT clean and tidy
- Loose objects laying around in cab
- Other
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Hazard Identification & Risk Assessment
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- Practices HIRA in daily tasks
- Does NOT practices HIRA in daily tasks
- Before Loading
- Before Un-Loading
- Before Reversing
- Before entering & Exiting Cab
- Other
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Would you like to include Illegal or Dangerous Action
Illegal or Dangerous Action Performed
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For the following reasons listed below the evaluation was aborted.
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Details
- Disregards Road Traffic Rules, Signs or Markings
- Exceeds speed limit by more than 10km/h
- Fails to Stop at Stop sign
- Involved in Accident
- Other
- Stops illegally
- Uses Mobile Phone while driving
- Vehicle not Roadworthy
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If available Supporting Photos
Assessor recommendation
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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
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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
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I acknowledge that the evaluation process has been explained to me and I understood what was expected of me.
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Candidate signature
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Assessor Signature