Driving Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Before Leaving Shop

• Was vehicle inspection completed today

  Yes

  No

  N/A

• Did the driver walk around the vehicle looking for collision hazards before entering vehicle

  Yes

  No

  N/A

• Is Driver wearing seat belt

  Yes

  No

  N/A

• Did driver ask passenger's to buckle up

  Yes

  No

  N/A

Driving

• Did driver use any electronic devices while driving

  Safe

  At Risk

  N/A

• Is driver courteous to others

  Yes

  No

  N/A

• Is driver attentive

  Yes

  No

  N/A

• Does driver check blind spots including looking over shoulder?

  Yes

  No

  N/A

• Does driver follow at a proper distance (4-6 seconds on freeway)

  Yes

  No

  N/A

• Does driver tailgate others

  Safe

  At Risk

  N/A

• Any failure to yield (including stop lights)

  Safe

  At Risk

  N/A

• Are speed limits followed

  Safe

  At Risk

  N/A

• Does the driver show signs of being an aggressive driver?

  Safe

  At Risk

  N/A

• Does driver use turn signals

  Yes

  No

  N/A

• Does driver change lanes too frequently.

  Safe

  At Risk

  N/A

• Did driver have adaquate room for turns onto streets and merging into traffic

  Safe

  At Risk

  N/A

• Is load properly secured

  Yes

  No

  N/A

• Drivers Signature

  Sign

• Driver is cleared to drive vehicles

  Pass

  Fail

• Evaluators Signature

  Sign