Title Page

  • Conducted on

  • Prepared by

  • For Employee

  • Vehicle Driven

  • Location
  • Understands the importance of checking all maintenance before placing vehicle in operation. (Oil level, coolant level, etc.)

  • Understands the proper way to check oil, coolant, brake fluid, power steering fluid, transmission fluid of the vehicle that will be drove.

  • Understands the importance of doing a complete walk around the vehicle before placing the vehicle in operation. (checking tires, lug nuts, for body damage, and any other safety issues that are visible)

  • Makes sure the vehicle is equipped with updated registration and insurance cards.

  • Driver understands that the fuel card is for the vehicle they are driving, it is to be kept in the vehicle and is not to be used for any other fueling purposes.

  • Can work all components inside of the vehicle. (Lights, windshield wipers, emergency flashers, etc.)

  • Wears seatbelt and understands the importance of doing so each time the vehicle is in motion.

  • Able to back the vehicle safely in tight areas.

  • Able to operate the vehicle safely in traffic and while passing another motorist.

  • Driver maintains a safe following distance when behind another vehicle.

  • Driver stays within the proper traveling lane (does not cross into another lane, off the road, etc.)

  • Able to turn the vehicle safely (Using turn signals).

  • Able to change lanes safely (check mirrors, blind spot)

  • Does not under/over-steer vehicle.

  • Safely yields when necessary.

  • Able to brake and slow the vehicle by means other than braking safely.

  • Driver follows the posted speed limit.

  • Driver obeys all traffic signs, signals, and laws.

  • Stops behind limit lines, stops smoothly, and stops with adequate space behind the vehicle in front (if applicable).

  • Able to park the vehicle safely in tight spots.

  • Inspector Name

  • Driver Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.