Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Location

Driver Details

  • Business Unit

  • Driver's Licence Number

  • How much legroom do you need? How tall are you?

  • What build are you?

  • Please select the description that best describes the environment that you normally drive in

Vehicle Details

  • What vehicle is being reviewed in this response?

  • How long did you have the vehicle?

  • Is the seat adjustable up/down/forward/back to accommodate your leg length and torso height?

  • Steering wheel position - is it adjustable to a comfortable position?

  • Is the seat comfortable?

  • Is there enough headroom in the vehicle?

  • Is the seatbelt adjustable to comfortable height/position?

  • Does the vehicle have central locking?

  • Does the vehicle have power windows?

  • Does the vehicle have electric mirrors?

Safety

  • Are there any blindspots?

  • Do the side and rear mirrors provide sufficient visibility?

  • Is there a reverse camera?

  • Are parking sensors present?

  • Is cruise control present?

  • Is there an over speed alert present?

  • Do you feel safe in this vehicle? (comments can be added at end of survey)

  • Does the vehicle brake comfortably, without too much sensitivity or play in the brake pedal?

  • Does the vehicle steer confidentally, without too much sensitivity or play?

Technology

  • Is the bluetooth easily paired and used?

  • Are there steering wheel mounted controls for bluetooth and radio?

  • Is Satellite Navigation present?

  • Is Apple CarPlay or a similar 'handsfree' technology present?

Application

  • Does the vehicle have sufficient space to store all equipment for your duties safely/securely?

  • Is the vehicle suitable for the environment that you work in? (size, engine capacity, terrain)

  • Is the vehicle easy to park?

Summary

  • Rate this vehicle

  • Do you feel comfortable in this vehicle to perform your business tasks?

  • Is this car better than the current vehicle you are driving at CCA?

  • Tell us what you think aboiut this car.

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.