Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Assessment details

  • Drivers name

  • Observers name

  • Vehicle registration & fleet number

  • Meets Company requirements

  • Discussions with driver on activities observed

  • Sites that have delivery concerns and recommendations to resolve concerns

Per travel check

  • The driver performed the pre-travel check as per Pre-travel checklist

  • Exterior (including load restraint)

  • Engine compartment

  • Interior, including Dangerous Goods equipment (PPE, etc)and shipping documentation

Entering & exiting the Cabin & Starting the engine

  • Entering & exiting the cabin (3 points of contact nothing held in hands)

Pre Start

  • Check the Handbrake is on

  • Adjusts/checks correct adjustment of drivers seat position

  • Checks mirrors are adjusted

Starting

  • Drivers checks instruments and gauges prior to starting engine

  • Depress clutch/neutral gear selected/start the engine

  • After start re check instruments/gauges

  • Driver switches on & checks headlights are on

  • Seat belt is secured & adjusted

Steering

  • Driver uses both hands on the steering wheel (and in the right position)

  • Smooth steering is applied

Acceleration

  • Appropriate acceleration for road conditions and gear changing

Clutch & Gear use

  • Efficient use of clutch & Gears at the appropriate engine rev range

Braking

  • Uses brakes sparingly on decents

  • Braking is smooth & controlled

  • Braking & Gear changing is intergrated

Cornering

  • Advisory speed signs are followed

  • Correct gear is selected before the corner is reached

  • Whilst negotiating a bend maintains lane placement

Signal Use

  • Indicators used when legally required

Lane discipline

  • Driver keeps vehicle within the marked boundaries of the lane (lane placement)

  • Keeps to the left when practical

  • On Multi lane road, use correct lane based on traffic flow and road conditions

Observation

  • Driver maintains safe following distance & safe space when stopped behind other vehicles

  • All road signs and speed signs are observed & obayed

  • Mirror use

  • Blind spot check

  • Forward observation & planning

  • Driver is aware of, and shows consideration to the vehicle whilst driving

  • Speed adjusted to suit conditions

Maneuvering

  • Driver uses correct lane when making right & left turns

  • Driver uses correct lane when negotiating roundabouts

  • Driver demonstrates "Get Out And Look" (G.O.A.L.) where appropriate

  • Driver uses correct technique when reversing into driveways

  • Driver uses correct technique when reverse parking

  • A slow speed is used when reversing or maneuvering

Reversing camera & sensor usage

  • Driver understands the motives behind camera installation in the vehicle

  • Driver understands how to use the reversing sensors

  • Driver is conversant with the operation of the equipment

  • Driver uses reversing equipment appropriately as an aid when maneuvering / reversing

  • Driver does not solely rely on the monitor when reversing

Articulated vehicles

  • Pre & Post travel checks

  • Coupling & uncoupling procedure followed (Sequence & Tug tests)

Road courtesy

  • Courtesy is shown to other motorists, road users & pedestrians

Customer relations

  • Courtesy & Assistance is shown to customers

Post travel checks

  • Completed as per checklist

Cylinder Handling

  • Use of trolley

  • Use of hoist

Forklift operation

  • Pre / Post safety check

  • Unloading / loading of vehicle

Safe handling of dewars & flasks

  • Loading / unloading

  • Load restraint

  • Safe maneuvering

Discussions with driver

  • Fatigue

  • Alcohol & drugs

  • Speeding

  • Traffic management

  • Near miss or accident

  • Drivers name & signature

  • Observers name & signature

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.