Title Page
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Conducted on
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Prepared by (Driver)
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Location
Driver Details and Certifications
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Alternate Driver
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Passenger(s) - Leave blank if none
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Departure - Date and Time
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Vehicle ID
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Is the vehicle fit for the trip?
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Is/are the driving licence/s valid for the vehicle and country?
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Is defensive Driving Training for the Driver(s) valid?
Trip Risks and Mitigation Measures
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Emergency Response
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Security
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Location and Timing
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Local Environment and Circumstances
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Loading/Unloading
Route/Destination
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Route/Destination
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Arrival Time
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Departure Time
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Rest break taken?
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Contact required and made?
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Known hazards to destination / rest area(s) and mitigation measures, specific instructions (e.g. contact notification details, place to stay overnight), etc.
Trip Conclusion
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Did the trip go as expected and if not, why?
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Driver's name and signature