Title Page

  • Conducted on

  • Prepared by (Driver)

  • Location

Driver Details and Certifications

  • Alternate Driver

  • Passenger(s) - Leave blank if none

  • Departure - Date and Time

  • Vehicle ID

  • Is the vehicle fit for the trip?

  • Is/are the driving licence/s valid for the vehicle and country?

  • Is defensive Driving Training for the Driver(s) valid?

Trip Risks and Mitigation Measures

  • Emergency Response

  • Security

  • Location and Timing

  • Local Environment and Circumstances

  • Loading/Unloading

  • Route/Destination
  • Route/Destination

  • Arrival Time

  • Departure Time

  • Rest break taken?

  • Contact required and made?

  • Known hazards to destination / rest area(s) and mitigation measures, specific instructions (e.g. contact notification details, place to stay overnight), etc.

Trip Conclusion

  • Did the trip go as expected and if not, why?

  • Driver's name and 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.