Lodge Tyre Driver Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle inspection list

• vehicle registration number

  Yes

  No

  N/A

• Speedo reading at Start

  Yes

  No

  N/A

• Speedo reading at Finish

  Yes

  No

  N/A

• License checked

  Yes

  No

  N/A

• Eye sight checked

  Yes

  No

  N/A

• Vehicle check conducted, lights ,windscreen, mirrors, washers, wipers, tyres,

  Yes

  No

  N/A

• Awareness of vehicle dimensions and type

  Safe

  At Risk

  N/A

• Faults Found

  Yes

  No

  N/A

Vehicle Operation

• Correct use of accelerator

  Safe

  At Risk

  N/A

• Correct use of the gears

  Safe

  At Risk

  N/A

• Correct use of the Clutch

  Safe

  At Risk

  N/A

• Effective Steering control

  Safe

  At Risk

  N/A

• Effective and Safe use of brakes

  Safe

  At Risk

  N/A

• Road positioning

  Safe

  At Risk

  N/A

• Manoeuvre Positions before and after turn

  Safe

  At Risk

  N/A

Hazard recognition / Decisions

• Apply the 2 second rule

  Safe

  At Risk

  N/A

• Apply the safe gap in stationary queues

  Safe

  At Risk

  N/A

• A Scanning Routine that incorporates Mirrors

  Safe

  At Risk

  N/A

• Correct use of signaling

  Safe

  At Risk

  N/A

• Increasing space when the grip levels or visibility change

  Safe

  At Risk

  N/A

• Hazard perception

  Safe

  At Risk

  N/A

• Road signals/ signs and markings

  Safe

  At Risk

  N/A

Speed

• Reducing speed near vulnerable road users

  Safe

  At Risk

  N/A

• Reducing speed approaching junctions

  Safe

  At Risk

  N/A

• Giving up priority to reduce risk

  Safe

  At Risk

  N/A

• Managing a safe stopping speed

  Safe

  At Risk

  N/A

• Adherence to speed limits

  Safe

  At Risk

  N/A

Maneouvers

• Clutch control

  Safe

  At Risk

  N/A

• Reverse exercise

  Safe

  At Risk

  N/A

• Lane selection approaching traffic lights

  Safe

  At Risk

  N/A

• Correct approach to roundabouts

  Safe

  At Risk

  N/A

Overall competency level

• Overall summary of drive

• Summary of development areas

• Drivers signature

  Sign

• Assessors signature

  Sign