Title Page

  • Conducted on

  • Audited by

  • Location
  • Drivers Name

  • Vehicle Registration

  • Trailer Number

  • Does the Driver hold the appropriate driving licence

  • Did the driver check the reversing area before the manoeuvre

  • Did the driver check the condition of the road/surface

  • Did the driver lower the deck in a double deck van and close the back doors. Did he put on the safety chain (if applicable). Were the ladder stored correctly.

  • Did the driver obey the speed limits

  • Did the driver give way to pedestrians, FLTs etc

  • Did the driver use his mirrors correctly during the procedure

  • Was all safety features available on the vehicle used during the procedure (Camera,Reverse sounder)

  • Was there adequate space to carry out the manoeuvre

  • Was there unnecessary obstacles in the way of the manoeuvre

  • If it was dark was there sufficient lighting

  • Was the weather a factor in the manouvre

  • Was a banksman available

  • Is the banksman trained

  • Was the manouvre up to standard

  • Does the driver require further Training

  • Instructors Comments

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.