Title Page

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Driver

Journey Management

  • Knowledge of safety equipment (Triangles , Fire extinguisher)

  • Know the vehicle operations & Controls (Radio, Climate Control, Cruise Control)

  • Use of seat belt

  • Mirror Adjustment

  • Seat Adjustment

  • GPS Setup

  • Securing Cellphone for hands-free

  • Planning your route discussion (Time to Destination / Cargo.. Etc.)

  • Headlights on for Safety

Commentary Ride Along Instruction

  • Verbalize everything you are seeing while driving. Tell me what you are doing before, during, and after you are doing it. Example: "Approaching Intersection, with stop sign, going to slow down as we get closer. making a right turn, I am going to turn signal on."

  • How is the driver doing while driving? (start up)

  • Does the driver stop talking during the commentary ride along?

  • How is the driver doing while driving (10 mins)

  • Driver recognized all hazards and commented on a significant event during the ride along?

  • How is the driver doing while driving (20 mins)

Driving

  • Scan frequently changing his focus?

  • Smooth Acceleration

  • Operating the vehicle in traffic

  • Vehicle Space Management (including escape route)

  • Changing Lanes

  • Following Distance (2-4 Second Rule)

  • Mirror Checks (every 7 seconds)

  • Observation of speed limits

  • Recognition of road signs and traffic signals

  • Slows Down for hard curves

  • Smooth Braking

Intersections and turning

  • Use of turn signals during lane change (including canceling turn signal)

  • Does the driver signal early & often? (3 Seconds)

  • Use of mirrors during lane change

  • Practices Defensive Driving Techniques (Courtesy & Cautious, Safety Focused)

  • Slows / Covers Brake while approaching intersections

  • Clears intersections looking left-right-left

  • Turning vehicle at an intersection (speed, consideration for curb, etc.) -- Controlled Turn to include wide turns --

  • Stays in the correct lane while turning

  • Alert to Pedestrians

Parking (Use gas station or other congested parking situation)

  • Selects safe parking space

  • Performs and understands circle for safety

Backing (Use congested parking area or cones)

  • Concentration - turns down radio

  • Uses Mirrors / Cameras

  • Checks Overhead Obstructions & Distances Behind

  • Get Out And Look (GOAL)? Are spotters available?

Completion

  • Additional comments

  • Approved to Drive

  • Congratulations You are approved to drive!

  • Set up Employee for Coaching, Training, & Re-evaluation

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.