Title Page

  • Assessor Name

  • Employee's Name

  • Date of Assessment

  • Location
  • Vehicle Registration

Highway Questions

  • What shape is a stop sign?

  • What shape is a give way sign?

  • On a road with no speed limit signs, how do you know the speed limit?

Practical Driving Assessment

  • Did you the assessor feel safe at the time of the assessment?

  • Was the driver considerate of other road users?

  • Did the driver obey the speed limit?

  • Did the driver adapt to their speed to the road conditions?

Space Management ( ie: leaving at least a 2 second gap between the car in front or 2 car lengths)

  • Traffic Queues

  • Urban Areas

  • Rural Areas

  • Open Roads

  • Motorway or Dual Carriageway

Driving Style ( N/A should not be used in this module)

  • Overall Smoothness

  • Braking

  • Acceleration

  • Cornering

Defensive Driving

  • Observation

  • Mirrors and Signaling

  • Road Position

  • Hazard Identification

Attitude

  • Did the driver have a calm disposition towards driving?

CHANGING A TYRE

  • Ask the Driver to show you how they would change a tyre (not to actually do this, but to go through the motions of doing so) ie: where would they go to for the jack / the lug wrench / do they know what the lug wrench is for? etc etc

Post Assessment Comments

  • Assessors Comments

  • Drivers Comments

  • Assessors Signature

  • Drivers 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.