Title Page
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Assessor Name
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Employee's Name
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Date of Assessment
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Location
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Vehicle Registration
Highway Questions
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What shape is a stop sign?
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What shape is a give way sign?
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On a road with no speed limit signs, how do you know the speed limit?
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Practical Driving Assessment
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Did you the assessor feel safe at the time of the assessment?
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Was the driver considerate of other road users?
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Did the driver obey the speed limit?
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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)
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Traffic Queues
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Urban Areas
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Rural Areas
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Open Roads
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Motorway or Dual Carriageway
Driving Style ( N/A should not be used in this module)
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Overall Smoothness
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Braking
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Acceleration
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Cornering
Defensive Driving
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Observation
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Mirrors and Signaling
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Road Position
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Hazard Identification
Attitude
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Did the driver have a calm disposition towards driving?
CHANGING A TYRE
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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
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Assessors Comments
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Drivers Comments
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Assessors Signature
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Drivers Signature
