Information

  • Document No.

  • Client

  • Prepared by

  • Conducted on

  • Location
  • Candidate Name

  • Identity Number

  • Licence Class

  • Licence Expire Date

  • Licence Valid and Current

  • Assessment abandoned

    Licence not Current and Valid

  • Vehicle Make and Model

  • Vehicle Class

  • Vehicle Registration Number

  • Weather Conditions

Practical Driving Evaluation

PRELIMINARIES

  • Vehicle Check (Outside)

  • Errors Vehicle Check (Outside)

  • Vehicle Check (Inside)

  • Errors Vehicle Check (Inside)

  • Brake Test (effectiveness and deviation)

  • Brake Test (effectiveness and deviation)

MANIPULATION OF CONTROLS

  • Deportment

  • Errors

  • Use of clutch

  • Errors

  • Use of Gears

  • Use of gears

  • Use of Mirrors

  • Use of mirrors

  • Use of Indicators

  • Use of indicators

  • Use of Brakes

  • Use of brakes

  • Use of Gears at Hazards

  • Use of gears at hazards

  • Acceleration sense

  • Acceleration sense

  • Pedal balance

  • Pedal balance

  • Steering

  • Steering

  • Use of Horn

  • Use of horn

  • Vehicle Sympathy

  • Vehicle Sympathy

ROAD SENSE

  • Road Observation

  • Road Observation

  • Assessment of Hazards

  • Assessment of hazards

  • Use of System

  • Use of system

  • Positioning

  • Positioning

  • Cornering

  • Cornering

  • Speed and Distance

  • Speed and distance

  • Overtaking

  • Overtaking

  • Confidence

  • Confidence

  • Restraint

  • Restraint

  • Initiative

  • Initiative

  • Use of Speed

  • Use of speed

  • Road Courtesy

  • Road courtesy

  • Reaction in Emergency

  • Reaction in emergencies

Maneuvering

  • Alley Dock

  • Straight line reverse

  • Left Turn

  • Incline Start

Assessor Recommendation

Legal

  • Assessor Recommendation

  • Good

  • Safe driver of Average ability

  • Below average needs training

  • Poor skills needs Training

  • Should not drive without training

  • Copy of current Licence

  • Candidate

  • Assessor

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.