Title Page
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Conducted on
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Drivers Name
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Driving for work includes any colleague who drives on a road as part of your employment in either: a company vehicle (including pool and hire vehicles), your own vehicle or with mileage reimbursement. It does not include driving to and from their main place of work (commuting). This risk assessment is to determine your level of risk to yourself, passengers, pedestrians and other road users.
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If your level of risk is deemed as major or significant additional mitigating controls will be required, such as additional training.
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For further information, please refer to the Driving for Work Policy within the UK and Ireland HR section of DB Planet
Assessment
Drivers information
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What country do you reside in?
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What is your type of Driving License?
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You are not permitted to drive for work at DB Schenker
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Please include the front and back images of your license
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Which categories are you permitted to drive?
- AM
- A1
- A2
- A
- B1
- B
- C1
- C
- D1
- D
- BE
- C1E
- CE
- D1E
- DE
- fklnpq
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Do you currently have any points (endorsements) on your license?
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You can check endorsement points at https://www.gov.uk/view-driving-licence. you will need your driving license number
your National Insurance number and the postcode on your driving license -
What was the reason for the endorsement(s)?
- Accident Offences (e.g. failing to stop, give particulars or report an accident)
- Careless Driving, including driving whilst under the influence
- Construction and Use offence (e.g. vehicle with defective brakes, tires, steering, dangerous load)
- Reckless/ dangerous driving (including seatbelt offences)
- Driving whilst under the influence of alcohol or drugs
- Insurance or lisence offences
- Motorway offences
- Speeding offences
- Traffic direction and signs (failing to comply)
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What was the date of the most recent offence?
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Have you ever had an accident whilst driving for work?
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When was the accident?
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Was this claimed on insurance?
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Are you pregnant?
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Please inform HR and they will complete an expectant mother risk assessment with you.
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Do you have any condition that requires you to inform the DVLA?
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What is your type of Driving License?
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You are not permitted to drive for work at DB Schenker
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Please include the front and back images of your license
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Which categories are you permitted to drive?
- AM
- A1
- A2
- A
- B1
- B
- C1
- C
- D1
- D
- BE
- C1E
- CE
- D1E
- DE
- fklnpq
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Do you currently have any points (endorsements) on your license?
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To find out how many penalty points are on your driving licence record, contact the National Driver Licence Service (NDLS) at 076 108 7880 or email info@ndls.ie, and quote your driving licence number.
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What was the reason for the endorsement(s)?
- Accident Offences (e.g. failing to stop, give particulars or report an accident)
- Careless Driving, including driving whilst under the influence
- Construction and Use offence (e.g. vehicle with defective brakes, tires, steering, dangerous load)
- Reckless/ dangerous driving (including seatbelt offences)
- Driving whilst under the influence of alcohol or drugs
- Insurance or lisence offences
- Motorway offences
- Speeding offences
- Traffic direction and signs (failing to comply)
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What was the date of the most recent offence?
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Have you ever had an accident whilst driving for work?
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When was the accident?
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Was this claimed on insurance?
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Are you pregnant?
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Please inform HR and they will complete an expectant mother risk assessment with you.
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Do you have any condition that requires you to inform the NDLS?
Vehicle information
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What is the vehicle type you typically drive for work?
- motorbike/ moped
- Car
- Van
- HGV
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What engine type is the car you typically drive for work?
- Petrol <2000L
- Petrol >2000L
- Diesel <2000L
- Diesel >2000L
- Hybrid
- Fully Electric
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What ownership type is the car your typically drive for work?
- Own Car (including car allowance)
- Company Car
- Pool Car
- Hire Car
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Does the insurance include business travel?
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Include evidence of insurance certificate
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Is the car regularly serviced and currently roadworthy?
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If you use your car to drive for work - the insurance must include business use. Please set an action and contact your insurance company to update. You must not drive for work until this is completed
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Is the car less than three years old?
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Does the car have a current MOT (UK) or NCT (IRE)?
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When was the date of the last MOT?
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The MOT/NCT must be in date - this is a legal requirement. Please set an action and arrange the MOT/NCT. You must not use the car on the road until this is completed
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Are you over the age of 21?
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You are not permitted to drive pool or hire cars for work
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Have you had additional training to drive the van?
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Provide evidence of the additional training
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How long have you been driving vans for work?
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Do you regularly check the van using an iAuditor checklist prior to journeys?
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Have you had additional training to drive the HGV?
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Provide evidence of the additional training
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How long have you been driving HGV's for work?
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Do you regularly check the HGV's using an iAuditor checklist prior to journeys?
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Have you had additional training to drive the motorbike/ moped?
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Provide evidence of the additional training
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How long have you been driving motorbikes/ mopeds for work?
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Do you regularly check the motorbike/ moped prior to journeys?
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Do you check your vehicle prior to every journey?
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Courtesy of Brake
Usage information
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How often do you drive for work purposes?
- Rarely (less than once a month)
- Occasionally (e.g. couple of times a month)
- Once a week
- 2 or three times a week
- Every day
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What are the typical journey lengths?
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Approximately how many work miles do you drive per year?
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Are the routes you drive always familiar to you?
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Do you have a Sat Nav to support your journey planning?
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Do you plan your journeys, e.g. check the traffic and weather conditions, prior to setting off?
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Do you take regular rest stops during your journeys lasting more than two hours?
Sign Off
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By signing this assessment you are claiming that all information provided is to the best of your knowledge and honest. This information will be reviewed by QSHE and HR then retained on your personal record.
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Name of Driver
