Title Page

  • Conducted on

  • Prepared by

  • Location

Learner's Name

  • Learner Registration Number

Vehicle Details

  • Vehicle Details (VIN/Registration Number)

  • Vehicle Make and Model

Observation Details

  • Holistic Unit Assessment

  • Observation Details

  • Add media

  • Observation Question 1

  • Learner response to question 1

  • Observation Question 2

  • Learner response to question 2

  • Observation Question 3

  • Learner response to question 3

  • Stretch and Challenge Questioning
  • Observation Question

  • Learner response to question

Feedback and Validation

  • Assessor Feedback

  • Learner Feedback

  • Learner Signature

  • Assessor 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.