Information

  • Drivers Name

  • Date of Birth

  • Driver's License Number

  • License Expiry Date

  • License endorcement

  • Address as on Drivers License

  • Site Name & Address

  • Employment

  • Conducted on

  • Prepared by

  • Vehicle make and model

  • Weather/Road conditions

  • Traffic condition and roads travelled (eg. heavy traffic on country roads)

1.0 Pre-Drive Checks

  • 1.1 Pre-Trip Inspection Completes Safety check as per company policy

  • 1.2 Off-Road Recovery can recover if wheel is dropped off sealed surface

  • 1.3 Coupling/Uncoupling Trailer as per company training

  • 1.4 Load Securing ensures load is secure and/or sealed

  • 1.5 Engine Idle Time Does not allow the engine to Idle more than necessary

2.0 Vehicle Skills

  • 2.1 Cab Drill Safety check (gear stick, park brake) Seat & Mirrors adjusted, seat belts, and Start engine to specifications.

  • 2.2 Mirror Use Consistently Checks mirrors (4 – 8 seconds)

  • 2.3 Brake use Constant Smooth application

  • 2.4 Clutch use Smooth application and release always, does not ride (rest foot over clutch pedal)

  • 2.5 Gear Selection Selects the right gear for the situation (cornering, climbing, descending)

  • 2.6 Rev-Range operates within the manufacturers specifications

  • 2.7 Engine Brake Use Understands the operation and when to use it effectively

  • 2.8 Progressive Shifting Performs constant smooth gear changing

3.0 RoadCraft

  • 3.1 Check Intersections Constantly checks intersections prior to entering

  • 3.2 Eye Contact Establishes that other drivers have seen them

  • 3.3 Courtesy to Others Shows courtesy to other road users (eg allows lane changing)

  • 3.4 Covers Brakes early to prepare for possible hazards

  • 3.5 Smoothness Of Vehicle Gear changes, acceleration, braking, and cornering

4.0 Traffic Skills

  • 4.1 Observation & Planning Forward planning for traffic flow / lights / turns

  • 4.2 Speed For Environment drives in accordance to traffic/weather conditions

  • 4.3 Hang back Distance 4 second rule while moving and good space while stationary (eg. see tyres touch road)

  • 4.4 Hazard Perception Identifies hazards early and acts accordingly to avoid a possible difficulties

  • 4.5 Obey Signs/Road law

  • 4.6 Cornering Lines Uses only what is needed to negotiate the corner

  • 4.7 Overtaking Sufficient indication with appropriate technique

  • 4.8 Roundabout Understands and demonstrates good knowledge of roundabout system

  • 4.9 System Of Vehicle Control Course, mirrors, signals, brakes, gears, mirrors, evasive action, and acceleration.

  • 4.10 Reversing Checks for obstacles and has good control (foot off clutch)

  • 4.11 Grade Control Does not roll back at start off

5.0 Compliance/Other

  • 5.1 Driving Hours & Log Books SCL Requirement Explained

  • 5.2 Load Securing Explained the basics of Load Restraint

  • 5.3 Fatigue Discussed

  • 5.4 Customer Relations Understands and is willing to help the customer at all times (has good customer service)

General comments and recommended action

  • Comments

  • Remedial action or recommendation

  • Attendee signature

  • Select date

  • Assessor signature

  • Select date

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.