SDD Evaluation

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Driver Name (optional)

• Name

Evaluator Name (Optional)

• Name

Location

• Location

  Select CBK LFL NAB CGV WPL WRPL INSP

  • CBK
  • LFL
  • NAB
  • CGV
  • WPL
  • WRPL
  • INSP

Aim High in Steering

• 1.1 Eye Lead Time (15 sec)

  Safe

  At Risk

  N/A

• Time

• Time

• Time

• 1.2 Parking Location

  Safe

  At Risk

  N/A

Get the Big Picture

• 2.1 Following Distance (4 sec)

  Safe

  At Risk

  N/A

• Time

• Time

• Time

• 2.2 Makes/Executes Decisions Early

  Safe

  At Risk

  N/A

• 2.3 Scans Mirrors (5-8 sec)

  Safe

  At Risk

  N/A

• Time

• Time

• Time

Keep Your Eyes Moving

• 3.1 Checks to the Rear (Stopping, Turning)

  Safe

  At Risk

  N/A

• 3.2 Scans Intersections (Left-Right-Left)

  Safe

  At Risk

  N/A

• 3.3 Disposes of Eye Holding Distractions

  Safe

  At Risk

  N/A

Leave Yourself An Out

• 4.1 Path of Least Resistance

  Safe

  At Risk

  N/A

• 4.2 Seeks & Maintains Space

  Safe

  At Risk

  N/A

Make Sure They See You

• 5.1 Makes Eye Contact

  Safe

  At Risk

  N/A

• 5.2 Timely Use of Turn Signals/Brakes

  Safe

  At Risk

  N/A