Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Driver Info

  • Trainee's Name:

  • Vehicle Type:

Road Evaluation

Conditions:

  • Traffic

  • Weather

  • Roads

1. Aim High In Steering

  • Demonstrates eye lead time consistently in excess of 15 seconds.

  • Sees and evaluates relevant information from among distant objects.

  • Adjust eye lead distance to speed.

  • Keeps vehicle rolling by adjusting for conditions.

  • Eyes properly elevated around turns and corners

Eye Lead in Seconds

  • Observation #1:

  • Observation #2:

  • Observation #3:

  • Observation #4:

  • Observation #5:

2. Get the Big Picture

  • Following distance consistently appropriate for conditions.

  • Makes and executes decisions early.

  • Avoids being unnecessarily boxed in.

  • Speed is neither too fast or slow for conditions.

  • Uses knowledge to make driving smoother and more economical.

Following Distance in Seconds

  • Observation #1:

  • Observation #2:

  • Observation #3:

  • Observation #4:

  • Observation #5:

3. Keep Your Eyes Moving

  • Scans mirrors frequently.

  • Scans major and minor intersections before entry.

  • Moves eyes at least every two seconds.

  • Checks mirrors when slowing or stopping vehicle.

  • Avoids staring while evaluating relevant objects.

Mirror Check Interval in Seconds

  • Observation #1:

  • Observation #2:

  • Observation #3:

  • Observation #4:

  • Observation #5:

4. Leave Yourself An Out

  • Maintains proper space around the vehicle.

  • Adjust space to avoid unsafe intrusion by other drivers.

  • When stopped, leaves appropriate space in front of vehicle.

  • Consistently chooses lane of least resistance.

  • Keeps up to date with current size and shape of space cushion.

5. Make Sure They See You.

  • Seeks rather than hopes for eye contacts.

  • Covers or uses horn when conditions suggest the need.

  • Effectively times and uses turn signals.

  • Brakes early to activate brake lights

  • Stays out of the blind areas of other drivers.

Comments:

  • Additional Comments:

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.