Information
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Drivers Name
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Drivers Depot
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Conducted on
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Manager Name
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Position
Welfare Check
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Certificate Supplied
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Roster details
- Day Shift
- Afternoon Shift
- Special Duties
- After days Off
- Before Days Off
- Interview
- School Holidays
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Type of Absence
- Injured
- Sick
- Carers
- Near Miss
- Fatality
- Medical Issues
- Family Issues
- Other
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Details of absence
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Is the driver on prescribed medication?
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Was the driver offered councelling/EAP?
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Managers Comments
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Managers Signature