Driver Assessment Checklist
Doc No: HSE-TEM-G165 Issue No: 01, Rev: 0 Date: 8.1.2020
Name: Location:
License No.: Current & Valid: Yes No
Vehicle Type: Date:
SUB TASKS STEPS: Did the Driver: C/ Initial of
NYC Assessor
1. Complete a Make sure that a comprehensive Pre-Trip Inspection was completed?
Pre-Trip Make sure vehicle was fuelled sufficiently for the forthcoming task?
Inspection
2. Prepare for Fit the seat belt securely?
driving Adjust the mirrors to suit?
Start the engine with one hand on the wheel?
Check all gauges?
3. Maintain At the front?
space Stop in traffic, one car length behind the vehicle in front?
Use 1, 2, 3 delay after vehicle ahead starts to move?
Maintain four to six second following time?
At the rear?
Use rear view mirrors to understand what was happening behind and before
braking?
Manage ‘tailgaters’?
To the sides?
Slow down or speed up to avoid being boxed in?
4. Maintain Check intersections – check LRL or RLR before entering and until cleared?
visibility Use five to eight second mirror check – include side mirrors and rear vision
mirror?
Scan the steering wheels of parked cars – to see if anyone is sitting there
ready to pull out?
Glance over shoulder – clear blind spot before changing lanes or pulling out
from a curve?
Establish eye contact with others who may enter your path?
Check instruments and gauges at appropriate time?
Use trained eye lead time planning zone – aim high in steering using eyes to
safety lead the vehicle down the road?
5.Considerate Slow down when encountering rough terrain?
driving Use appropriate driving style to avoid equipment abuse?
Assessor comments:
Note: GPS Black Key will be issued once passed the practical driving test by HSE Department.
Assessor Name & Signature: ……………………………. Approved By: …………………………….