Driver Assessment Form
DRIVER ASSESSMENT REPORT
DRIVER'S NAME
DEPT
ASSESSOR'S NAME
DEPT
DATE
TIME
VENUE
 
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MARKING SYSTEM
O = AT REQUIRED STANDARD
/ = MINOR MISTAKE, WHICH MAY REQUIRE CONSIDERATION
X = MAJOR FAULT, WHICH DID OR MAY CAUSE A HAZARDOUS SITUATION
REFER OVERLEAF FOR A DETAILED DESCRIPTION OF ANY FAULTS
DATE
WEATHER
ASSESSOR
SIGNATURE
This person has been informed of the result of this assessment: YES / NO
I have noted the assessors remarks and been informed of the result of the assessment
DRIVER'S NAME
SIGNATURE
DATE
DRIVER'S NAME
LICENSE NUMBER
CPC CARD NUMBER
DIGI CARD NUMBER
 
DEPT / AGENCY
EXPIRY DATE
EXPIRY DATE
EXPIRY DATE