DRIVER EVALUATION - Haylor, Freyer & Coon, Inc.



DRIVER RIDE-ALONG EVALUATION FORM

Instructions: This form is to be completed for ride-along evaluations and spot checks of drivers.

|Company Name: |______________________________________________________________________ |

|Date: |____________________________ |Time: |________ |

|Location: |From: |___________________________ |To: |_______________________________ |

|Duration of Evaluation: |Miles: |____________________ |Time: |_____________________________ |

|Weather Conditions: |____________________________________________________________________ |

|Road Conditions: |Type of Road: |_______________________ |Visibility: |____________________ |

| |Traffic Density: |_______________________ |Other: |____________________ |

| |

| |EQUIPMENT CONDITION |Yes |No |Corrective Action |

|2. |Post-trip inspection conducted. |  |  |  |

|3. |Drove with lights on. |  |  |  |

|4. |Used restraint system. |  |  |  |

|5. |Preventive maintenance current. |  |  |  |

| |Comments: | |

| |  | |

| | |

| |DRIVING HABITS |Yes |No |Corrective Action |

|2. |Drove at proper speed for weather and road conditions. |  |  |  |

|3. |Followed at safe distances. |  |  |  |

|4. |Proper passing procedures. |  |  |  |

|5. |Yielded right-of-way. |  |  |  |

|6. |Obeyed traffic signals and signs. |  |  |  |

|7. |Used proper turning and backing procedures. |  |  |  |

|8. |Checked and adjusted mirrors prior to departure. |  |  |  |

|9. |Used proper parking and dock procedure. |  |  |  |

|10. |Was aware of other vehicles. |  |  |  |

|11. |Courteous driving behaviors exhibited. |  |  |  |

|12. |Used proper preparation for changing road conditions or situations (exits, traffic density, |  |  |  |

| |etc.): | | | |

| |Comments: |  |

| | |  |

Rating: ________ Completed by: __________________________ Date: _______________

If all of the above equipment and driving habits are practiced, the driver will receive an excellent rating, and if no motor vehicle violations or incidents have occurred, the driver is eligible for the monthly positive safety incentive.

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