Work-Related Driving Checklist The checklist should be completed by the employee in consultation with the Workplace Manager and/or Management OHS Nominee with reference to the Work-Related Driving Procedure. Date Workplace Employee Name Section 1 - Safe driver Checked Copy of valid driver’s licence Yes No Yes No Completed to Authorisation Form’ for Fleet vehicle ‘Application Approval from Executive Director, Regional Director or Principal for private Yes No vehicle use on to use a Private Vehicle on Official Duties Form’ and ‘Application relevant requested documents e.g. vehicle insurance details Victorian Government Motor Vehicle Policy been sighted and understood (this Yes No includes ensuring the Government vehicle has been maintained as outlined in this policy) Factors that may impair driver safety such as medication have been considered Yes No by the driver? Further advice has been sought from a medical practitioner, if required? Yes No N/A Has the driver completed defensive driver training and provided the certificate? Checked Section 2 Safe journey – Yes No The driver has a charged mobile phone? Has the use of public transport or teleconferencing been considered as an Yes No alternative to driving? Has the driver read the Work-Related Driving Procedure and been made aware Yes No of the factors to manage fatigue whilst driving? Has the time of day, adverse weather and road conditions and other risk factors Yes No e.g. public events, bushfires or flood warnings been identified and addressed? Yes No Vehicle manual is available to aid in familiarising driver with vehicle use Trip/Log Book, emergency telephone numbers and directional tools (maps Yes No directory or electronic directory) are available in vehicle Are arrangements in place to notify the manager when destination has been Yes No N/A reached (e.g. call in times)? Description of Travel: Origin:
Work-Related Driving Checklist The checklist should be completed by the employee in consultation with the Workplace Manager and/or Management OHS Nominee with reference to the Work-Related Driving Procedure. Date Workplace Employee Name Section 1 - Safe driver Checked Copy of valid driver’s licence Yes No Completed ‘Application to Authorisation Form’ for Fleet vehicle Yes No Approval from Executive Director, Regional Director or Principal for private vehicle use on ‘Application to use a Private Vehicle on Official Duties Form’ and relevant requested documents e.g. vehicle insurance details Yes No Victorian Government Motor Vehicle Policy been sighted and understood (this includes ensuring the Government vehicle has been maintained as outlined in this policy) Yes No Factors that may impair driver safety such as medication have been considered by the driver? Further advice has been sought from a medical practitioner, if required? Yes No Has the driver completed defensive driver training and provided the certificate? Yes No N/A Section 2 – Safe journey Checked The driver has a charged mobile phone? Yes No Has the use of public transport or teleconferencing been considered as an alternative to driving? Yes No Has the driver read the Work-Related Driving Procedure and been made aware of the factors to manage fatigue whilst driving? Yes No Has the time of day, adverse weather and road conditions and other risk factors e.g. public events, bushfires or flood warnings been identified and addressed? Yes No Vehicle manual is available to aid in familiarising driver with vehicle use Yes No Trip/Log Book, emergency telephone numbers and directional tools (maps directory or electronic directory) are available in vehicle Yes No Are arrangements in place to notify the manager when destination has been reached (e.g. call in times)? Yes No N/A Description of Travel: Origin:
workrelateddrivingchlst.docx