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LIFEsavers

Motor Vehicle SIF assessment


DATE:
LOCATION:
DEPARTMENTS:
ASSESSOR:

FOLLOW-UP ITEMS RESPONSIBLE PERSON

Interview/Discussion Questions
- Where do you drive that is riskest?
- Have you ever taken a defensive driver course? Did you find it valuable?
- When first learning to drive what concerned you the most and why?
- Do you feel the safety training you received on safe driving is effective in operational circumstances?
- Are there special circumstances in which you would need to override the policy?
- Is fatigue likely to interfere with driving? If so, what do you do to prevent an issue?
- How do you plan your trip out when traveling to new area?
- What activities could distract you when driving?
- Does someone you work with know your travel plans?

Field Observation Items

Safe At-Risk Does the driver have a valid driving license?

Safe At-Risk Are all passengers wearing their seat belts?

Safe At-Risk Is the driver impaired while driving?

Safe At-Risk When using a phone is a hands free being utilized?

Safe At-Risk Are there any current distractions to the driver?

Safe At-Risk Was the vehicle inspected before trip?

Safe At-Risk Is the driver displaying defensive driving techniques?

Safe At-Risk Is the vehicle overloaded?

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