Annex (2): Drivers Performance Evaluation Questionnaire

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Driving Absolute Rules

Annex (2): Drivers Performance Evaluation Questionnaire

Thank you for your time. It is important to us to receive your feedback regarding driver safety performance. Please fill this form and send it by hand or mail to Fleet manager and/or responsible.Driver name ( ) :Evaluation Date ( ) :

) : ( Plate number Supplier Company Name ( ) :

#Question ))YESNO

Comment

1 Does driver comply with road speed limits?

2 Does driver fasten his seatbelt while driving?

3 Do all car passengers (including you) fasten their seatbelts? ) (

4 Does driver use the handheld mobile while driving?

5 Is the car clean?

6 Do driver/any passenger smoke inside the car?

7 Does driver leave enough distance between his car and the car in front of him?

8 Does driver use signals and mirrors frequently and when necessary?

9 Does driver follow safety rules in changing lanes?

10 Does driver pay full attention to other vehicles, and road users?

11 Does driver keep lane as much as possible? Does he use the proper lane?

Assessor Name () :Your Title ( ) :

) : ( Your Company Your Company ID ( ) :

Your Department ( ) :Your Mobile No. ( ) :

Evaluation Guide

Safety Driving Absolute Rules

Abide road speed limits

Fasten seatbelt (All car passengers)

Do not use handheld mobile while driving.

Do not drive under the influence of drugs or alcohols

Safe Travelling distance

3 seconds rule. Select a fixed object on road, and count 1001, 1002, 1003. If you reach the object before counting 1003, you should leave more space. The below table is a guide: : 1001 1002 1003 1003 :

Travelling distance (Meter) ()Driving Speed (KM/Hr)

(/)

2030

2740

3550

4060

5070

5580

6590

70100

85120

At stopping, you should to see the wheels of the car in front of you Lane change rule

Look at mirror, avoid blind spot. Use signal and increase your speed slightly. Leave enough space and time to other cars to see you and realize your decision. . Change the lane.