DAI DRIVING ASSESSMENT REPORTDriver NameField is required!Field is required!Licence NoField is required!Field is required!EndorsementsField is required!Field is required!Vehicle RegField is required!Field is required!AddressField is required!Field is required!Eyesight 30ft & 50ft check completed DateField is required!Field is required!Start TimeField is required!Field is required!Vehicle MakeField is required!Field is required!Finish TimeField is required!Field is required!Loaded/ UnloadedField is required!Field is required!Reason for Assessment Field is required!Field is required!PRE-DRIVING CHECKSDid the driver carry out a full and concise vehicle check prior to moving the vehicle?Field is required!Field is required!Was /Is the vehicle roadworthy?Field is required!Field is required!ROAD PROCEDUREManage speed / Eco- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Manage space - stationary- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Manage space - sides- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Manage space - behind- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Manage space - escape routes- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!REVERSING AND MANOUVERINGReverse Parking- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Mobility of Client While Completing Task- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Manage Space- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Parallel parking left / right (if applicable)- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Overall Ability- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!IDENTIFY RISKSManaging distractions- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Information - well ahead- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Information - near to vehicle- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Information - in blind areas- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Information - to the sides- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Information - in mirrors- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Use of information / signs- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!HIGHER ORDER/COGNITIVE SKILLSGeneral Attention- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Divided Attention- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Selected Attention- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Sustained and Selected Attention- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Ability to Follow Instruction- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!ATTITUDEOther road users / pedestrians- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!COMMENTSYour comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!COMMENTSYour comments here...Field is required!Field is required!OPERATIONAL SKILLSControl of Steering- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Control of Acceleration- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Control of Brake- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Control of Clutch- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Use of Iin-Car Controls- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!OPERATIONAL SKILLSOperation of Gears- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Appropriate use of Gears- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Use of Turn Signals- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Use of wipers/Screenwash- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Overall Control of Vehicle- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!COMMENTSYour comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!TACTICAL SKILLSLane Position and Choice- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Lateral Positioning- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Appropriate Distance from Car in Front- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Effective Overall Positioning- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!SPEEDSpeed Maintainence- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Slow Down on Approach(Junctions/Lights)- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Appropriate Speed Joining Traffic- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Appropriate Speed if Overtaking- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!COMMENTSYour comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!REACTIONReaction to Hazards- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Appropriate Reaction to Traffic Signals- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Reaction to Changing Circumstances (Weather/Traffic/Roads)- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!PERCEPTION AND AWARENESSGeneral Awareness of Surrounds- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Checking Traffic- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!Checking Hazards- select a option -Not observedVery PoorPoorAcceptableGoodVery Good- select a option -Field is required!Field is required!COMMENTSYour comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!Your comments here...Field is required!Field is required!OVERALL SCORE 0.00Field is required!Field is required!DRIVER ISSUESEyesightField is required!Field is required!HearingField is required!Field is required!NervousnessField is required!Field is required!FatigueField is required!Field is required!Drink / Drugs / SmokingField is required!Field is required!Language DifficultiesField is required!Field is required!Managing distractionsField is required!Field is required!AwarenessField is required!Field is required!General Comments:Your comments here...Field is required!Field is required!Submit
