Transport Risk Intelligence — Driver Wellness Check

Daily Pre-Shift Declaration

Complete this check honestly before starting your shift. This protects you, your colleagues, other road users, and the company.

Driver Details

Full Name *

ID / Passport No. * Employer / Client *

Vehicle Reg. * Shift Date *

Rest & Sleep

Did you get adequate sleep? *

Hours slept in the last 24 hours *

Last Trip

From * To *

Date arrived home * Time arrived home *

Fitness to Work

Are you feeling well enough to do your job? *

Alcohol, Drugs & Medication

Are you under the influence of alcohol, illegal drugs, or any prescription / over-the-counter medication that may affect your ability to drive? *

Licences & Personal Details

My Driver's Licence is valid and in my possession today. My PDP (or equivalent foreign permit for professional drivers) is valid and in my possession today. None of my personal details (address, medical status, criminal record, convictions, contact numbers) have changed since my last declaration. If they have, tick "No" below and describe. Have any details changed?

⚠ Before You Drive — Remember

Complete your Pre-Trip Vehicle Inspection before departure.
Complete your Post-Trip Inspection at shift end.
Report all incidents, accidents and near-misses immediately — no matter how minor.
If anything changes during your shift (feeling unwell, mechanical issue, route change), notify operations.

I acknowledge and will comply with the above.

Declaration & Signature

I declare that the information above is true and correct to the best of my knowledge. I understand that a false declaration is a serious disciplinary offence and may result in dismissal and/or criminal prosecution.

Sign above with your finger

Driver Wellness Check