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Driver commitment statement form

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A driver commitment statement form template that outlines the expectations for safe driving when using company vehicles.

Reading time
How long to understand and implement this form?
5 mins
Word count
How many words in this form?
303
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What is a Driver commitment statement form?

A driver commitment statement is a document that employees sign to indicate their understanding of the company's expectations for safe driving. It typically includes a list of rules and regulations that employees agree to follow, such as obeying traffic laws, not driving while impaired, and using a seatbelt. The statement may also include a pledge to report any accidents or near-accidents to their supervisor immediately.

Driver commitment statements are an important part of a company's safety program. They help to ensure that employees are aware of the risks associated with driving and that they are committed to driving safely. By signing a driver commitment statement, employees are agreeing to take responsibility for their own safety and the safety of others on the road.

Best practice timescale for this to be issued
When should this form be issued?
Prior to driving any company vehicle, or personal vehicle on business
Issued by who, to whom
Who should issue this form, and to whom?
The Employee to the Employer (you)
Applicable legal jurisdictions
In which jurisdictions can this form be used?
Great Britain & NI (United Kingdom), Worldwide

Driver commitment statement

I understand that I am responsible for the safe operation of any vehicle that I use for business purposes. I am committed to driving safely and responsibly, and I will do my part to ensure the safety of myself, my passengers, and other road users.

f I use a vehicle for the purpose of business for [Company name], I will:

  • Obey all traffic laws and regulations.
  • Not drive while impaired by alcohol or drugs.
  • Not use my phone while driving, or when parked with the engine running.
  • Not drive if I am tired or fatigued.
  • Wear a seat belt whenever I drive or travel in a vehicle, and ensure that all passengers do the same.
  • Report any accidents or incidents to management immediately.
  • Maintain the vehicle in a good, clean condition, and if a company-owned vehicle, report any problems immediately.
  • Perform regular checks on vehicle roadworthiness, including ensuring that the following work and  / or all meet legal standards:
    • Lights
    • Washers and wipers
    • Brakes
    • Tyres
    • Horn
  • Inform management if I develop any medical conditions likely to affect my driving.
  • Notify management of any endorsements on my licence.
  • Take responsibility for paying for fines, traffic offences or other breaches of the law.

I understand that if I breach any of these terms, I may be subject to disciplinary action, up to and including termination of employment.

Signed:

Date:

Here are some additional tips for safe driving:

  • Plan your route and allow plenty of time for your trip.
  • Be aware of your surroundings and be prepared to react to changes in traffic conditions.
  • Use your mirrors often to check your blind spots.
  • Signal your intentions well in advance.
  • Be courteous to other drivers.
  • Don't drive when you are angry or upset.
  • Take breaks if you are feeling tired.

Version: [1.0]

Issue date: [date]

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£ 9

Get much more with our
Health and Safety template toolkit:
£25
Driver commitment statement form
driver commitment statement form