PUBLIC TRANSPORT DRIVER FITNESS & LICENSING CHECKLIST TEMPLATE Created by ChecklistGuro (https://checklistguro.com) --- DRIVER PERSONAL INFORMATION --- [ ] Driver's Full Name [ ] Employee ID [ ] Date of Birth [ ] Gender (Male, Female, Other) [ ] Emergency Contact Name [ ] Emergency Contact Phone Number [ ] Permanent Address --- DRIVER'S LICENSE VALIDITY --- [ ] License Expiry Date [ ] License Number [ ] License Type (Class A, Class B, Class C, Other) [ ] License Endorsements (Passenger (P), Commercial (CDL), Hazardous Materials (H), Tanker (N), Doubles/Triples (T)) [ ] License Status (Valid, Suspended, Revoked, Restricted) [ ] Issuing State/Province --- MEDICAL FITNESS ASSESSMENT --- [ ] Medical Examination Date [ ] Medical Certificate Expiry Date (Valid, Expired, Expiring Soon) [ ] Visual Acuity (Right Eye) [ ] Visual Acuity (Left Eye) [ ] Medical Conditions/Restrictions (if any) [ ] Hearing Impairment? (No, Yes - Mild, Yes - Moderate, Yes - Severe) [ ] Upload Medical Certificate --- DRUG & ALCOHOL TESTING RECORDS --- [ ] Last Drug Test Date [ ] Last Alcohol Test Date [ ] Drug Test Result (e.g., ng/mL) [ ] Alcohol Test Result (e.g., BAC %) [ ] Drug Test Result (Negative, Positive, Invalid) [ ] Alcohol Test Result (Pass, Fail, Invalid) [ ] Lab Report (Optional) --- TRAINING & CERTIFICATION RECORDS --- [ ] Defensive Driving Course Completion Date [ ] First Aid/CPR Certification Expiry Date [ ] Disability Awareness Training Completion Date [ ] Specific Vehicle Type Training (e.g., Electric Bus, Articulated Bus) (Standard Bus, Articulated Bus, Electric Bus, Double Decker Bus) [ ] Hours of Driver Refresher Training Completed (in last year) [ ] Type of Passenger Assistance Training (Basic Assistance, Advanced Assistance) [ ] Copy of Driver Certification(s) --- COMPANY POLICY COMPLIANCE --- [ ] Working Hours Adherence (Compliant, Minor Deviation, Significant Deviation) [ ] Break Time Taken (Minutes) [ ] Last Policy Acknowledgement Date [ ] Mobile Phone Usage Policy (Compliant, Minor Infraction, Major Infraction) [ ] Any deviations from standard procedure? (If applicable) [ ] Uniform Compliance (Compliant, Minor Infraction, Major Infraction) --- VEHICLE FAMILIARIZATION --- [ ] Vehicle Type and Model [ ] Specific Vehicle Features (e.g., ramp location, wheelchair securement) [ ] Familiarity with Emergency Equipment Locations (Fire Extinguisher, First Aid Kit, Emergency Hammer, Communication Devices) [ ] Maximum Passenger Capacity [ ] Procedure for Operating Accessible Features (if applicable) [ ] Vehicle Control System Familiarity (Fully Familiar, Partially Familiar, Not Familiar) --- INCIDENT HISTORY REVIEW --- [ ] Date of Incident/Near Miss [ ] Brief Description of Incident/Near Miss [ ] Severity Rating (1-5, 1=Minor, 5=Severe) [ ] Type of Incident (Accident, Near Miss, Passenger Complaint) (Accident, Near Miss, Passenger Complaint, Other) [ ] Root Cause Analysis (if applicable) [ ] Corrective Actions Taken [ ] Date Corrective Actions Completed [ ] Was retraining required? (Yes, No) [ ] Supporting Documentation (Police Report, Witness Statements) --- FITNESS FOR DUTY SELF-ASSESSMENT --- [ ] Date of Self-Assessment [ ] Time of Self-Assessment [ ] Describe your current physical condition (e.g., fatigue, illness, injury). [ ] Describe your current mental/emotional state (e.g., stress, anxiety, personal issues). [ ] Are you currently taking any medication that could affect your ability to operate a vehicle? (Yes, No) [ ] Do you feel able to concentrate and react effectively? (Yes, No) [ ] Hours of sleep in the last 24 hours (approximate) [ ] Driver Signature --- REVIEW & SIGN-OFF --- [ ] Review Date [ ] Review Time [ ] Supervisor Signature [ ] Reviewer Name [ ] Reviewer Title [ ] Overall Compliance Status (Compliant, Non-Compliant, Partial Compliance) [ ] Comments/Further Actions Required (if applicable) --- END OF TEMPLATE --- Transform this text into a digital, automated, and trackable mobile app! Visit: https://checklistguro.com/templates/public-transport-management/public-transport-driver-fitness-licensing-checklist-template (Click "Install Template" to launch your digital inspection tool immediately)