Driver Applicaiton Form

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2

Date* This field is required.

Date

3

Vehicle Owner/ LFT Contractor* This field is required.

Contractor Name

4

Main Vehicle to be Assigned

Rego

Capcity

5

Driver Name

First Name

Last Name

6

Driver Mobile Number* This field is required.

Please enter a valid phone number.

7

Driver Email* This field is required.

example@example.com

8

I Insert Directors Name * from Contractors Co. name * hereby

confirm that our newly appointed driver insert drivers Full name * has completed the following training and competency check:

minimum 2 days on the job training with appropriate vehicle capacity and similar runs that may be assigned in the future
The drivers has been trained in how to complete a pre start check and is competent in doing so alone and unsupervised.
The Driver has been trained and is competent in using The Chain App for all deliveries.
The Driver has been tained in all areas of CoR ( Fatigue, Mass, Loading, Speed etc)

Contractors Signature

15

Manages Accelerator* This field is required.

16

Road rules & Directions* This field is required.

YES

NO

1. Obeys road Rules

2. Follows assessors instructions

1. Obeys road Rules

2. Follows assessors instructions

YES

NO

YES

NO

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Hill Stop/Start* This field is required.

19

Assessors Comments* This field is required.

20

In Cab Assessment : Operator is* This field is required.

Competent

Not yet Competent

Further Training required

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Reassessment:* This field is required.

Required

Not Required

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Please upload the following Driver documents which are Mandatory for every Driver.

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Drivers License ( Front )

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

24

Drivers License (Back )

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

25

Vic Roads or Governing Body State Demerit Point Summary

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

No older than 6 months

26

Police Check

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

No older than 2 years

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Driver Medical Check

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

No older than 3 Years

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If approved the driver will then be sent a Login to The Chain App to be used on their personal device, along with a list of site inductions that will need to be completed to allow access to various client sites.

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Drivers Signature* This field is required.

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Director/Assessors Full Name:* This field is required.

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Director/Assessors Signature:* This field is required.