Rowing SA Vehicle & Trailer Declaration

Rowing SA Vehicle & Trailer Declaration
This only needs to be completed once per season unless your licence details change
I have previously submitted my drivers licence by completing this form.*

YesNo
Thank you, you are not required to complete this form again for this season.
Driver details
Name of Driver*

First NameLast Name
Drivers Licence
Please upload your current Drivers Licence here*

Cancelof
Vehicle Check
Please complete

Tyres appear safeLights operationalNo warning lightsFuel sufficient
Will you be towing a trailer?

YesNo
Trailer (if applicable)
Trailer Pre-Departure Checklist

Hitch secured and lockedSafety chains attachedLights connected and workingLoad secured and balancedI am competent and confident to tow
Read the policy here.
Log Book
I understand that I need to complete the log book (when present) before and after each trip.*

YesNo
Key Collection
The keys to the vehicle are to be collected from the Rowing SA office.

Please arrange this at least 24 hours before the vehicle is required by calling Christine on 0419 618 704.
Fuel Card
I will collect the fuel card from the RSA office if required.*

YesNo
Driver Acknowledgement
Final Declaration*

I hold a current and valid driver’s licence appropriate to the vehicleI am authorised to drive for Rowing SA and will only use the vehicle for approved purposesI will comply with all road laws and Rowing SA policies and proceduresI am fit for duty and capable of safely operating the vehicleI confirm the vehicle and trailer (if applicable) are safe to operateI will not permit any unauthorised person to drive the vehicleI accept responsibility for any parking or traffic infringements incurred while driving the vehicleI will report any accidents, incidents, hazards, or damage as soon as practicable and complete the required Incident ReportI understand that a Drive Plan must be completed where required under the Rowing SA Safe Driving ProcedureI understand the towing competency requirements and will only tow if competent to do soI will refer to trailer operating instructions (including hydraulic brake procedures where applicable) as requiredI understand that failure to comply with Rowing SA requirements may result in removal of driving authorisation and may impact insurance coverage or liability
Signature
Signature*
Date*

DayMonthYear
Date
Should be Empty:

Rowing SA Vehicle & Trailer Declaration

Driver details

Drivers Licence

Vehicle Check

Trailer (if applicable)

Log Book

Key Collection

Fuel Card

Driver Acknowledgement

Signature