Some medical conditions and medications affect the ability to drive safely, and a driver may not think to mention them. This simple declaration asks the right questions so that any medical conditions that may impact driving can be assessed.

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This form template is supplied in fully editable MS Word format and can be easily customised and edited. The document uses pre-defined style formatting throughout, with all text in Calibri font for improved readability.
The following document labelling is included in the footer:

• Form number and title
• Information-classification
• Version
• Page number / total pages

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Further Reading

Further guidance on driver fitness and driving for work:

• Driving for Work
• Managing Drivers
• Managing Health and Safety at Work

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How to Download

This file is included in the alphaZ subscription. This form is also included in the ISO 45001 Toolkit and every alphaZ ISO toolkit that covers health and safety, so if you need the wider set of documents for driver health and driving for work, the toolkit route gives you this file plus everything else you need in one download.

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Driver Health Declaration Template

A driver health declaration for confirming a driver is medically fit to drive. It asks about vision, blackouts and fits, medication and treatment, other medical conditions, cardiovascular history and sleep disorders, so any factor affecting safe driving is disclosed and can be managed.

Managing driving for work includes making sure drivers are fit to drive, in line with DVLA medical standards. This declaration gives you a documented confirmation and supports the operational control requirements of ISO 45001.

Built for Driving for Work and ISO 45001

The declaration supports the operational control requirements of ISO 45001 (clause 8.1):

• Vision and general fitness to drive confirmed
• Blackouts, fits and epilepsy declared
• Medication, treatment and other medical conditions captured
• Cardiovascular history and sleep disorders covered, with a signed declaration

What's Included in this Driver Health Declaration

The form is a signed self-declaration questionnaire:

• Header - name, date completed and job role / work area
• Health questions - a numbered set of Yes / No questions on vision, blackouts, medication, medical conditions, cardiovascular history and sleep
• Declaration - signature and date confirming the answers

Who Needs a Driver Health Declaration?

Any organisation whose people drive for work, particularly those driving vans, HGVs, PSVs or plant. It is a core control record for driving-for-work duties and for any business working towards or maintaining ISO 45001 certification.

Pairs with the Driver Declaration

Capture collisions, convictions and consent to check records with the F-HS35 Driver Declaration.