Form template for issue to drivers of vehicles to get confirmation of any health issues that may affect their ability to drive.

Form collects name, date completed and work role and then has a series of questions about health in relation ability to drive including issues with vision, fitness, if ever suffered blackouts, medication, medical conditions or sleep disorders.

Blank section for completion if answered YES to any of the medical condition questions followed by declaration  that details supplied are correct and safe to drive.

This file may be used as part of an ISO 45001 management system or H&S policy/procedure. 

[Information Classification: Confidential]