Safe Driving Training Acknowledgement Form

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Safe Driving Training Acknowledgement Form
Auto accidents are a problem that we have the potential of facing when driving for work related business. In order to
keep our employee’s safe; we have the following policies to help reduce any harm to yourself and others.
Safe Driving Policy:
I agree my vehicle will be properly maintained
I agree to not drink alcohol, or illegal drugs, in any quantity, prior to driving, or while driving.
I agree not to take any prescription drugs that may impair my ability to safely drive.
I agree to wear my seatbelt at all times, when I am driving.
I agree to not give rides to any passengers while driving.
I will report any driving violations at first opportunity.
I will ensure that my vehicle is properly insured, with insurance being kept up to date.
I agree to report any accidents whether during personal driving time or during company business to
my manager immediately. I will not admit fault, and I will get witness names, and contact information.
I agree to follow all State and local laws and rules while driving
I agree to never Text Message while in the car. Even if stopped at a light, I will not check text
messages or send them
I will never check (or send) Emails while in the car
When driving, I will use caution and drive responsible at all times
When driving, I will continuously look out for pedestrians
When driving, I will not drive aggressive and will leave plenty of stopping distance in front of my
vehicle
When driving, I will not make any moves that may endanger anyone's safety.
*** I understand when driving on McDonald’s business that all lives and property are more important than being on
time.
Employee Name: ______________________________
Employee’s Signature: ______________________________ Date: ____________
Managers/Witness Signature:
______________________________ Date: ____________
Download Sample Form at:
http://www.ProfitingFromSafety.com/safe-driving-policy/
11
MCD WC Safety Book – All Rights Reserved. Copyright © Besnard Safety Services LLC– (disclaimer on the last page)
Safe Driving Training Acknowledgement Form
Auto accidents are a problem that we have the potential of facing when driving for work related business. In order to
keep our employee’s safe; we have the following policies to help reduce any harm to yourself and others.
Safe Driving Policy:
I agree my vehicle will be properly maintained
I agree to not drink alcohol, or illegal drugs, in any quantity, prior to driving, or while driving.
I agree not to take any prescription drugs that may impair my ability to safely drive.
I agree to wear my seatbelt at all times, when I am driving.
I agree to not give rides to any passengers while driving.
I will report any driving violations at first opportunity.
I will ensure that my vehicle is properly insured, with insurance being kept up to date.
I agree to report any accidents whether during personal driving time or during company business to
my manager immediately. I will not admit fault, and I will get witness names, and contact information.
I agree to follow all State and local laws and rules while driving
I agree to never Text Message while in the car. Even if stopped at a light, I will not check text
messages or send them
I will never check (or send) Emails while in the car
When driving, I will use caution and drive responsible at all times
When driving, I will continuously look out for pedestrians
When driving, I will not drive aggressive and will leave plenty of stopping distance in front of my
vehicle
When driving, I will not make any moves that may endanger anyone's safety.
*** I understand when driving on McDonald’s business that all lives and property are more important than being on
time.
Employee Name: ______________________________
Employee’s Signature: ______________________________ Date: ____________
Managers/Witness Signature:
______________________________ Date: ____________
Download Sample Form at:
http://www.ProfitingFromSafety.com/safe-driving-policy/
11
MCD WC Safety Book – All Rights Reserved. Copyright © Besnard Safety Services LLC– (disclaimer on the last page)

Download Safe Driving Training Acknowledgement Form

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