Defensive Driving Observation Form
Use this form to observe and document defensive driving behaviors in a clear, concise, and professional manner.
Observer Full Name
*
First Name
Last Name
Date and Time of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Observation
*
Driver Identifier (e.g., badge number, initials, or vehicle number)
*
Vehicle Description (make, model, color, etc.)
Type of Observation
*
Please Select
Routine Driving
Incident Response
Training Evaluation
Other
Defensive Driving Behaviors Observed
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Maintained safe following distance
Used mirrors and checked blind spots
Obeyed speed limits
Yielded right of way appropriately
Anticipated hazards
Used turn signals for all lane changes and turns
Other
Unsafe or At-Risk Behaviors Noted (if any)
Overall Assessment of Defensive Driving
*
1
2
3
4
5
Additional Comments or Recommendations
Submit Observation
Should be Empty: