Delivery Driver Risk Assessment Form
Evaluate delivery driver safety and operational risk using this structured assessment form.
Driver's Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Condition
*
1
2
3
4
5
Driving Record (recent incidents or violations)
*
No incidents/violations
Minor incidents only
Major incident(s) in last 12 months
Safety Training Completion
*
Completed within last 12 months
Completed over 12 months ago
Not completed
Personal Protective Equipment (PPE) Usage
*
Always uses required PPE
Sometimes uses PPE
Rarely or never uses PPE
Route Familiarity
*
Highly familiar with assigned routes
Somewhat familiar
Unfamiliar with routes
Compliance with Delivery Protocols
*
1
2
3
4
5
Fatigue or Alertness Concerns Noted
*
No concerns
Occasional fatigue
Frequent fatigue or alertness issues
Overall Delivery Risk Level
*
Low
Moderate
High
Submit Assessment
Should be Empty: