Driver Fatigue Risk Assessment Form
Driver Details
Driver Name
Employee ID
Date
Journey Details
Origin
Destination
Estimated Distance (km)
Start Time
Expected End Time
Fatigue Risk Factors
Hours Worked in Last 24 Hrs
Duration of Last Rest Period (hours)
Continuous Driving Planned (hours)
Are you currently taking any medication that may cause drowsiness?
Yes
No
Sleep Quality in Last 24 Hrs
Excellent
Good
Poor
Assessment & Comments
Other Fatigue Risks Observed
Comments / Actions Taken