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In Car Script - Watford

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Assessment Details

In Car Assessment - Watford - 11 Mile Route

Client Name *

First

Last

Assessment Date and Time

Date

Time

Vision and Eyesight

Were corrective lenses or glasses required?

Yes
No

Has the candidate met the vision requirements?

Pass
Fail

Stationary Transfer

Passenger's Seat - Independent
Passenger's Seat - Assisted
Driver's Seat - Independent
Driver's Seat - Assisted

State what assistance was required

Vehicle

MAKE of Vehicle

MODEL of Vehicle

Controls Used

Manual
Automatic

Vehicle Adaptations Used

Weather

Sunny and Clear
Cloudy and Overcast
Light Rain
Heavy rain
Snow
High wind
Fog / Mist

Familiarisation, Accessibility and Safety

START Time - Familiarisation

Use the '24 hour' format, eg. "14:30"

FINISH Time - Familiarisation

Use the '24 hour' format, eg. "14:30"

START Time - On Road

Use the '24 hour' format, eg. "14:30"

FINISH Time - On Road

Use the '24 hour' format, eg. "14:30"

Emergency Stop Exercise

1
2
3
4

Problems Noted During Familiarisation

On Road Assessment

On Road Assessment

1 - Turn left onto Prestwick Road

1
2
3
4

Notes

2 - Ahead at mini roundabouts

1
2
3
4

Notes

3 - Ask the speed limit (40mph)

1
2
3
4

Notes

4 - Turn right into Green Lane

1
2
3
4

Notes

5 - Ask the speed limit (20mph)

1
2
3
4

Notes

6 - Turn left at the very end of road

1
2
3
4

Notes

7 - Ahead at traffic lights

1
2
3
4

Notes

8 - Ahead at two sets of Traffic lights

1
2
3
4

Notes

9 - Keep to right hand lane of the one-way system and follow road signs to North Watford

1
2
3
4

Notes

10 - Use underpass and keep following road signs to North Watford

1
2
3
4

Notes

11 - Ask the speed limit (30mph)

1
2
3
4

Notes

12 - Ask client to turn left at the traffic lights (this will involve them moving into the left-hand lane)

1
2
3
4

Notes

13 - Turn left into Stratford Road (4th turn on the left, just before bend)

1
2
3
4

Notes

14 - Compulsory left turn

1
2
3
4

Notes

Opportunity to pull over and give feedback:

15 - Please use far right-hand lane as you enter the one-way system. Client to give way to the left and they will need the middle lane as they merge onto the junction. Proceed down Hempstead Road

1
2
3
4

Notes

16 - At the traffic lights turn right into Langley Road

1
2
3
4

Notes

17 - At the end of the road, turn left at the traffic lights

1
2
3
4

Notes

18 - Lane selection after lights (lanes merge)

1
2
3
4

Notes

19 - Instruction: Continue ahead until further notice” (correct lane selection required)

1
2
3
4

Notes

20 - Response and lane selection at traffic lights

1
2
3
4

Notes

21 - Pedestrian crossing x 2

1
2
3
4

Notes

22 - Ahead at the traffic lights

1
2
3
4

Notes

23 - Pedestrian crossing x 2

1
2
3
4

Notes

24 - At the traffic lights turn right into Bushey Mill Lane

1
2
3
4

Notes

25 - Pedestrian crossing x 2

1
2
3
4

Notes

26 - Level crossing

1
2
3
4

Notes

27 - Ahead at mini roundabouts

1
2
3
4

Notes

28 - Ahead at the traffic lights

1
2
3
4

Notes

29 - Ahead at four mini roundabouts

1
2
3
4

Notes

30 - Pedestrian crossing

1
2
3
4

Notes

31 - Twin Direction: Turn Left at the first roundabout and right at the roundabout immediately afterwards

1
2
3
4

Notes

32 - Enter NSL dual carriageway

1
2
3
4

Notes

33 - Follow road signs to Oxhey and Bushey (Left onto slip road, left onto next slip road, straight ahead at roundabout)

1
2
3
4

Notes

34 - At roundabout turn right, 2nd exit towards Northwood

1
2
3
4

Notes

35 - Turn left at lights onto Brookdene Avenue

1
2
3
4

Notes

36 - Ahead at two mini roundabouts

1
2
3
4

Notes

37 - Turn right into the Centre car park (next to the Church)

1
2
3
4

Notes

38 - Parking exercise

1
2
3
4

Notes

ASSESSMENT END TIME

Use the '24 hour' format, eg. "14:30"

Time FINISH on road

Back to the Hub

Results

Physical intervention by the ADI

Dual Brake
Took control of the steering wheel
Any other physical intervention e.g. gears, indicators (please specify)

Intervention frequency: Dual Brake

Intervention frequency: Steering Wheel

Intervention frequency: Gears, Indicators etc

Assessment Result

Safe
Inconclusive
Unsafe

Length of Route

4 mile
8 mile
11 mile (Full Route)
Other (please specify)

Specify length of route (if applicable)

Additional Notes

Additional Notes

ADI and OT analysis

Did client agree with my opinion?

Did the client believe that they drove safely?

Was client happy with the choice of controls?

Advice given / Plan

Who was present during the recommendations?

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