Before any person, who is not a regular employee commences work for the company and is required to drive a vehicle to which the Drivers Hours and Tachograph Regulations apply, the following information must be obtained.

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At what time and date did you finish work, prior to commencing driving for this company.

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Finish time................................date.................................

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( there must have been at least 11 hrs rest within the previous 24hr period, or no less than 9hrs 

if rest reductions are available, or 45 hrs, or a weekly rest reduction if applicable, when 

commencing a new week. )

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When did you last take a weekly rest.

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Started -time.......................date...................Ended-time......................date........................

(It must not be longer than five consecutive days before today's date)

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Have you got all of the charts completed within the previous 28 days? Yes [   ] No [   ]

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How many times have you driven over 9hrs ..............................

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How many times have you taken less than 11 hrs daily rest ..............................

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Do you understand your legal obligations relative to drivers hours and tachograph 

regulations Yes [    ] No [    ]

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Informed of requirements Yes [    ]

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Do you know of any legal reason why you should not start work for this company 

at this particular time. Yes [    ] No [    ]

Digital

Are you in possession of your driver's card and is it functioning correctly? Yes [    ] No [    ]

I have read the above and I understand all that is required before I commence driving for this company and I am not committing any breaches of the drivers hours regulations.

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Signed...................................................................................

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Time/Date........................................................................

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Witnessed...........................................................................................................