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COVID-19 Heath and Risk Assessment Form

Please complete this form 24 hours prior to your booked lesson.

 Thank you!

The purpose of this Assessment form is to ensure that both you as my pupil, and I as your Driving Instructor, are fully informed of any health conditions or concerns you have regarding personal safety during driving lessons.  It is also to ensure any questions you have are answered and necessary planning and equipment are put in place before we commence all Driving Lessons. 

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If applicable, please take the time to discuss this form with your family members or those in your household before completing this form to ensure everyone in your home understands the questions and that your answers are accurate. You can complete the form digitally or print & complete whichever is your preference. 

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PLEASE NOTE: 

  • You must notify me immediately if you or any member of your immediate household, social circle or work group develop covid-19 symptoms and need to self-isolate.

  • For advice on COVID-19 symptoms please visit: https://www.nhs.uk/conditions/coronavirus-covid-19/

  • You must not attend any driving lessons or driving tests if you have any covid-19 symptoms.  

  • You will not be charged a short notice cancellation fee if the cancellation is due to covid-19.

COVID-19 

Risk Assessment Form
Have you or anyone in your household had any symptoms or suffered from COVID- 19 since your last driving lesson?
Do you or anyone who you are in regular close contact with have any health issues which are classed as a vulnerable group in respect of COVID-19 Government guidelines?
Do you have any allergies or health conditions that means you would not be able to use Hand Sanitiser provided by me? If ‘YES’, you must bring your own products to cleanse your hands and keep you safe before touching the vehicle or controls in the car.
I will be wearing a face covering during lessons in order to minimise risk from myself to you. This means my voice may not be as clear or loud. Do you have any difficulties with hearing?
Do you have any allergies or breathing/respiratory conditions or other health problems for which this sanitisation process would cause you any problems or difficulties? If ‘YES’, I will need to discuss a plan with you prior to lessons to work around this issue.

Thanks for submitting!

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