Hazard Perception FORM Hazard Perception Step 1 of 4 25% Your DetailsFull name* First Email* Documentation and Qualification ChecksDo you have immigration permission to work in the UK?* Yes No in line with UKBA guidance on the prevention of illegal working we will need to verify and take copy of your original ID documentation as evidence of your right to work in the UK.Driving Licence No.*Please indicate the categories of licence that you hold by indicating the number of years you have held the entitlementBB+EC1C1+ECC+EDD+ED1D1+EFGHKDo you have any convictions or points which may appear on your licence?* Yes - (please disclose below) No - CLEAN LICENCE If answered YES please disclose ALL convictions and points which may appear on your licenceDate of convictionOffence codeDate of offenceFine £Disqualification periodOtherPenalty points (Use the plus icon at the end of each row to add a new row if needed)Have you been convicted of any motoring offence in the last 5 years?* Yes No Have you had your licence suspended in the last 10 years?* Yes No At the time of signing this form is there any prosecutions pending, or has anything occurred which may result in any future prosecution?* Yes No Have you to your knowledge any physical or mental defect or infirmity or do you suffer from diabetes, heart complaint or any other disease which may impair your driving efficiency?* Yes No I certify that I have worked the following hours during the past seven daysMondayDateHoursWednesdayDateHoursFridayDateHoursSundayDateHoursTuesdayDateHoursThursdayDateHoursSaturdayDateHours Drivers Competency Test1. On UK journeys, the total time spent driving each day must not normally exceed:* a) 8 Hours b) 9 Hours c) 10 Hours d) 11 Hours 2. However, on two days in the week you may extend that and drive for up to:*3. You must take a statutory rest period after a period of accumulated driving of:*4. After the period of accumulated driving you have given in question 'three', the statutory break must be at least:*4a. Related to question 'four' you can split the break time into two shorter periods the first being:*and second being:*5. The daily rest between periods of duty must not normally be less than:*6. However, on three days a week (non consecutive) this may be reduced to:*7. The limit for the number of hours you can spend driving in any fortnightly period is:* a) 86 hours b) 90 hours c) 94 hours 8. The normal weekly rest period should be a minimum of at least:*8a. Related to question 8 how many hours can this be reduced to:*9. The standard fixed week for European Tachograph regulations apply runs from 00:01 hours on a:*to 23.59 hours on a:*10. A driver drives for 2.5 hours, places the tachograph mode to "other work" for 1 hour and then drives for a further 2 hours. What break does the driver then need to take?*11. For how long can a driver drive a digital operated vehicle if the driver's tachograph card malfunctions?*12. If a driver removes their digital tachograph card at 9:00hrs, but does not actually finish the duty until 09:30hrs, what should the driver do when he next inserts his tachograph card on the next shift they work?* a) Start the vehicle b) Make a manual entry c) Do a print out d) Check the time 13. When driving a vehicle fitted with a digital tachograph, what must the driver ensure they have in their possession before commencing any journey?*14. What button on the digital tachograph unit confirms any procedure performed on the unit?*15. How often should the digital tachograph unit be calibrated?*16. Under WTD rules, what is the maximum amount of hours a driver can work without taking a break?*17. What break must be taken after 9 hours duty but before the end of the shift?*18. What break does a driver have to take after 6 hours duty but before 4 half hours collective driving time?*19. Where will you find the tachograph inspection certificate for a digital tachograph?* Highway Code TestPlease state what each sign represents******************** Statements and DeclarationsDo you have any unspent* criminal convictions?* Yes No *Certain types of employment and professions are exempt from the Rehabilitation of Offenders Act 1974 and in those cases particularly where the employment is sought in relation to positions involving working with children or vulnerable adults, details for all criminal convictions must be given. the information given will be treated in the strictest of confidence and only taken into account where, in the reasonable opinion of Igloo, the offence is relevant to the post to which you are applying. Failure to declare a conviction may require us to exclude you from our register or terminate an assignment if the offence is not declared but later comes to light.If yes, please specifyDo you have any health issues or a disability relevant which may make it difficult for you to carry out functions which are essential for the role you seek? (please indicate clearly as appropriate) Yes No If yes, please specifyIf you have a disability, what are your needs in terms of reasonable adjustments in order to access this recruitment service and to attend interview, or to take aptitude tests etc?TO CONTINUE PLEASE CLICK SUBMIT AND READ THROUGH THE DOCUMENT THEN SIGN AT THE BOTTOM. CLICK AGREE AND SIGN THIS WILL SEND THE DOCUMENT BACK TO IGLOO
