Skill Performance Evaluation Certificate Application Form Page 11
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25PART II
THIS PART TO BE COMPLETED BY MOTOR CARRIER AND/OR DRIVER
Modification to the task statements may be made if necessary.
The following is a universal job task description, your attention is directed to those boxes that have been
checked as pertinent to this particular driver.
A. VEHICLE TYPE
' StraightTruck
' Tractor-Trailer
' Passenger Vhl.
' Motor Home
May have up to 5
Comprised of a power
List the Seating
Gross Vehicle Weight
axles, utilizing van,
unit (tractor) and one
Capacity______
Rating of
flatbed, tank or dump
or more trailers.
10,001 or more
bodies.
Type :
' A. Over 10,00l lbs
' Motor Coach
' B. Combination
' Bus
' Van
Sraight Trk with
Trailer over
10,001lbs.
' C.
Less than 10,001
lbs & Placarded
Hazardous Materials
'
i.
Short-relay drives 4-5 hours to a turnaround point, exchanges trucks and drives back to
starting point.
'
ii.
Long-relay drives 8-10 hours, sleeps for 8 hours and returns to starting point.
'
iii.
Straight-through to destination, including coast to coast operations, and typically is away from
home for ____ nights at a time.
'
iv.
Sleeper-team drives constantly for 4 hours followed by 4 hours in the bunk while co-driver
drives and typically is away from home ____ nights at a time.
'
v.
Local deliveries, often with frequent stops
'
vi.
Driver may spend hours climbing in and out of truck to load and unload cargo.
B. ENVIRONMENTAL FACTORS
Drivers may be subject to:
' e. Long trips without regular meals,
' a. Abrupt duty hour changes,
' f. Short notice to assignment of run,
' b. Sleep deprivation,
' g. Tight delivery schedule,
' c. Unbalanced work/rest cycles,
' h. Delay en route,
' d. Temperature and weather
extremes,
' I. Others
3
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