Da Form 348 - Equipment Operator'S Qualification Record
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2EQUIPMENT OPERATOR'S QUALIFICATION RECORD (EXCEPT AIRCRAFT)
For use of this form, see AR 600-55; the proponent agency is DCS, G3/5/7.
NAME (Last, first, initial)
PERMIT (Initial)
NUMBER
DATE ISSUED
TYPE
LIMITATIONS (Physical or operational)
SEX
DATE OF BIRTH
COLOR HAIR
COLOR EYES
HEIGHT
WEIGHT
POSITION TITLE (If civilian)
SECTION I - OFFICIAL QUALIFICATIONS
1
TYPE OF EQUIPMENT
SIZE
SPECIAL QUALIFICATION
DATE QUALIFIED
QUALIFIED AT
NAME OF EXAMINER
SECTION II - BACKGROUND AND EXPERIENCE
ADDITIONAL
TYPE OF DRIVING
NUMBER OF OTHER
SATISFACTORY EXPERIENCE
TYPE OF EQUIPMENT
SIZE
DRIVER'S LICENSES
2
OR OPERATION
DRIVER'S LICENSES
VERIFIED BY
(State or agency)
1
2
Special equipment, special operations or conditions
City, rural, long haul, etc.
SECTION III - PERFORMANCE RECORD
(List chronologically as "credits" - awards, training, retraining, testing, retesting, roadeos, permit renewal,
relicensing, etc; and as "debits" - accidents, arrests, violations, warnings, revocations, suspensions, etc.)
DATE
CREDITS
DEBITS
TYPE OR NATURE
ACTION TAKEN
PREVIOUS EDITIONS ARE OBSOLETE.
(Extract from personnel file to
Page 1 of 2
DA FORM 348, AUG 2011
maintain at operating level.)
APD LC v1.00
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Parent category: Business