Driver Evaluation Road Test Form

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Driver Evaluation Road Test Form
Driver:
Date of Road Test:
Observed by:
Note: All of the skills tested are important to help prevent accidents.
Pre-Trip Inspection Checklist
Yes
No
General condition of vehicle
Yes
No
Proper operation of parking and brakes
Yes
No
Steering
Yes
No
All lighting devices and reflectors
Yes
No
Condition of tires
Yes
No
Horn and windshield wipers
Yes
No
Rear view mirror adjustment
Yes
No
Emergency equipment
Placing Vehicle in Operation
Yes
No
Uses seat belt
Yes
No
Starts vehicle properly
Yes
No
Checks traffic patterns
Yes
No
Drives with both hands on wheel
Yes
No
Steers smoothly
Yes
No
Maintains proper speed for conditions, and within speed limit
Backing and Parking
Yes
No
Stops in correct position
Yes
No
Avoids backing from blindside
Yes
No
Gets out of vehicle and checks entire area, including overhead, before
backing
Yes
No
Uses mirrors properly
Intersections
Yes
No
Prepares to stop vehicle, if necessary, even if traffic signal is green
Yes
No
Checks in all directions for traffic conditions
Yes
No
Stops vehicle in proper location when required
Yes
No
Does not allow vehicle to roll when stopped
Turning
Yes
No
Makes sure vehicle is in proper lane for turn
Yes
No
Signals intention to turn well in advance
Yes
No
Approaches turn at proper speed
Yes
No
Checks traffic conditions and turns only when intersection is clear
Yes
No
Keeps vehicle in proper lane during turn
Passing
Yes
No
Only passes in safe location, where legally permitted
Yes
No
Checks ahead and behind to make sure passing room is adequate
Yes
No
Warns vehicle ahead of intention to pass
Yes
No
Uses directional signals properly
Yes
No
Leaves sufficient space between vehicles before moving back into lane
October 2017
Driver Evaluation Road Test Form
Page 1

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