Driver Evaluation Road Test Form (Page 2 of 2) in pdf

Driver Evaluation Road Test Form Page 2

Yes

Does not exceed speed limit

Cell Phones

Yes

Uses only when safely stopped off street or highway

11-Passenger Van Operation

Operator understands and implements the following:

Yes

No overhead storage is allowed

Yes

All cargo stowed inside the van should be lightweight and should not

exceed the height of the seats so as to block the driver’s rear view

Yes

The rear seat of the van shall be permanently removed and no cargo

shall be stored in that area

Yes

All vehicle doors and hatches must be closed while the vehicle is in

operation

Yes

The driver must perform a safety check (lights, tires, fluid levels,

mirrors) prior to the departure and return for each trip and complete

and sign an inspection form maintained in the vehicle.

******************************

Summary & Recommendations (check appropriate recommendation and write in additional

recommendations, if warranted)

___Passed; Approved to drive:

15 Passenger Van

Minivan

Passenger Car

___Failed; Re-Test in

months

Comments:

Signature of Tester

Signature of Driver

Send original of completed form to Financial Administrator and a copy to

Driver’s Supervisor.

October 2017

Driver Evaluation Road Test Form

Page 2

Driver Evaluation Road Test Form Page 2