Cdl Skills Tests Score Sheet - Vehicle Inspection Test

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CDL Skills Tests Score Sheet (front)
VEHICLE INSPECTION TEST
(*) If vehicle has no air brakes, put a line through these components.
ALL VEHICLES
_______________________
Engine Start
Vehicle Axles
1
2
3
Trailer Axles
1
2
3
Last
First
MI
_______________________
safety belt......................................
horn(s) ........................................
Air Brakes
Yes / No
emergency equipment (F-E-T)......
heater & defroster .......................
Driver License or Permit Number
Trk/Trktr GVWR
_____________
safe start .......................................
windshield & mirrors ...................
______
____
________
Trailer GVWR
_____________
temperature gauge .......................
wipers & washers ........................
Date of Test
Class
Endorsements
GCWR
_____________
oil pressure gauge ........................
parking brake ..............................
_______________ _______
ammeter or voltmeter gauge.........
service brake / ABS ....................
V Tag Number
_____________
Signature of Driver
Date
*air gauge .....................................
*air brake check (1-2-3) or
_______________ _______
T Tag Number
_____________
lighting indicators (L-R-4-H) .........
hydraulic brake check .................
FSCDL 101A #
_____________
Signature of Examiner
Examiner MVID
All Combination Vehicles
Truck
Trailer
Tractor
Semi-Trailer
air & electric connectors...............
air & electric connectors & lines ...
air & electric connectors & lines ...
air & electric connectors ................
tongue storage area .....................
Coupling System
Coupling System
mounting bolts ..............................
kingpin ...........................................
Coupling System
Coupling System
platform ........................................
apron .............................................
tongue or drawbar ........................
mounting bolts .............................
locking jaws or lever .....................
gap .................................................
mounting bolts ..............................
pintle hook ...................................
release arm & safety latch ............
safety devices ..............................
th
hitch release lever ........................
5
wheel skid plate .......................
sliding pintle .................................
safety devices ..............................
slide 5th wheel pins (clearance) ...
All Passenger Vehicles
Form A
Form B
Form C (Combinations)
Trailer/Semi-Trailer
Passenger Items
Front of Vehicle
Fuel Area/Under/Side
lights & reflectors
...
Trailer Front
Driver/Fuel Area
(L-R-4-HL-HB-C)
passenger entry & lift ..................
header board or bulkhead ..............
door & mirror ................................
emergency exits..........................
Engine Compartment
lights & reflectors
.......................
fuel tank & cap & leaks.................
(C)
oil level ........................................
seating ........................................
catwalk & steps ............................
coolant level ................................
Side of Trailer
lights & reflectors
.............
(L-R-4-C)
power steering fluid .....................
landing gear ....................................
Baggage Compartment
Under Vehicle
frame & tandem release .................
water pump .................................
drive shaft.....................................
doors & ties & lifts ...........................
doors secure (baggage) .............
alternator .....................................
exhaust system ............................
lights & reflectors
................
*air compressor ...........................
(L-R-4-C)
frame ............................................
leaks & hoses .............................
Trailer Axles
Rear Axles
Steering
Wheels
F R
Rear Wheels
F R
tires (I-C-D) .....................................
steering box & hoses ..................
tires (I-C-D) ..................................
rims .................................................
School Bus (Only)
steering linkage ...........................
rims ..............................................
lug nuts ...........................................
lug nuts.........................................
axle or hub oil seal .........................
Front Axle
Student Lights
axle seal .......................................
spacers or bud spacing ..................
Front Wheel
spacers or bud spacing ................
tires (I-C-D) ..................................
student lights (front, back) ..........
Suspension
rims ..............................................
Rear Suspension
springs & air bags & shocks ...........
lug nuts ........................................
springs & airbags & shocks ..........
u-bolts .............................................
hub oil seal ...................................
Student Safety Items
u-bolts ..........................................
spring/air mounts & torque arm ......
spring/air mounts & torque arm ....
stop arm & safety arm.................
Front Suspension
Brakes
Rear Brakes
student mirror..............................
springs & shocks ..........................
brake hoses or lines .......................
brake hoses or lines .....................
emergency kit & body fluid kit .....
u-bolts ..........................................
*brake chamber ..............................
*brake chamber ............................
spring mounts ..............................
*slack adjustor & push-rod .............
*slack adjustor & push-rod ...........
drum & linings or rotor & disk .........
drum & linings or rotor & disk .......
Front Brake
Rear of Trailer
brake hoses or lines .....................
Rear of Vehicle
doors & ties & lift.............................
*brake chamber ...........................
doors & ties & lift ..........................
splash guards .................................
*slack adjustor & push-rod ...........
splash guards ...............................
drum & linings or rotor & disk .......
lights & reflectors
.
lights & reflectors
......
(L-R-4-TL-BL-C) /ABS
(L-R-4-TL-BL-C)
BASIC CONTROL SKILLS TEST
Offset Back
Right
Offset Back
Left
0
0
1
2
3
4
5
Pullups
0
0
1
2
3
4
5
Pullups
Encroachments
2
4
6
8
10
2
4
6
8
10
Encroachments
Looks
0
0
0
0
Looks
Final Position
0
10
0
10
Final Position
Basic Control Skills Summary
Score
St. Line Backing
Pullups
0
1
2
3
4
5
Offset Back 1-R
Encroachments
2
4
6
8
10
Offset Back 2-L
Total Score = _______
0
Looks
St. Line Back
0
10
Alley Dock
Final Position
Alley Dock
Pullups
0
0
1
2
3
4
5
Encroachments
2
4
6
8
10
Looks
0
0
VEHICLE INSPECTION SCORE:
Inside Alley (3ft box)
0
10
BASIC CONTROL SKILLS SCORE:
FSCDL-102 Jun 2007

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