Form 735-173 - Application For Driving Privileges Or Id Card Page 2
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1
2EQUIPMENT FAIL:
DRIVER TEST
SCORE SHEET
RESTRICTION
DATE
COURSE
APPLICANT'S NAME
ODL #
PLATE/TEMP
REPRESENTATIVE
POLICY NUMBER
INSURANCE COMPANY
EXPIRATION DATE
A. LEFT TURN
APPROACH
A. RIGHT TURN
F.
INTERSECTIONS
1
2
3
1
2
3
1.
Signal
CONTROLLED
1
2
2.
Observation
1. Attention
2. Stop - too close,
3.
Correct Lane
crosswalk, intersection
4.
Unnecessary Stop
3. Stop - too suddenly, full,
IF STOP
unnecessary
5. Intersection, Crosswalk, Too Close
UN-CONTROLLED
6.
Full Stop
4. Attention
TURNING
G.
PARKING SPACE
IN
OUT
7.
Observation
1. Speed
8.
Right of Way
2. Position
9.
Speed
3. Attention
10.
Wide or Short
H.
SPEED
POSTED
UNPOSTED
COMPLETE TURN
1. Too Fast
11.
Correct Lane
2. Too Slow
12.
Signal
I.
LACK OF ATTENTION
Non Designated
B. PARKING
C.
BACKING
D.
RE-ENTRY
1. Pedestrians
1. Signal
1. Observation
1. Observation
2. Fails to Anticipate
2. Observation
2. Path
2. Signal
3. Vehicle Control
3. Position
4. Strays from Driving /
Reaction to Emergency
LEFT
E.
LANE CHANGE
RIGHT
ON
OFF
ON
OFF
5. Lane Usage
1.
Signal
6. Speed
2.
Observation
7. Following
3.
Position
SCORE
GFIFs Grounds for Immediate Failure
TOTAL ERRORS
1. An accident involving any amount of property damage or personal injury.
1 = 97
2. The applicant refuses to perform any maneuver which is part of the prescribed driving test.
2 = 94
3. Any dangerous action in which:
a. An accident is prevented by expert driving or action on the part of other drivers.
3 = 91
b. The examiner is forced to assist the driver in avoiding an accident physically or orally.
4 = 88
c. The applicant drives or backs over curb or sidewalk.
5 = 85
d. The applicant creates a serious traffic hazard by stalling or other improper driving behavior.
6 = 82
4. The applicant commits any of the following:
7 = 79
a. Passes another car which is stopped at a crosswalk, yielding to a pedestrian or passes a
8 = 76
school bus stopped with its red lights flashing.
b. Makes or starts to make a turn into or from the wrong lane under traffic conditions that
9 = 73
render such actions dangerous.
10 = 70
c. Runs through or has to be stopped from running one red light or one stop sign.
11 = 67
5. If after proceeding a short distance on the drive test or after completion of the drive test it
12 = 64
becomes apparent that the applicant is dangerously inexperienced or is unable to operate
13 = 61
vehicle equipment, score the test "G5."
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