Approved Driving Instructor (Adi) Part 3 Test Report Form

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ADI Part 3 (SC)
INFORMATION
Outcome
Candidate’s
Location
name
Date
/
/
PRN
Dual Controls
I declare that my use of the test vehicle for the purposes
of the test is covered by a valid policy of insurance which
Yes
No
Reg No
satisfies the requirements of the relevant legislation.
Log book
Trainer
PRN
Yes
No
Trainee Licence
ORDIT
Yes
No
Yes
No
Accompanied? QA
Trainer
Other
ASSESSMENT
Lesson
Competence
Student:
Beginner
Partly trained
Trained
FLH New
FLH Experienced
0
1
2
3
Lesson theme:
Junctions
Town & city driving
Interaction with other road users
Dual carriageway / faster moving roads
Defensive Driving
Effective use of Mirrors
Independent driving
Rural roads
Motorways
Eco-safe driving
Recap a manoeuvre
Commentary
Recap Emergency stop
Other
Lesson Planning
Did the trainer identify the pupil’s learning goals and needs?
Was the agreed lesson structure appropriate for the pupil’s experience and ability?
Were the practice areas suitable?
Was the lesson plan adapted, when appropriate, to help the pupil work towards their learning goals?
Score for lesson planning
Risk Management
Did the trainer ensure that the pupil fully understood how the responsibility for risk would be shared?
Were directions and instructions given to the pupil clear and given in good time?
Was the trainer aware of the surroundings and the pupil’s actions?
Was any verbal or physical intervention by the trainer timely and appropriate?
Was sufficient feedback given to help the pupil understand any potential safety critical incidents?
Score for risk management
Teaching & learning strategies
Was the teaching style suited to the pupil’s learning style and current ability?
Was the pupil encouraged to analyse problems and take responsibility for their learning?
Were opportunities and examples used to clarify learning outcomes?
Was the technical information given comprehensive, appropriate and accurate?
Was the pupil given appropriate and timely feedback during the session?
Were the pupils queries followed up and answered?
Did the trainer maintain an appropriate non-discriminatory manner throughout the session?
At the end of the session – was the pupil encouraged to reflect on their own performance?
Score for teaching and learning strategies
Overall score
REVIEW
YES
NO
Did the candidate score 7 or less on Risk Management (A ‘Yes’ response to this question will result in an automatic Fail)
At any point in the lesson, did the candidate behave in a way which put you, the pupil or any third party in immediate
danger, so that you had to stop the lesson ( A ‘Yes’ response to this question will result in an automatic Fail)
Was advice given to seek further development?
Feedback
offered to
Candidate
Examiner
Signature
Name
??/2017

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