Fillable Printable Driver Road Test Evaluation Form
Fillable Printable Driver Road Test Evaluation Form
Driver Road Test Evaluation Form
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 Check List
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 Does not allow vehicle to roll while stopped
Yes
No Drives with both hand s on wheel
Yes No Steers smoothly
Yes No Maintains proper speed for condition s, and within speed limit
Backing and Parking
Yes
No Stops in correct position
Yes
No Avoids backing from blind side
Yes No Gets out of vehicle and checks e ntire a rea, including overhe ad
before backing
Yes
No Uses mirrors properly
Intersections
Yes
No Prepares to stop vehicle if nece s sary, even if traffic signal is green
Yes No Checks in all directions for traffic conditions
Yes
No Stops vehicle in proper lo cation when required
Yes No Does not allow vehicle to roll when stopped
Turning
Yes
No Makes sure vehicle i s in p rope r lane for turn
Yes No Signals intention to turn well in advance
Yes No Approaches turn at pro per speed
Yes No Checks traffic conditions and turns only whe n intersection is clear
Yes
No Keeps vehicle in proper lane duri ng turn
Passing
Yes
No Only passes in safe location, where lega lly permitted
Yes No Checks ahead and behind to make sure passin g room is adeq uate
Yes No Warns vehicle ahead of intention to pa ss
Yes
No Uses directional signal s properly
Yes
No Leaves sufficient space be t ween vehicles before moving back into lane
Yes
No Does not exceed speed limit
Cell Phones
Yes
No Uses only when safely stopped off street or high way
2
Summary & Recommendations (check appro p riate recommendation and write in additional
recommendations, if warranted)
Passed; Approved to drive: ________15 Passenger Van
________ Minivan
________ Passenger Car
Failed; Re-Test in ____________ months
Comments: __________________________________________________
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Signature of Tester Signature of Driver
Send original of completed form to Director of Business and Auxiliary Services and to
Driver’s Supervisor.
