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Fillable Printable Road Test Score Sheet

Fillable Printable Road Test Score Sheet

Road Test Score Sheet

Road Test Score Sheet

DATE
NAME OF DRIVER NAME OF EXAMINER
SSAN SCORE ROUTE
ROAD TEST SCORE SHEET
For use of this form, see AR 600-55; the proponent agency is DCS, G3/5/7.
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STOP/START ON GRADE
Approach
Traffic check
Signal On
Moves to proper lane
Smooth deceleration
Does not coast to stop
EXPRESSWAY
Merge On
Traffic check
Signal On
Maintains spacing
Avoids stopping
Smooth merge
Cancel signal
Stop Lane Changes
Vehicle parallel to curb
Vehicle does not roll
Signal off/4-ways on
Parking brake on
Resume
Traffic check
Signal on
Adequate spacing
Smooth lane change
Cancel signal
Exit
Traffic check
4-ways off/signal on
Release parking brake
Did not stall engine
Traffic check
Accelerate to traffic flow
SEARCH
DIRECTION
SPEED
No errors
Traffic check
Signal on
Smooth merge to exit lane
Decelerate in exit lane
Adequate spacing
Correct ramp speed
Cancel signal
SEARCH
DIRECTION
SPEED
No errors
DRIVING UP GRADE
In proper gear
Stays in right lane
Uses 4-ways if slow
Traffic check
SEARCH
DIRECTION
SPEED
No errors
DRIVING DOWN GRADE
Clear brakes
In proper gear
Steady braking on grade
Does not ride clutch
Maintain steady speed
Traffic check
SEARCH
DIRECTION
SPEED
No errors
GENERAL DRIVING BEHAVIOR
Use clutch properly (to shift, double clutched, didn't ride)
Used gears properly (not over-rev/lug engine, clash gears, coast)
Used brakes properly (no hard braking, no riding or pumping
brake)
Proper steering (both hands on wheel, not over/under steer)
Obeyed all traffic signs and signals
Drove without an accident
Never put vehicle over sidewalks, lane markings, stop lines, etc.
Examiner was never thrown to left, right, or forward
Driver was never forced to take evasive action
Wore seat belt
Yielded right of way to pedestrians
Yielded right of way to other vehicles, as appropriate
No errors
NOTES
DA FORM 6125, AUG 2011
PREVIOUS EDITIONS ARE OBSOLETE.
Up Down
APD LC v1.00
Left Right
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Know weight limit on bridge
No error
Know clearance of underpass
No errors
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URBAN/RURAL
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LEFT TURNS
1 2 3 4 5 6 7 8
Approach
RIGHT TURNS
Traffic check
Signal on
Smooth deceleration
Did not coast to start of
turn
Correct lane to begin
turn
1 2 3 4 5 6 7 8
RAILWAY CROSSINGS
Checks for trains
Followed relevant laws
Did not change gears
Did not stop on tracks
If Vehicle Stops
Gap to vehicle in front
Not over stop line
Came to full stop
Wheels straight ahead
Stop was necessary
Turning
Traffic check
Both hands on wheel
No gear change
Proper speed
Turn not too wide/short
Completes Turn
Turned into correct lane
Traffic Check
Cancel signal
Accelerated to traffic
flow
SEARCH
DIRECTION
SPEED
No errors
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8
BRIDGE/UNDERPASS
CURVES
Reduce speed on entering
Maintain speed going through
Stay in lane
Traffic check
No errors
INTERSECTIONS
Regular traffic check
Selects proper lane
Keeps vehicle in lane
Adequate following distance
Appropriate speed
SEARCH
DIRECTION
SPEED
No errors
STRAIGHT SECTIONS
LANE CHANGES
Traffic check
Signal one
Adequate spacing
Smooth lane change
Cancel signal
No errors
Stopping
Traffic check
Smooth deceleration
Did not coast to stop
Gap to vehicle in front
Not over stop line
Came to full stop
Traffic check
Yields as necessary
No lane change
No gear change
Accelerates to traffic flow
SEARCH
DIRECTION
SPEED
No errors
Driving Through
REVERSE OF DA FORM 6125, AUG 2011
APD LC v1.00
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Urban Rural
Left Right
Left Right
1 2 3
1 2 3 4
1 2Regular traffic
No errors
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