DRIVERS ROAD TEST EXAMINATION

( ) LA

( ) AR

( ) WY

( ) OH

( ) OK

( ) Dilley ( ) Kennedy ( ) Giddings

Print Name:
DL #:

( ) Other

Social Security #
State Issued License:

Instructions to Administrator: Check () items which the driver performs satisfactorily. Check (X) where performance is
unsatisfactory. Any item not evaluated should be left blank.

PART 1 PRE-TRIP INSPECTION AND EMERGENCY

EQUIPMENT

PART 3 PLACING VEHICLE IN MOTION USE OF

CONTROLS

Checks general condition approaching unit

Motor Places transmission in neutral before starting engine

Motor Starts engine without difficulty
Motor Checks instruments at regular intervals
Motor Maintains proper engine RPM while driving

Checks fuel, oil, water and for excessive oil on engine

Checks around unit tires, lights, trailer hook-up, brake and light
line, doors and inspects for body damage
Tests steering, brake action, tractor protection valve, and parking
brake

Brakes Knows proper use of and checks tractor protection valve

(trailer air supply valve)
Brakes Test Service Brakes
Brakes Builds full air pressure before moving

Checks horn, windshield wiper, mirrors, emergency equipment,

reflectors, flares, fuses, tire chains ( if necessary), Fire equipment

Clutch & Transmission Starts unit moving smoothly

Clutch & Transmission Uses clutch properly

Checks instruments for normal readings

Checks dashboard warning lights for proper functioning

Lights ( if tested) Adjust speed for range of headlights

Lights ( if tested) Dims lights when approaching another vehicle
or when following other traffic

Cleans windshield, windows, mirrors, lights and reflectors

PART 4 BACKING AND PARKING

Reviews and signs previous report

PART 2- COUPLING AND UNCOUPLING

Backing Gets out and checks area, before backing

Backing Follows cone policy
Backing Understands and utilizes mirrors properly

Connects glad hands to trailer brakes before coupling

Backing Signals when backing

Backing Avoids backing from blind side

Connects glad hands and light line properly

Parking (CITY) Parks without hitting any other vehicle or object

Parking (CITY) Parks correct distance from curb
Parking (CITY) Secures unit properly, sets parking brake,
transmission in correct gear, engine shut off, blocks wheels
Parking (CITY) Carefully enters traffic from parked position

Couples without difficulty

Raises landing gear fully after coupling
Visually checks king pin assembly to be certain of proper coupling
Checks coupling by applying hand valve or tractor-Protection valve
(trailer air supply valve) and gently applying pressure by trying to
pull away from trailer

Parking (ROAD) Parks off pavement

Parking (ROAD) Secures unit properly
Parking (ROAD) Uses emergency warning signal or devices (when
necessary)

Assures that surface will support trailer before uncoupling

Instructor, please complete the Certification Form and attach Road Test Record and turn into the Driver Qualification Officer.

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Equal Opportunity Employer

Rev 12/2/2015

PART 5 SLOWING AND STOPPING

Passing Allows sufficient space ahead for passing

Passing Passes only in safe locations
Passing Signals changing lanes before and after passing
Passing Warns Driver(s) ahead of intention to pass
Passing Passes with sufficient speed differential to minimize
obstructing traffic
Passing Returns to right lane promptly but only when safe to do
so

Uses clutch and gears properly

Gears down properly before descending hills
Starts without rolling back
Test brakes before descending hills

Speed Observes speed limits

Speed Drives at speed consistent with ability
Speed Adjusts speed properly to road, weather and traffic
conditions
Speed Slows down in advance on curves, danger zones and
intersections
Speed Maintains constant speed where possible

Uses brakes properly on grades

Makes proper use of mirrors

Plans stops far enough in advance to avoid braking
Stops clear of crosswalks

Courtesy & Safety Yields right of way

Courtesy & Safety Consistently strives to drive in a safe manner
Courtesy & Safety Allows faster traffic to pass

PART 6 OPERATING IN TRAFFIC, PASSING AND

TURNING

Courtesy & Safety Uses horn only when necessary

Turning Signals Intentions to turn well in advance

Turning Gets into proper lane well in advance of turn
Turning Checks traffic conditions; turns when intersection is clear
Turning Completes turn promptly, safely. Does not impede
traffic

PART 7 MISCELLANEOUS

Traffic Signs & Signals Plans stop in advance and adjusts speed
Traffic Signs & Signals Obeys all traffic signals
Traffic Signs & Signals Comes to a complete stop at all stop signs

Anticipates problems

Intersections Yields right of way

Intersections Checks for cross traffic regardless of traffic controls
Intersections Enters all intersections prepared to stop if
necessary

Checks instruments regularly while driving

Consistently alert and attentive

Consistently aware of changing traffic conditions

Performs routine functions without taking eyes from road

Personal appearance and actions are professional

Remains calm under pressure

Grade Crossings Stops a minimum of 15 feet but not more than

50 feet before crossing if stop is necessary
Grade Crossings Selects proper gear and does not shift gears
While crossing

PART 8 USE OF SPECIAL EQUIPMENT ( SPECIRY

EACH PIECE)

Grade Crossings Knows and understands federal and state

rules governing grade crossings

Remarks from administrator:

General Performance:

Satisfactory

Needs Training

Qualified for:
Straight Truck

Tractor-Semi Trailer

Twin Trailers

Tanker Truck

Other:

Instructor, please complete the Certification Form and attach Road Test Record and turn into the Driver Qualification Officer.

Page | 2

Equal Opportunity Employer

Rev 12/2/2015

DRIVERS ROAD TEST EXAMINATION

( ) LA

( ) AR

( ) WY

( ) OH

( ) OK

Print Name:
DL #:

( ) Dilley ( ) Kennedy ( ) Giddings

( ) Other

Social Security #
State Issued License:

The motor carrier, or a person designated by the motor carrier, shall give the road test. The administrator of the road test must be competent and
possess a Commercial Drivers License. The administrator must be competent to evaluate and determine whether the person who is taking the test can
demonstrate that they are capable of operating the commercial vehicle and associated equipment that the motor carrier intends to assi gn.

Pass/Fail

Skills/ Knowledge Tested

The pre-trip inspection (As required by sec. 392.7)
Coupling and uncoupling of the combination units, if the equipment he/she may drive includes combination units
Placing the equipment in operation
Use of vehicles controls and emergency equipment
Operating the vehicle in traffic and while passing other vehicles
Turning the vehicle
Braking, and slowing the vehicle by means other than braking
Backing and parking the vehicle
Other (Explain)

Date:
Time:
Time:

Weather conditions:
Beginning Location:
Ending Location:

Beginning Mileage:
Ending Mileage:

Type of Power Unit:

Type of Trailer:

If passenger carrier, type of bus:

This is to certify that I am qualified and competent to conduct this road test. I certify that the above named driver was given a road test under my
supervision on
,
. The road test consisted of approximately
miles of driving and included the
above mentioned areas of skills and knowledge.
It is my considered opinion that:

This driver possesses sufficient driving skills and knowledge to safely operate the type of commercial motor vehicle listed above.
This driver DOES NOT possess sufficient driving skills and knowledge to safely operate the type of commercial motor vehicle listed
above.
o
Additional training is required in the areas above. A re-test is scheduled for
o
I do not feel additional training will enable this driver to safely operate this type of commercial motor vehicle.

Administrator:

Date:

Title:
CDL License No:

State Issued License:

Instructor, please complete the Certification Form and attach Road Test Record and turn into the Driver Qualification Officer.

Page | 3

Equal Opportunity Employer

Rev 12/2/2015