CRS DRIVER TEST SCORECARD

TESTER: Rio Paramasatria TESTING DATE: 28-Apr-19 LOCATION: Surabaya

CANDIDATE / STAFF DETAILS
NAME: DATE OF BIRTH: PLACE OF BIRTH:
DRIVER
LICENSE No.: as per on SIM ISSUE DATE: EXPIRATION DATE:
Attach copy of driver licenses to this scoresheet; file documents in Driver's file (copies in Transportation Office & Administration / HR Office).

This worksheet does not have any formulas in it. For the version with formulas, see the Advanced version of this test.

CANDIDATE PROFILE
1. DRIVING EXPERIENCE
1.1 Years of driving experience / fines or arrests
1.2 Make & models of vehicles driven
1.3 Mechanical training & experience

GENERAL APTITUDE, MECHANICAL KNOWLEDGE AND DRIVING SKILLS

EXCELLENT (enter 3)

WEIGHT
GOOD (enter 2)
TESTING / EVALUATION CRITERIA COMMENTS & REMARKS
PASSABLE (enter 1)
POOR (enter 0)

2. LANGUAGE SKILLS / 1 1 SCORE: 0

2.1 Working language (specify): 0
2.2 Others (specify): 0

3. VEHICLE PRE-START INSPECTION / 2 2 SCORE: 0

BEFORE DRIVING

3.1 Verifies damage to and cleanliness of vehicle 0

3.2 Verifies tools, lug wrench, spare tire, jack 0
3.3 Checks wheels, tires, lugs, and lights 0
3.4 Looks under vehicle for fluid leaks 0
3.5 Checks engine oil & other engine elements 0

4. KNOWLEDGE OF VEHICLE EQUIPMENT / 2 2 SCORE: 0

4.1 Identifies odometer, tach, other instruments 0
4.2 Locates & sets up jack / changes tire 0
4.3 Knowledge of basic first aid 0
5. STARTING VEHICLE & LEAVING PARKING LOT / 3 3 SCORE: 0
5.1 Checks instruments / interior before starting engine 0
5.2 Preheats engine 0
5.3 Buckles seat belt / verifies passenger seat belts 0
5.4 Checks mirrors before moving / hand brake release 0
5.5 Shifts gears smoothly 0
5.6 Drives well within & while exiting parking lot 0

6. MANEUVERING / DRIVING TECHNIQUES / 3 3 SCORE: 0

6.1 Signals before making turns / turns smoothly 0
6.2 Stops & starts appropriately ("eco-driving") 0
6.3 Shifts gears smoothly / uses appropriate gears 0
6.4 Doesn't ride clutch or brakes 0
6.5 Obeys speed limits & traffic rules 0
6.6 Operates headlights & wipers while moving 0
DRIVING

6.7 Parks correctly (drive-in and parallel) 0

7. DEFENSIVE DRIVING / ROAD SAFETY CONSCIOUSNESS / 3 3 SCORE: 0

7.1 Is aware of and considerate of other vehicles 0
7.2 Identifies & avoids potential hazards 0
7.3 Passes vehicles & bicycles with care 0
7.4 Uses mirrors effectively 0
7.5 Is aware and considerate of pedestrians & animals 0
7.6 Keeps within lane / uses appropriate lanes 0
7.7 Doesn't tailgate / maintains appropriate distance 0

8. DRIVING OFF-ROAD (4WD) / 3 3 SCORE: 0

8.1 Drives at an appropriate speed 0
8.2 Identifies & avoids potential hazards & obstacles 0
8.3 Aware and considerate of pedestrians & animals 0
8.4 Can lock & unlock vehicle hubs 0
8.5 Places vehicle in 4WD & back to 2WD 0
8.6 Uses appropriate gears & speeds while in 4WD 0

9. POST DRIVE ACTIONS / TESTER CONSIDERATIONS / 2 2 SCORE: 0

9.1 Enters parking lot, parks with care, leaves vehicle in gear 0
9.2 Sets hand brake, turns off lights and other equipment 0
9.3 Fills out vehicle log, locks Multi-Lock & doors 0
POST DRIVING

9.4 Tester feels safe & comfortable with driver 0

10. TESTER RECOMMENDATIONS

10.1 Hire as Driver x
10.2 Hire as Head Driver
10.3 Hire as Driver / Mechanic
10.4 Do not hire
10.5 Authorize staff to drive CRS vehicles
10.6 Do not authorize staff to drive CRS vehicles
PERFORMANCE AND SCORING

TOTAL SCORE: 0 Maximum score is 312

Excellent(235 - Passable(79 -
Good(157 - 234) Poor(0 - 78)
312) 156) * See criteria for hiring
below
OVERALL PERFORMANCE RATING:
* Driver candidates rated Excellent and Good may be hired; Drivers rated Passable may be hired provisionally under
special circumstances but shall be trained and re-tested prior to approving them for field responsibilities. Staff may be
approved to drive if a score of Excellent or Good is achieved.
SIGNATURE - TESTER
Driver's Test, Simple, Sept 2012 p 1 of 1