Driver Road Test Checklist
Driver's name:
*
First Name
Last Name
License Number:
Type of vehicle employed in evaluation:
*
Semi-Truck
Other
Date of Road Test
*
-
Month
-
Day
Year
Check one of the following:
*
Qualified
Qualified with additional training
Not Qualified
PRE-TRIP INSPECTION
Checks general condition of vehicle
*
Yes
No
N/A
Checks for proper operation of parking and service brake systems
*
Yes
No
N/A
Checks steering mechanism
*
Yes
No
N/A
Checks condition of tires
*
Yes
No
N/A
Checks all lighting devices and reflectors
*
Yes
No
N/A
Checks horn and windshield wipers
*
Yes
No
N/A
Checks and adjusts rearview mirrors
*
Yes
No
N/A
Checks emergency equipment
*
Yes
No
N/A
COUPLING AND UNCOUPLING COMBINATION UNIT
Checks that fifth wheel jaws are open
*
Yes
No
N/A
Lines up properly with the trailer
*
Yes
No
N/A
Connects brake and electrical lines
*
Yes
No
N/A
Charges trailer brakes
*
Yes
No
N/A
Backs up slowly
*
Yes
No
N/A
Visually checks for proper coupling of fifth wheel
*
Yes
No
N/A
Assures that fifth wheel handle is in locked position
*
Yes
No
N/A
Raises landing gear and removes wheel chocks
*
Yes
No
N/A
Applies trailer brakes and gently tries to pull away from trailer
*
Yes
No
N/A
PLACING VEHICLE IN OPERATION
Uses seat belt
*
Yes
No
N/A
Starts vehicle properly
*
Yes
No
N/A
Checks air pressure in brake system
*
Yes
No
N/A
Tests operation of brakes
*
Yes
No
N/A
Checks traffic conditions
*
Yes
No
N/A
DRIVING
Drives with both hands on the steering wheel
*
Yes
No
N/A
Checks mirrors frequently, especially when backing
*
Yes
No
N/A
Accelerates, steers, and brakes smoothly
*
Yes
No
N/A
Shifts gears properly
*
Yes
No
N/A
Uses directional signals properly
*
Yes
No
N/A
Maintains proper speed for conditions, within speed limit
*
Yes
No
N/A
Able to slow vehicle other than by braking
*
Yes
No
N/A
Stops vehicle in proper location
*
Yes
No
N/A
Does not allow vehicle to roll, while it should be stopped
*
Yes
No
N/A
Checks in all directions for traffic conditions
*
Yes
No
N/A
Prepares to stop vehicle at an intersection, even if traffic signal is green
*
Yes
No
N/A
Signals intention to turn well in advance
*
Yes
No
N/A
Approaches a turn at the proper speed
*
Yes
No
N/A
Makes sure vehicle is in proper lane for turn
*
Yes
No
N/A
Checks traffic conditions and turns only when intersection is clear
*
Yes
No
N/A
Keeps vehicle in proper lane during turn
*
Yes
No
N/A
Does not shift gears during turn
*
Yes
No
N/A
Stops in correct position when parking
*
Yes
No
N/A
Gets out of vehicle and checks entire area, including overhead, before backing
*
Yes
No
N/A
Avoids backing from blindside
*
Yes
No
N/A
Only passes in safe location, where legally allowed, and within legal speed limit
*
Yes
No
N/A
Checks ahead and behind to make sure passing room is adequate
*
Yes
No
N/A
Warns vehicle ahead of intention to pass
*
Yes
No
N/A
Uses directional signals properly when passing
*
Yes
No
N/A
Leaves sufficient space before cutting back into lane
*
Yes
No
N/A
Checks in all directions when approaching railroad crossing
*
Yes
No
N/A
Comes to complete stop at railroad crossing, when necessary, or as required bylaw
*
Yes
No
N/A
Stops at a safe distance of the railroad crossing, when necessary
*
Yes
No
N/A
Does not shift gears when crossing railroad tracks
*
Yes
No
N/A
Remarks:
Road test conducted by:
*
First Name
Last Name
Email
*
example@example.com
Signature
*
Submit
Should be Empty: