CoreMark Chauffeur Road Test: 2085 E Michigan Ave. Ypsilanti MI 48198

Drivers Info

• Name

• Drivers License #

• State Issued

• Exp. Date

• Social Security Number

• Address

• City

• State

• Zip

Equipment Info

• Vehicle Used

• Conducted on

  Date

• Prepared by

  Sign

Performance

• Knowledge of traffic rules and regulations

  Good

  Fair

  Poor

  N/A

• Pre-Trip Inspection

  Good

  Fair

  Poor

  N/A

• Placing equipment in to operation

  Good

  Fair

  Poor

  N/A

• Operating vehicle in traffic/while passing

  Good

  Fair

  Poor

  N/A

• Turning the vehicle

  Good

  Fair

  Poor

  N/A

• Braking and slowing the vehicle

  Good

  Fair

  Poor

  N/A

• Backing and parking the vehicle

  Good

  Fair

  Poor

  N/A

• Use of vehicle controls/emergency equipment

  Good

  Fair

  Poor

  N/A

• Comments:

• Supporting Photos:

  Media

• GENERAL PERFORMANCE:

  Pass

  Fail

• Signature of Examiner:

  Sign

• Date

  Date