Driver Road Test

• Conducted on

  Date

• Prepared by

• Driver Name

• Driver phone Number

• Address

The road test will be given by a person designated by the motor carrier. The test is given by a person who will evaluate and determine if the person taking the test has demonstrated that he or she is able to operate the vehicle and associated equipment that the motor carrier intends to assign.

• Pre-Trip Inspection (As required by 49 CFR 392.7)

  Safe

  At Risk

  N/A

• Placing the commercial vehicle in operation

  Safe

  At Risk

  N/A

• Use of commercial vehicle (stopping, starting, shifting, following, lane changes)

  Safe

  At Risk

  N/A

• Turning the commercial vehicle (three right turns minimum and three left turns minimum)

  Safe

  At Risk

  N/A

• Backing and slowing the commercial vehicle by means other than braking.

  Safe

  At Risk

  N/A

• Number of miles driven on this road test

• Type of Equipment Used for road test

  Tractor and Cargo Tank Motor Vehicle

• Other, please explain

• Select date

  Date

• Overall rating: Did driver exhibit knowledge, skills and abilities to a satisfactory level during this road test?

  Yes

  No

  N/A

• This is to certify that the above‐named driver was given a road test under my  supervision on the date listed in this report, consisting of the number of stated miles of driving.     It is my considered opinion that this driver possesses sufficient driving skills to  operate safely the type of motor vehicle listed above. 

• Additional Remarks