Title Page

  • Conducted on

  • Prepared by

  • Location

BASIC INFORMATION

  • TYPE OF EVALUATION

  • TRAINEE/OPERATOR NAME:

  • CLASS #:

  • DATE AND TIME:

  • TOTAL TIME BEHIND THE WHEEL:

  • INSTRUCTOR/EVALUTATOR NAME:

  • BUS #:

  • ROUTES:

  • EVALUATOR OBSERVATIONS:

  • OPERATOR FEEDBACK:

  • IMPROVEMENT PLAN:

ITEM DESCRIPTION

  • On Time and ready to work

  • Proper license or permits?

  • Personal appearance

  • Prepared for routes

  • Do you have your Route Description Handout?

  • Checked bulletin boards

  • Pre-trip inspection

  • Seat and wheel adjustment

  • Mirror placement

  • Safety belt

  • Garage pull-in/pull-out

  • Speed management

  • Braking management

  • Push-pull, hand-over-hand or both steering styles

  • Visual scanning - mirrors

  • Uses horn properly

  • Right turns

  • Left turns

  • Following distance

  • Crossing intersections

  • Stopping at intersections

  • Crossing Railroad tracks

  • Farebox awareness

  • Communication - Avail/Radio

  • LLLC defensive driving - general

  • Narrow roadways

  • Service Stops

  • Entering/merging into traffic

  • Overtaking and passing

  • Pedestrian and bicycle awareness

  • Special driving conditions

  • Limited Visibility

  • Post-trip inspection

  • Commentary driving

  • ADA Announcements

  • Ramp operations

  • Wheelchair securement

  • ADA compliance

  • Bus Securement at Stops

  • Policies

  • Customer Service

  • Other Comments

Signatures

  • Trainee Signature:

  • Instructor Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.