Eby-Brown Driver Road Test (Rev. 04-02-14)

Drivers Info

• Drivers Photo

  Media

• Driver's Name

• Driver's Address, City, State, Zip

• Commercial Drivers License #

• State

• Endorsements

Equipment Info

• Truck/Tractor #

• Trailer #

• Odometer Start

• Odometer End

Testing Info

• Road Test Type

  Pre-Hire

  Post-Accident

  Evaluation

• Conducted on

  Date

• Prepared by

• Personnel

PART 1 - PRE-TRIP INSPECTION AND EMERGENCY EQUIPMENT

• Checks general condition approaching unit.

  Yes

  No

  N/A

• Looks for leakage of coolants, fuel, lubricants.

  Yes

  No

  N/A

• Checks under hood (oil, water, general condition of engine compartment, steering).

  Yes

  No

  N/A

• Checks around unit (tires, lights, trailer hookups, brake and light lines, body, doors, horn, windshield wipers).

  Yes

  No

  N/A

• Tests brake action, tractor protection valve and parking (hand) brake.

  Yes

  No

  N/A

• Check horn, windshield wipers, mirrors, emergency equipment, reflectors, flares, fuses, tire chains (if necessary), fire extinguisher.

  Yes

  No

  N/A

• Check instruments for normal readings.

  Yes

  No

  N/A

• Checks dashboard warning lights for proper functioning.

  Yes

  No

  N/A

• Cleans windshield, windows, mirrors, lights, reflectors.

  Yes

  No

  N/A

• Reviews and signs previous inspection report.

  Yes

  No

  N/A

• Part 1 Comments:

• Supporting Photos:

  Media

PART 2 - COUPLING AND UNCOUPLING

• Lines up units.

  Yes

  No

  N/A

• Connects glad hands and light line properly.

  Yes

  No

  N/A

• Couples without difficulty.

  Yes

  No

  N/A

• Raises landing gear fully after coupling.

  Yes

  No

  N/A

• Visually checks king pin assembly to be certain of proper coupling.

  Yes

  No

  N/A

• Checks coupling by applying hand valve or tractor-protection valve (trailer air supply valve) and gently applying pressure by trying to pull away from tractor.

  Yes

  No

  N/A

• Assure that surface will support trailer before uncoupling.

  Yes

  No

  N/A

• Part 2 Comments:

• Supporting Photos:

  Media

PART 3 -

3.A - Engine

• Places transmission in neutral before starting engine.

  Yes

  No

  N/A

• Starts engine without difficulty.

  Yes

  No

  N/A

• Allows proper warm-up.

  Yes

  No

  N/A

• Understand gauges on instrument panel.

  Yes

  No

  N/A

• Maintains proper engine speed (rpm) while driving.

  Yes

  No

  N/A

• Does not abuse motor.

  Yes

  No

  N/A

• 3.A Comments:

• Supporting Photos:

  Media

3.B - Clutch And Transmission

• Starts loaded unit smoothly.

  Yes

  No

  N/A

• Uses clutch properly.

  Yes

  No

  N/A

• Times gearshifts properly.

  Yes

  No

  N/A

• Shifts gears smoothly.

  Yes

  No

  N/A

• Uses proper gear sequence.

  Yes

  No

  N/A

• 3.B Comments:

• Supporting Photos:

  Media

3.C - Brakes

• Knows proper use of tractor protection valve.

  Yes

  No

  N/A

• Understands low air warning.

  Yes

  No

  N/A

• Tests service brakes.

  Yes

  No

  N/A

• Builds full air pressure before moving.

  Yes

  No

  N/A

• 3.C Comments:

• Supporting Photos:

  Media

3.D - Steering

• Controls steering wheel.

  Yes

  No

  N/A

• Good driving posture and good grip on wheel.

  Yes

  No

  N/A

• 3.D Comments:

• Supporting Photos:

  Media

3.E - Lights

• Knows lighting regulations.

  Yes

  No

  N/A

• Uses proper headlight beam.

  Yes

  No

  N/A

• Dim lights when meeting or following other traffic.

  Yes

  No

  N/A

• Adjusts speed to range of headlights.

  Yes

  No

  N/A

• Proper use of auxiliary lights.

  Yes

  No

  N/A

• 3.E Comments:

• Supporting Photos:

  Media

• Part 3 Comments:

• Supporting Photos:

  Media

PART 4 - BACKING AND PARKING

4.A - Backing

• Gets out and checks before backing.

  Yes

  No

  N/A

• Looks back as well as uses mirrors.

  Yes

  No

  N/A

• Gets out and rechecks conditions on long back.

  Yes

  No

  N/A

• Avoids backing from blind side.

  Yes

  No

  N/A

• Signals when backing.

  Yes

  No

  N/A

• Controls speed and direction properly while backing.

  Yes

  No

  N/A

• 4.A Comments:

• Supporting Photos:

  Media

4.B - Parking (City)

• Does not hit nearby vehicles or stationary objects.

  Yes

  No

  N/A

• Parks proper distance from curb.

  Yes

  No

  N/A

• Sets parking brake, puts in gear, chocks wheels, shuts off motor.

  Yes

  No

  N/A

• Checks traffic conditions and signals when pulling out from parked position.

  Yes

  No

  N/A

• Parks in legal and safe location.

  Yes

  No

  N/A

• 4.B Comments:

• Supporting Photos:

  Media

4.C - Parking (Road)

• Parks off pavement.

  Yes

  No

  N/A

• Avoids parking on soft shoulder.

  Yes

  No

  N/A

• Uses emergency warning signals when required.

  Yes

  No

  N/A

• Secures unit properly.

  Yes

  No

  N/A

• 4.C Comments:

• Supporting Photos:

  Media

• Part 4 Comments:

• Supporting Photos:

  Media

PART 5 - SLOWING AND STOPPING

• Uses gears properly ascending.

  Yes

  No

  N/A

• Gears down properly descending.

  Yes

  No

  N/A

• Stops and restarts without rolling back.

  Yes

  No

  N/A

• Tests brakes before descending grades.

  Yes

  No

  N/A

• Uses brakes properly on grades.

  Yes

  No

  N/A

• Uses mirrors to check traffic to rear.

  Yes

  No

  N/A

• Signals following traffic.

  Yes

  No

  N/A

• Avoids sudden stops.

  Yes

  No

  N/A

• Stops smoothly without excessive fanning.

  Yes

  No

  N/A

• Stops before crossing sidewalk when coming out of driveway or alley.

  Yes

  No

  N/A

• Stops clear of pedestrian sidewalks.

  Yes

  No

  N/A

• Part 5 Comments:

• Supporting Photos:

  Media

PART 6 - OPERATING IN TRAFFIC PASSING AND TURNING

6.A - Turning

• Signals intention to turn well in advance.

  Yes

  No

  N/A

• Gets into proper lane well in advance of turn.

  Yes

  No

  N/A

• Checks traffic conditions and turns only when intersection is clear.

  Yes

  No

  N/A

• Restricts traffic from passing on right when preparing to complete right hand turn.

  Yes

  No

  N/A

• Completes turn promptly and safely and does not impede other traffic.

  Yes

  No

  N/A

• 6.A Comments:

• Supporting Photos:

  Media

6.B - Traffic Signs And Signals

• Approaches signal prepared to stop if necessary.

  Yes

  No

  N/A

• Obeys traffic signal.

  Yes

  No

  N/A

• Uses good judgement on yellow light.

  Yes

  No

  N/A

• Starts smoothly on green.

  Yes

  No

  N/A

• Notices and heeds traffic signs.

  Yes

  No

  N/A

• Obeys "Stop" signs.

  Yes

  No

  N/A

• 6.B Comments:

• Supporting Photos:

  Media

6.C - Intersections

• Adjusts speed to permit stopping if necessary.

  Yes

  No

  N/A

• Checks for cross traffic regardless of traffic controls.

  Yes

  No

  N/A

• Yields right-of-way for safety.

  Yes

  No

  N/A

• 6.C Comments:

• Supporting Photos:

  Media

6.D - Grade Crossings

• Adjusts speed to conditions.

  Yes

  No

  N/A

• Makes safe stop, if required.

  Yes

  No

  N/A

• Selects proper gear and does not shift gears while crossing.

  Yes

  No

  N/A

• Knows and understands federal and state rules governing grade crossing.

  Yes

  No

  N/A

• 6.D Comments:

• Supporting Photos:

  Media

6.E - Passing

• Passes with sufficient clear space ahead.

  Yes

  No

  N/A

• Does not pass in unsafe location (hill, curve, intersection).

  Yes

  No

  N/A

• Signals change of lanes.

  Yes

  No

  N/A

• Warns driver being passed.

  Yes

  No

  N/A

• Pulls out and back with certainty.

  Yes

  No

  N/A

• Does not tailgate.

  Yes

  No

  N/A

• Does not block traffic with slow pass.

  Yes

  No

  N/A

• Allows enough room when returning to right lane.

  Yes

  No

  N/A

• 6.E Comments:

• Supporting Photos:

  Media

6.F - Speed

• Speed consistent with basic ability.

  Yes

  No

  N/A

• Adjusts speed properly to road, weather, traffic conditions, legal limits.

  Yes

  No

  N/A

• Slows down for rough roads.

  Yes

  No

  N/A

• Slows down in advance of curves, intersections, etc.

  Yes

  No

  N/A

• Maintains consistent speed.

  Yes

  No

  N/A

• 6.F Comments:

• Supporting Photos:

  Media

6.G - Courtesy And Safety

• Uses defensive driving techniques.

  Yes

  No

  N/A

• Yields right-of-way for safety.

  Yes

  No

  N/A

• Goes ahead when given right-of-way by others.

  Yes

  No

  N/A

• Does not crowd other drivers or force way through traffic.

  Yes

  No

  N/A

• Allows faster traffic to pass.

  Yes

  No

  N/A

• Keeps right and in own lane.

  Yes

  No

  N/A

• Uses horn only when necessary.

  Yes

  No

  N/A

• Generally courteous and uses proper conduct.

  Yes

  No

  N/A

• 6.G Comments:

• Supporting Photos:

  Media

• Part 6 Comments:

• Supporting Photos:

  Media

PART 7 - MISCELLANEOUS

7.A - General Driving Ability And Habits

• Consistently alert and attentive.

  Yes

  No

  N/A

• Adjusts driving to meet changing conditions.

  Yes

  No

  N/A

• Performs routine functions without taking eyes from road.

  Yes

  No

  N/A

• Checks instruments often while driving.

  Yes

  No

  N/A

• Willing to take instructions and suggestions.

  Yes

  No

  N/A

• Adequate self-confidence in driving.

  Yes

  No

  N/A

• Is not easily angered.

  Yes

  No

  N/A

• Positive attitude.

  Yes

  No

  N/A

• Good personal appearance, manner, cleanliness.

  Yes

  No

  N/A

• Good physical stamina.

  Yes

  No

  N/A

• 7.A Comments:

• Supporting Photos:

  Media

7.B - Handling Of Freight

• Checks freight properly.

  Yes

  No

  N/A

• Handles and loads freight properly.

  Yes

  No

  N/A

• Handles bills properly.

  Yes

  No

  N/A

• Breaks down load as required.

  Yes

  No

  N/A

• 7.B Comments:

• Supporting Photos:

  Media

7.C - Rules And Regulations

• Knowledge of company rules.

  Yes

  No

  N/A

• Knowledge of regulations (federal, state & local).

  Yes

  No

  N/A

• Knowledge of special truck routes.

  Yes

  No

  N/A

• 7.C Comments:

• Supporting Photos:

  Media

7.D - Use Of Special Equipment (Specify)

• Part 7 Comments:

• Supporting Photos:

  Media

• OVERALL REMARKS:

• GENERAL PERFORMANCE:

  Satisfactory

  Needs Training

  Unsatisfactory

• QUALIFIED FOR:

  Select Truck Tractor-Semitrailer 36' Trailer 48' Trailer Doubles

  • Truck
  • Tractor-Semitrailer
  • 36' Trailer
  • 48' Trailer
  • Doubles

• Signature of Examiner:

  Sign