Title Page
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Conducted on
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Prepared by
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Location
Driver Info
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Drivers Name:
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Vehicle #:
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Date/Time Tested:
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Drivers License #:
Pre-Crank
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Looks for Leaks
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Checks Cooling System
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Checks Power Steering
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Checks Lights
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Checks Tires
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Checks Brakes (Air Brake Test)
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Checks Fluids
Road Test
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Proper use of clutch
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Proper use of gears
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Proper steering
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Proper braking
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Checks gauges
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Checks mirrors
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Turns left properly
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Turns right properly
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Stops properly
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Driver Alertness Level (5 being the highest level)
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Driving Habit Level (5 being the highest level)
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Emotional Behavior Level (5 being the Highest level)
Safety Evaluation
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Uses (3) three points of contact while entering and exiting the cab/ up and down the ladder
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Chute Handling: Properly place and remove chute
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Ladder Raise and Lower: Properly raises and lowers the ladder.
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Seat-belt: Proper use of seat-belt while parking brake released.
Recommendations
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Recommendations:
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Tester's Signature:
