Record and Certification of Road Test

Driver's Name*

First Last

Road Test Date*

License Number*

Driver's License Issuing State*

State / Province / Region

Equipment Driven*

ROAD TEST CHECKLIST

PRE-TRIP INSPECTION

Completed Inspection
Checked Fluids
Understands Vehicle's Controls
Knows Use of Emergency Equipment

COUPLING & UNCOUPLING

Proper Hookup Checks
Lights & Brakes

PLACING VEHICLE IN MOTION

Engine Startup
Allow Proper Warm-up of Engine
Understands Braking System
Understands Gauges on Panel
Use of Clutch & Transmission
Proper Use of Lights

SLOWING & STOPPING

Uses Gears and Brakes Properly
Uses Mirrors to Check Traffic to Rear

OPERATING IN TRAFFIC, PASSING, TURNING

BACKING & PARKING

Controls Speed & Direction
Properly Parks in Legal and Safe Location
Does Not Hit Nearby Vehicles or Objects

COMMENTS

GENERAL PERFORMANCE*

Satisfactory
Needs Training
Unsatisfactory

Statement of Certification*

I certify the following:

The above named driver was given a road test under my supervision on the date listed next to their name. It is my considered opinion that this driver possesses sufficient driving skill to operate safely the type of commercial motor vehicle listed above.

Approximate Number of Miles Driven During Road Test*

Examiner's Name*

First Last

Examiner's Signature*

Examiner's Title*

CAPTCHA

Record and Certification of Road Test

RECORD AND CERTIFICATION OF ROAD TEST

ROAD TEST CHECKLIST

Customer Portal