No

Sample road test for drivers of trucks

Driver’s name (print):


Operator’s license:


Issuing state:


License number:


Class:


Endorsement(s):


Expiration:


Type of vehicle employed in evaluation:


 

Instructions to examiner

Possession of a driver’s license does not verify that a driver can safely operate a vehicle. All drivers should be required to take a road test to evaluate their safety awareness. This checklist can help a supervisor administer a road test. Place a check mark: in the Yes box for items that the driver performs satisfactorily; in the No box when further training is recommended; and in the N/A box when the item does not apply to the operation of the vehicle that the driver will be assigned. Additional criteria may be necessary to meet a company’s specific needs.

 

Pre-trip inspection

Yes

No

N/A

Checks general condition of vehicle

     

Checks for proper operation of parking and service brake systems

     

Checks steering mechanism

     

Checks condition of tires

     

Checks all lighting devices and reflectors

     

Checks horn and windshield wipers

     

Checks and adjusts rearview mirrors

     

Checks emergency equipment

     

 

 

Coupling and uncoupling combination unit

Yes

No

N/A

Checks that fifth wheel jaws are open

     

Lines up properly with the trailer

     

Connects brake and electrical lines

     

Charges trailer brakes

     

Backs up slowly

     

Visually checks for proper coupling of fifth wheel

     

Assures that fifth wheel handle is in locked position

     

Raises landing gear and removes wheel chocks

     

Applies trailer brakes and gently tries to pull away from trailer

     

 

Placing vehicle in operation

Yes

No

N/A

Uses seat belt

     

Starts vehicle properly

     

Checks air pressure in brake system

     

Tests operation of brakes

     

Checks traffic conditions

     

 

 

Driving

Yes

No

N/A

Drives with both hands on the steering wheel

     

Checks mirrors frequently, especially when backing

     

Accelerates, steers, and brakes smoothly

     

Shifts gears properly

     

Uses directional signals properly

     

Maintains proper speed for conditions, within speed limit

     

Able to slow vehicle other than by braking

     

Stops vehicle in proper location

     

Does not allow vehicle to roll, while it should be stopped

     

Checks in all directions for traffic conditions

     

Prepares to stop vehicle at an intersection, even if traffic signal is green

     

Signals intention to turn well in advance

     

Approaches a turn at the proper speed

     

Makes sure vehicle is in proper lane for turn

     

Checks traffic conditions and turns only when intersection is clear

     

Keeps vehicle in proper lane during turn

     

Does not shift gears during turn

     

Stops in correct position when parking

     

Gets out of vehicle and checks entire area, including overhead, before backing

     

Avoids backing from blindside

     

Only passes in safe location, where legally allowed, and within legal speed limit

     

Checks ahead and behind to make sure passing room is adequate

     

Warns vehicle ahead of intention to pass

     

Uses directional signals properly when passing

     

Leaves sufficient space before cutting back into lane

     

Checks in all directions when approaching railroad crossing

     

Comes to complete stop at railroad crossing, when necessary, or as required by law

     

Stops at a safe distance of the railroad crossing, when necessary

     

Does not shift gears when crossing railroad tracks

     

 

Remarks: 


 


 


 


 

Check one of the following:

  • Qualified
  • Qualified with additional training
  • Not qualified

                      

Road test conducted by (print):


Signature: 


Location/telephone number: 


Date of road test:


To learn more about Hanover Risk Solutions, visit hanoverrisksolutions.com.

 


171-1176 (4/15)               LC 2015-116

No

Sample road test for drivers of trucks

Driver’s name (print):


Operator’s license:


Issuing state:


License number:


Class:


Endorsement(s):


Expiration:


Type of vehicle employed in evaluation:


 

Instructions to examiner

Possession of a driver’s license does not verify that a driver can safely operate a vehicle. All drivers should be required to take a road test to evaluate their safety awareness. This checklist can help a supervisor administer a road test. Place a check mark: in the Yes box for items that the driver performs satisfactorily; in the No box when further training is recommended; and in the N/A box when the item does not apply to the operation of the vehicle that the driver will be assigned. Additional criteria may be necessary to meet a company’s specific needs.

 

Pre-trip inspection

Yes

No

N/A

Checks general condition of vehicle

     

Checks for proper operation of parking and service brake systems

     

Checks steering mechanism

     

Checks condition of tires

     

Checks all lighting devices and reflectors

     

Checks horn and windshield wipers

     

Checks and adjusts rearview mirrors

     

Checks emergency equipment

     

 

 

Coupling and uncoupling combination unit

Yes

No

N/A

Checks that fifth wheel jaws are open

     

Lines up properly with the trailer

     

Connects brake and electrical lines

     

Charges trailer brakes

     

Backs up slowly

     

Visually checks for proper coupling of fifth wheel

     

Assures that fifth wheel handle is in locked position

     

Raises landing gear and removes wheel chocks

     

Applies trailer brakes and gently tries to pull away from trailer

     

 

Placing vehicle in operation

Yes

No

N/A

Uses seat belt

     

Starts vehicle properly

     

Checks air pressure in brake system

     

Tests operation of brakes

     

Checks traffic conditions

     

 

 

Driving

Yes

No

N/A

Drives with both hands on the steering wheel

     

Checks mirrors frequently, especially when backing

     

Accelerates, steers, and brakes smoothly

     

Shifts gears properly

     

Uses directional signals properly

     

Maintains proper speed for conditions, within speed limit

     

Able to slow vehicle other than by braking

     

Stops vehicle in proper location

     

Does not allow vehicle to roll, while it should be stopped

     

Checks in all directions for traffic conditions

     

Prepares to stop vehicle at an intersection, even if traffic signal is green

     

Signals intention to turn well in advance

     

Approaches a turn at the proper speed

     

Makes sure vehicle is in proper lane for turn

     

Checks traffic conditions and turns only when intersection is clear

     

Keeps vehicle in proper lane during turn

     

Does not shift gears during turn

     

Stops in correct position when parking

     

Gets out of vehicle and checks entire area, including overhead, before backing

     

Avoids backing from blindside

     

Only passes in safe location, where legally allowed, and within legal speed limit

     

Checks ahead and behind to make sure passing room is adequate

     

Warns vehicle ahead of intention to pass

     

Uses directional signals properly when passing

     

Leaves sufficient space before cutting back into lane

     

Checks in all directions when approaching railroad crossing

     

Comes to complete stop at railroad crossing, when necessary, or as required by law

     

Stops at a safe distance of the railroad crossing, when necessary

     

Does not shift gears when crossing railroad tracks

     

 

Remarks: 


 


 


 


 

Check one of the following:

  • Qualified
  • Qualified with additional training
  • Not qualified

                      

Road test conducted by (print):


Signature: 


Location/telephone number: 


Date of road test:


To learn more about Hanover Risk Solutions, visit hanoverrisksolutions.com.

 


171-1176 (4/15)               LC 2015-116