Commercial Motor Vehicle Driver Road Test

Driver Name*

First Last

CDL*

Yes
No

Date*

Observed By*

First Last

Location*

This test will be given by a competent Omaha Track employee. This employee will be fulfilling the role of the observer/evaluator for this Road Test. The observer/evaluator determines whether the driver has demonstrated that they are capable of operating Commercial Motor vehicles over 10,001 lbs. but no larger than 26,000 lbs.

PRE-TRIP INSPECTION

Conducted 360° walk-around*

Yes
No

Evaluated Tire Condition*

Yes
No

Ensured All Lights were Operational*

Yes
No

Check for Leaking Fluids/Fluid Levels*

Yes
No

Checked Horn/Emergency Equipment*

Yes
No

Glass/Mirrors/Wipers Inspected*

Yes
No

Insurance/Licensing Info*

Yes
No

Backing and Parking

Uses Mirrors when Backing and Parking*

Yes
No

Controls Speed when backing*

Yes
No

Uses a spotter when available*

Yes
No

Follows spotter's directions*

Yes
No

Checks backing area before backing*

Yes
No

Gets out every 150 ft. while backing*

Yes
No

VEHICLE OPERATION

Seatbelts Used Diver/Passengers*

Yes
No

Continually observes traffic*

Yes
No

Reacts appropriately to surroundings*

Yes
No

Controls Speed*

Yes
No

Follows posted Speed Limits*

Yes
No

Steers Smoothly*

Yes
No

Follows all Traffic Control Devices*

Yes
No

Uses Turn Signals Properly*

Yes
No

Signals 2 secs before changing lanes*

Yes
No

Passes only in a safe/legal location*

Yes
No

Checks Intersections before crossing*

Yes
No

Uses Safety Equipment as Necessary*

Yes
No

Avoids Hard Braking/Turning*

Yes
No

Did not use Cell Phone while driving*

Yes
No

Result of Road Test

Tests Resulting in a Failure must retest within 5 days.

PASS
FAIL

Reasons for Fail Rating*

Comments

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Observation comments

Retest Date

Upon successful completion of the road test, the Evaluator must sign this form and immediately return the form to Human Resources. This form must be included in the employee’s Driver Qualification File.

Type of Units and Traliers

Certification of Road Test

It is my considered opionion that this driver posessess sufficent driving skill to operate safely the types of commercial motor vehicles listed above.*

Evaluator's Signature

Miles Driven for this test:*

Evaluator's Title*