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Driver’s Name Date of Birth (MM/DD/YR) Date of Test (MM/DD/YR)
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Home Address City ST ZIP
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Driver Authorization #AdultFirst Aid Exp. Date CPR Defensive Driving Exp. Date “ERV: Ready Set Roll” Date
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LicenseState Number Expiration Date (MM/YR) Class
DISPOSITION: PASS FAIL
REASONS FOR FAILURE IN ROAD TEST:
ACCIDENT DANGEROUS ACTION SERIOUS VIOLATION 2 TEN-POINT ITEMS MISC. GRADED 20+ PTS.
Form 6532* (*Amended and Modified for use during ARC/GNY ERV Road Tests Oct 06)
ORIENTATION:
VEHICLE ASSIGNMENT
Field Response Supervisor
ECC vehicle tracking
Damage Report
Garage Punch Card
ERV CHECKLIST
Must be completed and discrepancies corrected
GENERATOR USAGE
HEATING and COOLING
AUTO-KILL SWITCH
OUTER COMPARTMENTS
Contents
Set Chocks
BLOCK HEATER
ROAD TEST
REFUELING
CHECKING VEHICLE IN
OPERATOR SKILLS:
A. Leaving Curb
Fails to observe a signal 5
on time or adequately
Uses mirror/monitor only 3
B. Backing
Doesn’t look back as 5
well as use mirrors
Fails to signal 5
Excessive speed or 5
improper directions
C. Parking
Takes too many pull-ups 5
Hits curb 5
Parks too far from curb 3
D. Slowing and Stopping
Stops and restarts rolling 5
back with standard shift
Improper use of brakes 5
on grades
Fails to use mirrors to 5
check traffic to rear
Stops suddenly 5
Fails to stop before crossing 3
sidewalk when coming out
ofdriveway or alley.
Fails to stop clear of 5
pedestrian crosswalks
E. TRAFFIC DRIVING
1. Turning and Intersections
Fails to get in proper 5
lanewell in advance
Fails to signal well in advance 5
Doesn’t check traffic 10
conditionsand turns
in front of traffic
Swings wide or cuts 3
short while turning
Fails to check for cross 5
traffic regardless of
traffic controls
Doesn’t yield right-of-way 10
to pedestrian
2. Traffic Signals and Signs
Does not approach signal 5
prepared to stop if necessary
Violates traffic signal 10
Runs yellow light 10
Starts up too fast or 5
too slow on green light
Fails to notice or 5
heed traffic signals
3. Passing
Runs “STOP” signs 10
Passes with insufficient 10
clear space ahead
Passes in unsafe location; 10
hill, curve, intersection
Fails to signal lane change 5
Fails to warn driver 5
being passed
Pulls out and back; 5
uncertain
Tailgates waiting 5
chanceto pass
Cuts in too short 10
returning to right lane
F. GENERAL DRIVING ABILITY
AND HABITS
Repeated stalling 5
Poor engine control 5
Poor steering control 5
Nervous or apprehensive 5
Easily angered 5
Poor reaction to emergencies 10
Speed excessive for traffic 10
or weather conditions
INSTRUCTOR’S NOTES:
______
INSTRUCTOR’S NAME
Form 6532* (*Amended and Modified for use during ARC/GNY ERV Road Tests Oct 06)