Commercial Motor Vehicle Driver Performance Evaluation Form

Commercial Motor Vehicle Driver
Performance Evaluation Form
DRIVER IDENTIFYING INFORMATION
___________________________________________________________________________
Name of Employer
____________________________________ _________________________________
Driver Name Evaluation Date
____________________________________ _________________________________
Driver License # and State of Issue Expiration Date
Check each item that driver performs in a satisfactory manner.
All un-checked items require additional driver training.
-------------------------------------------------------------------------------------------
PRE-TRIP INSPECTION (Checks by the Driver) CONTROLS AND EQUIPMENT
J Fully evaluates condition of vehicle J Knows proper use of parking brake
J Checks for oil, water, fuel leaks J Knows proper use of hand valve
J Checks fuel, oil, and water levels J Understands “low air” warning
J Checks tires, lights, reflectors J Understands use of 4-way flashers
J Checks air hoses, electrical connections J Uses proper headlight beam
J Checks suspension points, steering linkage J Dims lights when following others
J Checks service and parking brakes; hand valve J Dims lights when meeting others
J Checks wipers, mirrors, horn, and gauges J Adjusts speed to range of lights
J Checks emergency equipment J Knows how to replace fuses
J Cleans windows, mirrors, lights J Knows how to use fire extinguisher
J Uses DVIR J Knows placement of warning devices
J Knows placement position of chocks
PLACING VEHICLE IN MOTION J Knows operation of engine brake (if equipped)
J Checks mirror adjustment
J Puts transmission in neutral OPERATING IN TRAFFIC
J Shifts gears smoothly Intersections and Turning
J Starts motor without difficulty J Enters intersections prepared to stop
J Allows proper warm-up J Checks for cross traffic
J Builds full air pressure before starting J Yields to others
J Checks brakes within 100 ft. of starting J Signals direction changes in advance
J Checks and understands instruments J Gets in proper lane well in advance of turn
J Uses clutch properly J Turns only when way is clear
J Maintains proper engine RPM J Blocks traffic from curb side of turn
J Times gearshift properly Signs and Signals
J Uses proper gear sequence J Starts slowly from stopped position
J Uses seat belt J Looks ahead for signs and signals
J Comes to a complete stop at stop signs
BRAKING AND SLOWING J Approaches signs and signals prepared to stop
J Brakes as soon as need is recognized J Slows vehicle gradually
J Avoids sudden stops R.R. Grade Crossings
J Stops smoothly without rolling back J Adjusts speed to crossing conditions
J Tests brakes at top of hills J If required, comes to a complete stop
J Gears down to descend grades J Stops required distance from crossing
J Uses brake properly on grades J Avoids shifting gears while crossing
J Keeps check on air gauges
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Commercial Motor Vehicle Driver Performance Evaluation Form PDF

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