Police Vehicle Road Test Assessment Form

Officer Name Badge Number Date of Test Test Location Vehicle Make/Model Vehicle Plate Number

Pre-Trip Inspection

Item	Pass	Fail	Comments
Exterior Lights
Tires/Brakes
Mirrors

Road Test Evaluation

Skill	Score (1-5)	Comments
Vehicle Control
Traffic Law Obedience
Emergency Maneuvers
Communication Devices Use

Instructor/Assessor Comments

Overall Result Pass Fail

Assessor Name Assessor Signature Date