Ambulance Driver Road Test Report
Driver Information
Name
Date
License Number
Evaluator
Vehicle Information
Vehicle Make/Model
Vehicle Plate Number
Mileage
Pre-Trip Inspection
Driving Skills Evaluation
Skill/Task
Rating
Comments
Starting & Stopping
Steering Control
Use of Mirrors
Lane Changing
Turns & Intersections
Parking
Emergency Response Driving
General Comments / Recommendations
Final Result
Pass / Fail
Evaluator Signature
Date