Driving Instructor Candidate Road Test Report
Candidate Information
| Name |
|
License Number |
|
| Date of Birth |
|
Test Date |
|
| Address |
|
| Examiner |
|
Location |
|
Vehicle Information
| Make/Model |
|
Plate Number |
|
| Transmission |
|
Other |
|
Pre-Drive Check
| Item |
Pass |
Fail |
Comments |
| Walkaround & Checks |
|
|
|
| Seat/Controls/Seatbelts |
|
|
|
| Mirrors |
|
|
|
| Vehicle Start Procedure |
|
|
|
Driving Assessment
| Skill/Task |
Excellent |
Good |
Needs Improvement |
Unsatisfactory |
Comments |
| Starting & Stopping |
| | | | |
| Turning |
| | | | |
| Lane Use/Change |
| | | | |
| Traffic Observation |
| | | | |
| Signaling |
| | | | |
| Speed Control |
| | | | |
| Parking (Parallel/Angle) |
| | | | |
| Backing Up |
| | | | |
| Hill Park/Start |
| | | | |
| 3-Point/Turnabout |
| | | | |
| General Safety |
| | | | |
Examiner Notes
Comments:
Test Result
| Pass |
|
Fail |
|
| Retest Recommended |
|