Record of Road Test

14397 E Geronimo Rd, Scottsdale, AZ 85259

ZO Enterprises LLC

Drivers Name Address License No. State
Equipment Driven: Truck Tractor Trailer
Checked from To
Date

For those items that apply, checkmark (√) if driver’s performance is satisfactory, mark with an X if driver’s performance is unsatisfactory. Explain unsatisfactory items under Remarks. Use not applicable (NA) for items that do not apply.

PART 1 - PRE -TRIP INSPECTION AND EMERGENCY EQUIPMENT
Checks general condition approaching unit
Looks for leakage of coolants, fuel, lubricants
Checks under hood — oil, water, general condition of engine compartment, steering
Checks around unit — tires, lights, trailer hookup, brake and light lines, body, doors, horn, windshield wipers
Tests brake action, tractor protection valve, and parking (hand) brake
Checks horn, windshield wipers, mirrors, emergency equipment; reflectors, flares, fuses, tire chains (if necessary), fire extinguisher
Checks instruments for normal readings
Checks dashboard warning lights for proper functioning
Cleans windshield, windows, minors, lights, reflectors
Reviews and signs previous report

PART 2 - COUPLING AND UNCOUPLING

Lines up units
Connects glad hands to trailer to apply trailer brakes before coupling
Connects glad hands and light line properly Couples without difficulty
Raises landing gear fully after coupling
Visually checks king pin assembly to be certain
of proper coupling
Checks coupling by applying hand valve or tractor-protection valve (trailer air supply valve) and gently applying pressure by trying to pull away from trailer
Assure that surface will support trailer before uncoupling

PART 3 - PLACING VEHICLE IN MOTION AND USE OF CONTROLS

A. ENGINE
Places transmission in neutral before starting engine
Starts engine without difficulty
Allows proper warm-up
Understands gauges on instrument panel
Maintains proper engine speed (rpm) while driving
Does not abuse motor

B. CLUTCH AND TRANSMISSION
Starts loaded unit smoothly
Uses clutch properly
Times gearshifts properly
Shifts gears smoothly
Uses proper gear sequence

C. BRAKES
Knows proper use of tractor protection valve
Understands low air warning
Tests service brakes
Builds full air pressure before moving

D. STEERING
Controls steering wheel
Good driving possum and good grip on wheel

E. LIGHTS
Knows lighting regulations
Uses proper headlight beam
Dims lights when meets or follows other traffic
Adjusts speed to range of headlights
Proper use of auxiliary lights

PART 4 - BACKING AND PARKING

A. BACKING
Gets out and checks before backing
Looks back as well as uses mirror
Gets out and rechecks conditions on long back
Avoids backing from blind side
Signals when backing
Controls speed and direction properly while backing

B. PARKING (City)
Does not hit nearby vehicles stationary objects
Parks proper distance from curb
Sets parking brake, puts in gear, chocks wheels, shuts off motor
Checks traffic conditions and signals when pulling out from parked position
Parks in legal and safe location

C.PARKING (Road)
Parks off pavement
Avoids parking on soft shoulder
Uses emergency warning signals when required
Secures unit properly

PART 5 - SLOWING AND STOPPING

Uses gears properly ascending
Gears down properly descending
Stops and restarts without rolling back
Tests brakes before descending grades
Uses brakes properly on grades
Uses mirrors to check traffic to rear
Signals following traffic
Avoids sudden stops
Stops smoothly without excessive fanning
Stops before crossing sidewalk when coming out of driveway or alley
Steps clear of pedestrian crosswalks

PART 6 - OPERATING IN TRAFFIC PASSING AND TURNING

A. TURNING
Signals intention to turn well in advance
Gets into proper lane well in advance of turn
Checks traffic conditions and turns only when intersection is clear
Restricts traffic from passing on right when preparing to complete right hand turn
Completes turn promptly and safely and does not impede other traffic

B. TRAFFIC SIGNS AND SIGNALS
Approaches signal prepared to stop if needed
Obeys traffic signal
Uses good judgment on yellow light
Starts smoothly on green
Notices and heeds traffic signs
Obeys “Stop” signs

C. INTERSECTIONS
Adjusts speed to permit stopping if necessary
Checks for cross traffic regardless of traffic controls
Yields right-of-way for safety

D. GRADE CROSSINGS

Adjusts speed to conditions
Makes safe stop, if required
Selects proper gear and does not shift gears while crossing
Knows and understands federal and state rules
Knowledge of company rules governing grade crossing

E. PASSING
Passes with sufficient clear space ahead
Does not pass in unsafe location:
hill, curve, intersection
Signals change of lanes
Warns driver being passed
Uses emergency warning signals when required
Secures unit properly
Pulls out and back with certainty
Does not tailgate
Does not block traffic with slow pass
Allows enough room when returning to right lane

F. SPEED
Speed consistent with basic ability
Adjusts speed properly to road, weather, traffic conditions, legal limits
Slows down for rough roads
Slows down in advance of curves, intersections, etc.
Maintains consistent speed

G. COURTESY AND SAFETY
Uses defensive driving techniques
Yields right-of-way for safety
Goes ahead when given right-of-way by others
Does not crowd other drivers or force way through traffic
Allows faster traffic to pass
Keeps right and in own lane
Uses horn only when necessary
Generally courteous and uses proper conduct

PART 7- MISCELLANEOUS

A. GENERAL DRIVING ABILITY AND HABITS
Consistently alert and attentive
Adjusts driving to meet changing conditions
Performs routine functions without taking eyes from road
Checks instruments regularly while driving
Willing to take instructions and suggestions
Adequate self-confidence in driving Is not easily angered
Positive attitude
Good personal appearance, manner, cleanliness
Good physical stamina

B. HANDLING OF FREIGHT
Checks freight properly
Handles and loads freight properly
Handles bills properly
Breaks down load as required

C. RULES AND REGULATIONS
Knowledge of company rules
Knowledge of regulations: federal, state, local
Knowledge of special truck routes

D. USE OF SPECIAL EQUIPMENT (Specify)

REMARKS

GENERAL PERFORMANCE:
Satisfactory Needs Training Unsatisfactory

QUAILIFIED FOR: Truck Tractor-Semitrailer Other(specify)

Instructions to Carrier: If the road test is successfully completed. the person who gave it must complete the following certification in duplicate. The original of the signed road test form and the original of the Certification of Road Test shall be retained in the driver qualification file of the person who was examined. and duplicate copies provided to the person examined. Section 391.31 (e)(1)(g)(1)(2) of the Federal Motor Carrier Safety Regulations

Driver's Name
Type of Power Unit

Social Security No Type of Trailer(s)

Operator's or Chauffeur's License No State
If Passenger Carrier, Type of Bus

This is to certify that the above-named driver was given a road test under my supervision on 20 consisting of approximately miles of driving. It is my considered opinion that this driver possesses sufficient driving skill to operate safely the type of commercial motor vehicle listed above.

Organization ZO Enterprises LLC

Title Owner/Manager

Address of examiner 4681 N 84th Way. Scottsdale AZ 85251

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Timestamp

Audit

May 30, 2022 12:55 pm CET

Record of Road Test Uploaded by Damir Kadric - damir@oriormedia.com IP 188.127.99.116