Record of Driving Examination
Test:____________
Date:________________
Name:_______________________________ DL:______________________________ Tag #: ______________ Ins. Yes
No
Signatures: Examiner____________________________________ Customer: _____________________________________
Vehicle Inspection: ___Horn ___ Stoplights ___ Tires ___ Brakes ___ Steering ___Signals ___ Mirror ___ Seatbelts
DISQUALIFICATION ___Crash ___Dangerous Action ___Traffic Law Violation ___Lack of Cooperation/Refusal
Explain: ____________________________________________________________________________________________________
STRAIGHT-IN PARKING
MOTOR OPERATION/STARTING
FAIR (5)
__Two attempts to properly park
__Not properly spaced in stall
__Hits cone(s) with bumper
__No signal pulling in
BAD (10)
__Two under FAIR
__Car not fully within stall
__Failed to look behind while backing
__Knocks down cone with bumper
DISQUALIFIED
__Scrapes paint or damages car
__Climbs onto or over curb
__Fails to yield while backing (traffic/pedestrian affected)
__Loses control when leaving stall
__Strikes cone with any part of car other than bumper
__Backs or runs over cone(s)
__Fails to get front wheels inside stall in two attempts
__Refuses second attempt
FAIR (2)
S = STANDARD A = AUTOMATIC
__Races engine-slips clutch (A/S)
__Vehicle jumps when gears engaged (A/S)
__Turns wheel to limit (squeal/grind power steering) (A/S)
__Jerky start (A/S)
__Tries to start engine in wrong gear (A/S)
__Fails to release starter (A/S)
__Does not depress/rides clutch (S)
__Runs too long in low gear (S)
__Clutch released in stopping (S)
BAD (4)
S = STANDARD A = AUTOMATIC
__Two under FAIR
__Drives or repeatedly tries to start engine in wrong gear (A/S)
__Stalls engine (A/S)
__Location of controls unknown (A/S)
__Emergency brake left on
__Unnecessarily spins wheels in starting (A/S)
__Unnecessarily changes gears (A/S)
__Cannot coordinate brake/gas/clutch (A/S)
__Coast downhill or around corners in neutral (S)
PARKING ON GRADE
FAIR (3)
__Ignition not off
__Gears not set
(Automatic/Park - Standard/First gear or Reverse)
__Front wheels not turned at proper angle
BAD (6)
__Two under FAIR
__Stalls motor when parking
__Does not use emergency brake, clutch and gas effectively
__Emergency brake not set
DISQUALIFIED
__Cannot perform maneuver
__Interferes with traffic
QUICK STOP
FAIR (5)
__Weaves back and forth
__Brakes released before car stops
__Takes more than 50' before stopping
BAD (10)
__Two under FAIR
__Swerves considerably (abrupt change of direction)
DISQUALIFIED
__Loses control of car
BACKING
FAIR (4)
__Weaves back and forth
__Backing over 10 MPH
__Drives forward to straighten
BAD (8)
__Opens door to look back
__Bumps curb or scrapes tire(s) along curb
__Fails to look back entire time
__Uses mirror/camera (practical to look through rear window)
__Backs over 20 MPH
DISQUALIFIED
__Unable to back vehicle
__Backs half or more of vehicle on wrong side of road
__Never looks to rear or into mirror or camera
__Jumps curb/backs two wheels off road
HSMV 71110 (10/13)
15A-1.015, F.A.C.
LEFT & RIGHT TURN/LANE/SPEED
LEFT
(1) (1) (1) FAIR
__ __ __ Hesitant, indecisive
__ __ __ Not properly positioned
__ __ __ Brakes after turn begun
__ __ __ Gears shifted while turning (S)
__ __ __ Late getting into proper lane
(2) (2) (2) BAD
__ __ __ Crowds other cars getting into lane
__ __ __ Tires squeal
__ __ __ Stops unnecessarily
DISQUALIFIED
__Cuts across corner/vehicle leans or skids
__More than half of vehicle on wrong side of the road
(before or after turn begun)
RIGHT
(1) (1) (1)
__ __ __
__ __ __
__ __ __
__ __ __
__ __ __
(2) (2) (2)
__ __ __
__ __ __
__ __ __
LEFT & RIGHT TURN SIGNAL
LEFT
RIGHT
(2) (2) (2) FAIR
(2) (2) (2)
__ __ __ Given/Changed 50-100 ft.
__ __ __
__ __ __ Hand signal not clear
__ __ __
__ __ __ Hand signal while turning
__ __ __
(4) (4) (4) BAD
(4) (4) (4)
__ __ __ Two under FAIR
__ __ __
__ __ __ Given/Changed less than 50'
__ __ __
__ __ __ Wrong signal given
__ __ __
__ __ __ Signal not discontinued
__ __ __
__ __ __ No signal
__ __ __
DISQUALIFIED
__No signal (traffic/pedestrian affected)
__Began less than one car length (traffic pedestrian affected)
FOLLOWING
BAD (4)
__Following too closely for existing traffic
TURNABOUT
FAIR (4)
__No signal given before starting maneuver
__Scrapes tires or bumps curb (touching curb is permitted)
__Fails to look both ways before moving (one time)
BAD (8)
__Blocks traffic-approaching cars must wait
__Backs more than once unless street is less than '30 wide
__Fails to look both ways before moving (two or more times)
DISQUALIFIED
__Backs or drives tire(s) up and over curb or sidewalk
__Makes turn (traffic/pedestrian affected)
__Refusal or is unable to complete maneuver
__Half or more of vehicle off road when no curb is present
STOP SIGNS
(2)
__
__
(4)
__
__
__
(2)
__
__
(4)
__
__
__
FAIR
Sudden braking
Stops at wrong place
BAD
Two under FAIR
Fails to look in both directions before starting
Blocks crosswalk (traffic/pedestrian not affected)
DISQUALIFIED
__Does not come to a complete stop
__Blocks crosswalk (vehicle/pedestrian affected)
__Interferes with traffic on cross street (intersection)
OVERTAKING/BEING OVERTAKEN
FAIR (1)
O = OVERTAKING BO = BEING OVERTAKEN
__Acceleration slow, hesitant (O)
__Merging into lane too sharply (O)
__Follows at low speed (other vehicle should be overtaken) (O)
__Speed not decreased while being overtaken (BO)
BAD (2)
__No signal with horn while overtaking (O)
__Speed increased (BO)
__Fails to give right of way on signal (BO)
DISQUALIFIED
__Forces overtaking-car off road/to curb/to stop (O)
__Overtakes in intersection (O)
__No signal pulling out of lane (traffic affected) (O)
ATTENTION
FAIR (3)
__Calls attention to unrelated things/details
__Fails to follow instructions
BAD (6)
__Looks away from road unnecessarily
POSTURE
FAIR (2)
__Elbow out of window
__Unnecessary one-hand driving
BAD (4)
__Seat too far back to permit good brake pedal pressure
__Seat too low - looks through steering wheel
__Slouches low in seat
HSMV 71110 (10/13)
15A-1.015, F.A.C.
APPROACH TO INTERSECTION/CORNER
(1) (1)
FAIR
__ __
Speed not decreased
__ __
Brakes after entering intersection
(2) (2)
BAD
__ __
Stop has to be made in intersection
__ __
Decreases speed but fails to look in all directions
DISQUALIFIED
__Changes lane while in intersection
YIELD/RIGHT OF WAY
FAIR (1)
__Does not look for possible danger (vehicle/pedestrians)
DISQUALIFIED
__Others forced to stop/slow down because of failure to yield
(vehicle/pedestrian affected)
TRAFFIC LIGHTS
(1) (1)
FAIR
__ __
Does not attempt to slow down on yellow
__ __
Stops suddenly on red
__ __
Fails to start promptly on green
(2) (2)
BAD
__ __
Two under FAIR
__ __
Enters or blocks crosswalk (veh/ped not affected)
__ __
Stops unnecessarily on green light
__ __
Fails to look in both dir. (right turn on red)
__ __
Fails to look in both dir. (left turn on 1-way st. on red)
DISQUALIFIED
__Intersection illegally entered on red
__Fails to stop before right turn on red
__Fails to stop before left turn on red light onto one way street
__Blocks crosswalk (vehicle/pedestrian affected)
__Failed to stop/light inoperable (rules for 4-way stop apply)
KEEPING IN LANE
FAIR (2)
__No signal given when changing lanes
BAD (4)
__Changes lanes unnecessarily
__Straddles lanes
DISQUALIFIED
__Drives on wrong side of road
__No signal changing lanes (traffic affected)
HORN
FAIR (1)
__Blasts rather than beeps at pedestrians
__Uses horn for signaling friends
BAD (2)
__Blows horn going through intersections
__Blows horn to hurry other drivers