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U.S. DOD Form dod-da-6125-r-a

ROAD TEST SCORE SHEET

DATE

For use of this form, see AR 600-55; the proponent agency is OCSA
NAME OF DRIVER

NAME OF EXAMINER

SSAN

SCORE

ROUTE

STOP/START ON GRADE

EXPRESSWAY

Approach

Merge On
Up

Down

Traffic check .................................................
Signal On ......................................................
Moves to proper lane ......................................
Smooth deceleration .......................................
Does not coast to stop ...................................

Traffic check .................................................
Signal On ......................................................
Maintains spacing ..........................................
Avoids stopping .............................................
Smooth merge ...............................................
Cancel signal .................................................

Stop

Lane Changes
Left

Vehicle parallel to curb ...................................
Vehicle does not roll .......................................
Signal off/4-ways on ......................................
Parking brake on ............................................

Right

Traffic check .................................................
Signal on .......................................................
Adequate spacing ...........................................
Smooth lane change .......................................
Cancel signal .................................................

Resume

Exit
Traffic check .................................................
4-ways off/signal on .......................................
Release parking brake .....................................
Did not stall engine .........................................
Traffic check .................................................
Accelerate to traffic fow .................................

Traffic check .................................................
Signal on .......................................................
Smooth merge to exit lane ..............................
Decelerate in exit lane ....................................
Adequate spacing ..........................................
Correct ramp speed ........................................
Cancel signal .................................................
SEARCH .......................................................
DIRECTION ...................................................
SPEED ..........................................................
No errors ......................................................

SEARCH .......................................................
DIRECTION ....................................................
SPEED ..........................................................
No errors .......................................................
DRIVING UP GRADE
In proper gear ................................................
Stays in right lane ..........................................
Uses 4-ways if slow .......................................
Traffic check .................................................
SEARCH .......................................................
DIRECTION ....................................................
SPEED ..........................................................
No errors .......................................................
DRIVING DOWN GRADE
Clear brakes ..................................................
In proper gear ................................................
Steady braking on grade .................................
Does not ride clutch .......................................
Maintain steady speed ....................................
Traffic check .................................................

GENERAL DRIVING BEHAVIOR
Use clutch properly (to shift, double clutched, didn't ride) ............
Used gears properly (not over-rev/lug engine, clash gears, coast) ..
Used brakes properly (no hard braking, no riding or pumping
brake) ....................................................................................
Proper steering (both hands on wheel, not over/under steer) .........
Obeyed all traffic signs and signals ............................................
Drove without an accident ........................................................
Never put vehicle over sidewalks, lane markings, stop lines, etc. ...
Examiner was never thrown to left, right, or forward ...................
Driver was never forced to take evasive action ...........................
Wore seat belt ........................................................................
Yielded right of way to pedestrians ............................................
Yielded right of way to other vehicles, as appropriate ..................
No errors ................................................................................
NOTES

SEARCH .......................................................
DIRECTION ....................................................
SPEED ..........................................................
No errors .......................................................

DA FORM 6125-R, AUG 93

EDITION OF MAR 65 IS OBSOLETE.

USAPPC V1.00

Info

Published on : 2018-03-13 00:40:37
File Name : dod-da-6125-r-a-nonfillable.pdf
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Publisher :www.usa-federal-forms.com

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