JASKO - Road Test Form

Company Driver Road Test Form — EMP-FRM-013

JASKO ENTERPRISES, INC. · FORM EMP-FRM-013 · REV. 0 · EFFECTIVE NOVEMBER 1, 2026

Use this form to evaluate the applicant’s ability to operate the type of commercial motor vehicle JASKO intends to assign. The examiner must be qualified and must record deficiencies and the final result.

PRE TRIP INSPECTION

☐ Approaches vehicle safely
☐ Reviews documents and inspection status
☐ Checks engine compartment and fluids
☐ Checks tires wheels brakes lights and coupling
☐ Checks emergency and safety equipment
☐ Identifies defects and reports appropriately

COUPLING AND UNCOUPLING

☐ Positions tractor safely
☐ Checks fifth wheel and kingpin
☐ Connects air and electrical lines
☐ Performs tug test and visual verification
☐ Raises and lowers landing gear safely

BASIC CONTROL AND BACKING

☐ Uses mirrors and surroundings
☐ Controls speed and path
☐ Stops and gets out to look when needed
☐ Backs without striking objects
☐ Maintains clearance

ROAD OPERATION

☐ Starts and stops smoothly
☐ Uses lanes mirrors and signals
☐ Maintains safe speed and following distance
☐ Handles intersections turns grades and traffic
☐ Observes railroad crossing requirements
☐ Demonstrates defensive driving

POST TRIP

☐ Parks and secures equipment
☐ Performs post trip inspection
☐ Reports defects
☐ Completes required record

RESULT

Result: Pass / Fail / Retest

Your information

Driver name * CDL number and state * Road test date * Tractor unit * Trailer unit * Equipment type * Route * Examiner * Pre-trip inspection — Approaches vehicle safely Pre-trip inspection — Reviews documents and inspection status Pre-trip inspection — Checks engine compartment and fluids Pre-trip inspection — Checks tires wheels brakes lights and coupling Pre-trip inspection — Checks emergency and safety equipment Pre-trip inspection — Identifies defects and reports appropriately Coupling and uncoupling — Positions tractor safely Coupling and uncoupling — Checks fifth wheel and kingpin Coupling and uncoupling — Connects air and electrical lines Coupling and uncoupling — Performs tug test and visual verification Coupling and uncoupling — Raises and lowers landing gear safely Basic control and backing — Uses mirrors and surroundings Basic control and backing — Controls speed and path Basic control and backing — Stops and gets out to look when needed Basic control and backing — Backs without striking objects Basic control and backing — Maintains clearance Road operation — Starts and stops smoothly Road operation — Uses lanes mirrors and signals Road operation — Maintains safe speed and following distance Road operation — Handles intersections turns grades and traffic Road operation — Observes railroad crossing requirements Road operation — Demonstrates defensive driving Post trip — Parks and secures equipment Post trip — Performs post trip inspection Post trip — Reports defects Post trip — Completes required record Result * Restrictions or coaching Certificate issued Email address * Phone number Date *

Signature

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