Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 91, app D

Current through September 17, 2024
Appendix D - PRE-SERVICE EVALUATION FORM

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When complete, this Pre-Service Checklist is to be kept by the driving examiner or the employer of the driver.

This first page of the form should be submitted to the Level Instructor or NE Safety Center as a completion record and a requirement of Level 1 Certification.

INSTRUCTIONS:

Evaluate the performance of the driver for each item within all categories to be tested. Using the following codes, indicate the driver's performance in the appropriate column:

P= PASS

N/l = NEEDS IMPROVEMENT

F= FAIL

Evaluate the items as many times as are indicated whenever possible. The PASS, NEEDS IMPROVEMENT or FAILS spaces should be left blank only if the task described does not occur during the road test.

NOTE: A = Ahead; B = Behind; R = Right; L = Left

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Comments:

Neb. Admin. Code EDUCATION, DEPARTMENT OF, tit. 92, ch. 91, app D

Amended effective 7/1/2019