DRIVERASSESSMENT Please enable JavaScript in your browser to complete this form.Details - Step 1 of 11STUDENT NAME & SURNAMEFirstLastSELECT SOUTH AFRICAN OR FOREIGN IDENTIFICATIONSouth AfricanForeignID NUMBERWRITE/DESCRIBE FOREIGN IDENTIFICATION TYPEFOREIGN IDENTIFICATION NUMBERLICENCE CODE APPLIED FORBEBC1CEC1ECSELECT TYPE OF TESTInductionRefresherFinal AssessmentNew LicenceCURRENT LICENCE NUMBERSELECT CURRENT LICENCE CODEBEBC1CEC1ECSELECT LICENCE EXPIRY DATELEARNERS LICENCE NUMBERLEARNERS LICENCE EXPIRY DATESELECT NEW LICENCE CODE APPLYING FORBEBC1CECEC1GEARManualAutomaticVEHICLE ROADWORTHINESSYesNoTEST FAIL - VEHICLE NOT ROADWORTHY REMARKSPHYSICAL DISABILITIESAPPOINTMENT DATE AND TIMEWEATHERWetDryUPLOAD IMAGE OF CERTIFIED COPY OF IDENTIFICATION DOCUMENTUPLOAD IMAGE OF CERTIFIED COPY OF LICENCEUPLOAD IMAGE OF CERTIFIED COPY OF LEARNERS LICENCENextSave and Resume LaterPRE-TRIP INSPECTION (exterior)Under VehicleWipersTyresEngine CompartmentLenses and ReflectorsFuel CapREMARKS PRE-TRIP INSPECTION (exterior)RemarksPRE-TRIP INSPECTION (interior)DoorsParking BrakeGear Lever In Neutral PositionObstructionSeatAdjust MirrorOperate LightsOperate IndicatorOperate WipersOperate HooterREMARKS YARD TEST PRE-TRIP INSPECTION (ext)RemarksImage/File UploadPreviousNextSave and Resume LaterVIOLATION OF TRAFFIC LAWRemarksUNCONTROLLED/DANGEROUS ACTIONRemarksCOLLISION/MECH. FAIL.RemarksCOURTESYRemarksCOURTESY (Lack of)Image/File UploadPreviousNextSave and Resume LaterThe assessor informed the applicant of the following: Stopping is permissible at any stage. A 2nd (final) attempt may be made if the 1st attempt was unsuccessful, provided that no obstacle has been touched. ALLEY DOCKING LEFT TEST TERMINATION ERRORSRollObstaclesNo.attTEST TERMINATED - REMARKS - ROLL/OBSTACLES/NO ATTRemarksALLEY DOCKING LEFTRollPark BrakeP.br.ratObservationSignalGearMoveStallCount.stObstaclesNo.attSignal CancelALLEY DOCKING RIGHT TEST TERMINATION ERRORSRollObstaclesNo.attTEST TERMINATED - REMARKS - ROLL/OBSTACLES/NO ATTRemarksALLEY DOCKING RIGHTRollParking BrakeP.br.ratObservationSignalGearMoveStallCounter SteersObstaclesNumber of AttemptsSignal CancelImage/File Upload PreviousNextSave and Resume LaterPARALLEL PARKING TEST LEFT TERMINATION ERRORSRollBump KerbMount KerbObstaclesTEST TERMINATED - REMARKS - ROLL/BUMP KERB/MOUNT KERB/OBSTACLESPARALLEL PARKING LEFTParking BrakeP.br.ratObservationSignalGearMoveStallCount.stNumber of AttempsSignal CancelPARALLEL PARKING RIGHT TEST TERMINATION ERRORSRollBump KerbMount KerbObstaclesTEST TERMINATED - REMARKS - ROLL/BUMP KERB/MOUNT KERB/OBSTACLESPARALLEL PARKING RIGHTParking BrakeP.br.ratObservationSignalGearMoveStallCount.stNumber of AttemptsSignal CancelPARALLEL PARKING REMARKSRemarksImage/File Upload PreviousNextSave and Resume LaterTURN IN THE ROAD TEST TERMINATION ERRORSRollBump KerbMount Kerb/T.lineTEST TERMINATED - REMARKS - ROLL/BUMP KERB/MOUNT KERB/T.LINETURN IN THE ROADParking BrakeP.br.ratObservationSignalGearMoveStallCounter SteerNumber of MovementsSignal CancelTURN IN THE ROAD REMARKSRemarksImage/File Upload PreviousNextSave and Resume LaterINCLINE START TEST TERMINATION ERRORSRollTEST TERMINATED - REMARKS - ROLLINCLINE STARTParking BrakeP.br.ratN/DObservationSignalGearMoveStallSignal CancelINCLINE START REMARKSRemarksImage/File UploadPreviousNextSave and Resume LaterSTARTINGParking BrakeP.br.ratGear Lever In Neutral PositionChokeStarts EngineWarning Lights and GaugesSTARTING REMARKSRemarksMOVING OFFRollTEST TERMINATED - REMARKS - ROLLMOVING OFFObservationSignalGearWaits Too Long The RoadMoveStallRollSignal CancelMOVING OFF REMARKSRemarksSTEERINGMethodObservationWide/CutWandersPositioning of VehicleStraddlesSTEERING REMARKSRemarksCLUTCHSmooth and CoordinatedSlipsRidesCoastsCLUTCH REMARKSRemarksGEAR CHANGINGGearSmooth and CoordinatedWhilst CorneringCoastsGEAR CHANGING REMARKSRemarksSIGNALLINGMirrorBlindspotHand Signal RightHand Signal LeftHand SignalHornSIGNALLING REMARKSRemarksLANE CHANGINGMirrorBlind SpotSignalSignal CancelLANE CHANGING REMARKSRemarksOVERTAKING LEFTMirrorBlindspotSignalSignal CancelClear SpaceOVERTAKING RIGHTMirrorBlindspotSignalSignal CancelClear SpaceOVERTAKING REMARKSRemarksINTERSECTION/VEH.ENTMirrorBlindspotSignalLane Changing in an IntersectionCheck Right and Left for Cross TrafficPosition for TurningWheelsSignal CancelINTERSECTION/VEH.ENT REMARKSRemarksSPEED CONTROLMirrorFastSlowAccelerateDecelerateBrakingFollowing DistanceSPEED CONTROL REMARKSRemarksSTOPPINGMirrorBlindspotSignalBrakeDisengage ClutchClear SpaceParking BrakeP.br.ratN/D/PSignal CancelNeedlessSTOPPING REMARKSRemarksFREEWAY EntMirrorBlindspotSignalSignal CancelClear SpaceFREEWAY ExMirrorBlindspotSignalSignal CancelClear SpaceFREEWAY Ent/Ex REMARKSRemarksEMERGENCY STOPStopCon.stopNumber of AttemptsEMERGENCY STOP REMARKSRemarksImage/File UploadPreviousNextSave and Resume LaterGENERAL TEST REMARKSRemarksImage/File UploadPreviousNextSave and Resume LaterDURATION MINDURATION MINImage/File UploadPreviousNextSave and Resume LaterASSESSOR NAME & SURNAME *FirstLastASSESSOR NUMBERASSESSOR EMAIL ADDRESS *ASSESSOR SIGNATUREClear SignatureDRIVER EMAIL ADDRESS *DRIVER SIGNATUREClear SignatureSUBMIT ASSESSMENTSave and Resume Later Your form has been saved and a unique link has been created which you can access to resume this form. 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