CODE B - Kishugu Training

DRIVER
ASSESSMENT

Details - Step 1 of 11

STUDENT NAME & SURNAME

First

Last

SELECT SOUTH AFRICAN OR FOREIGN IDENTIFICATION

South African
Foreign

ID NUMBER

WRITE/DESCRIBE FOREIGN IDENTIFICATION TYPE

FOREIGN IDENTIFICATION NUMBER

LICENCE CODE APPLIED FOR

SELECT TYPE OF TEST

Induction
Refresher
Final Assessment
New Licence

CURRENT LICENCE NUMBER

SELECT CURRENT LICENCE CODE

SELECT LICENCE EXPIRY DATE

LEARNERS LICENCE NUMBER

LEARNERS LICENCE EXPIRY DATE

SELECT NEW LICENCE CODE APPLYING FOR

GEAR

Manual
Automatic

VEHICLE ROADWORTHINESS

TEST FAIL - VEHICLE NOT ROADWORTHY REMARKS

PHYSICAL DISABILITIES

APPOINTMENT DATE AND TIME

WEATHER

UPLOAD IMAGE OF CERTIFIED COPY OF IDENTIFICATION DOCUMENT

UPLOAD IMAGE OF CERTIFIED COPY OF LICENCE

UPLOAD IMAGE OF CERTIFIED COPY OF LEARNERS LICENCE

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PRE-TRIP INSPECTION (exterior)

Under Vehicle
Wipers
Tyres
Engine Compartment
Lenses and Reflectors
Fuel Cap

REMARKS PRE-TRIP INSPECTION (exterior)

Remarks

PRE-TRIP INSPECTION (interior)

Doors
Parking Brake
Gear Lever In Neutral Position
Obstruction
Seat
Adjust Mirror
Operate Lights
Operate Indicator
Operate Wipers
Operate Hooter

REMARKS YARD TEST PRE-TRIP INSPECTION (ext)

Remarks

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VIOLATION OF TRAFFIC LAW

Remarks

UNCONTROLLED/DANGEROUS ACTION

Remarks

COLLISION/MECH. FAIL.

Remarks

COURTESY

Remarks

COURTESY (Lack of)

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The 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 ERRORS

Roll
Obstacles
No.att

TEST TERMINATED - REMARKS - ROLL/OBSTACLES/NO ATT

Remarks

ALLEY DOCKING LEFT

Roll
Park Brake
P.br.rat
Observation
Signal
Gear
Move
Stall
Count.st
Obstacles
No.att
Signal Cancel

ALLEY DOCKING RIGHT TEST TERMINATION ERRORS

Roll
Obstacles
No.att

TEST TERMINATED - REMARKS - ROLL/OBSTACLES/NO ATT

Remarks

ALLEY DOCKING RIGHT

Roll
Parking Brake
P.br.rat
Observation
Signal
Gear
Move
Stall
Counter Steers
Obstacles
Number of Attempts
Signal Cancel

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PARALLEL PARKING TEST LEFT TERMINATION ERRORS

Roll
Bump Kerb
Mount Kerb
Obstacles

TEST TERMINATED - REMARKS - ROLL/BUMP KERB/MOUNT KERB/OBSTACLES

PARALLEL PARKING LEFT

Parking Brake
P.br.rat
Observation
Signal
Gear
Move
Stall
Count.st
Number of Attemps
Signal Cancel

PARALLEL PARKING RIGHT TEST TERMINATION ERRORS

Roll
Bump Kerb
Mount Kerb
Obstacles

TEST TERMINATED - REMARKS - ROLL/BUMP KERB/MOUNT KERB/OBSTACLES

PARALLEL PARKING RIGHT

Parking Brake
P.br.rat
Observation
Signal
Gear
Move
Stall
Count.st
Number of Attempts
Signal Cancel

PARALLEL PARKING REMARKS

Remarks

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TURN IN THE ROAD TEST TERMINATION ERRORS

Roll
Bump Kerb
Mount Kerb/T.line

TEST TERMINATED - REMARKS - ROLL/BUMP KERB/MOUNT KERB/T.LINE

TURN IN THE ROAD

Parking Brake
P.br.rat
Observation
Signal
Gear
Move
Stall
Counter Steer
Number of Movements
Signal Cancel

TURN IN THE ROAD REMARKS

Remarks

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INCLINE START TEST TERMINATION ERRORS

Roll

TEST TERMINATED - REMARKS - ROLL

INCLINE START

Parking Brake
P.br.rat
N/D
Observation
Signal
Gear
Move
Stall
Signal Cancel

INCLINE START REMARKS

Remarks

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STARTING

Parking Brake
P.br.rat
Gear Lever In Neutral Position
Choke
Starts Engine
Warning Lights and Gauges

STARTING REMARKS

Remarks

MOVING OFF

Roll

TEST TERMINATED - REMARKS - ROLL

MOVING OFF

Observation
Signal
Gear
Waits Too Long The Road
Move
Stall
Roll
Signal Cancel

MOVING OFF REMARKS

Remarks

STEERING

Method
Observation
Wide/Cut
Wanders
Positioning of Vehicle
Straddles

STEERING REMARKS

Remarks

CLUTCH

Smooth and Coordinated
Slips
Rides
Coasts

CLUTCH REMARKS

Remarks

GEAR CHANGING

Gear
Smooth and Coordinated
Whilst Cornering
Coasts

GEAR CHANGING REMARKS

Remarks

SIGNALLING

Mirror
Blindspot
Hand Signal Right
Hand Signal Left
Hand Signal
Horn

SIGNALLING REMARKS

Remarks

LANE CHANGING

Mirror
Blind Spot
Signal
Signal Cancel

LANE CHANGING REMARKS

Remarks

OVERTAKING LEFT

Mirror
Blindspot
Signal
Signal Cancel
Clear Space

OVERTAKING RIGHT

Mirror
Blindspot
Signal
Signal Cancel
Clear Space

OVERTAKING REMARKS

Remarks

INTERSECTION/VEH.ENT

Mirror
Blindspot
Signal
Lane Changing in an Intersection
Check Right and Left for Cross Traffic
Position for Turning
Wheels
Signal Cancel

INTERSECTION/VEH.ENT REMARKS

Remarks

SPEED CONTROL

Mirror
Fast
Slow
Accelerate
Decelerate
Braking
Following Distance

SPEED CONTROL REMARKS

Remarks

STOPPING

Mirror
Blindspot
Signal
Brake
Disengage Clutch
Clear Space
Parking Brake
P.br.rat
N/D/P
Signal Cancel
Needless

STOPPING REMARKS

Remarks

FREEWAY Ent

Mirror
Blindspot
Signal
Signal Cancel
Clear Space

FREEWAY Ex

Mirror
Blindspot
Signal
Signal Cancel
Clear Space

FREEWAY Ent/Ex REMARKS

Remarks

EMERGENCY STOP

Stop
Con.stop
Number of Attempts

EMERGENCY STOP REMARKS

Remarks

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GENERAL TEST REMARKS

Remarks

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DURATION MIN

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ASSESSOR NAME & SURNAME *

First

Last

ASSESSOR NUMBER

ASSESSOR EMAIL ADDRESS *

ASSESSOR SIGNATURE

DRIVER EMAIL ADDRESS *

DRIVER SIGNATURE

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