initial evaluation Return to work after ________________weeks Retraining New equipment type (specify) Annual evaluation reason (specify) Post-accident Contractor Evaluation Demonstrated Competencies/Behaviours Part 1 needs – Pass fail Pre-trip Inspection and emergency equipment improvement Checks general condition approaching unit including leakage of coolants, fuel, and lubricants. Checks hood Oil levels, fluid levels, coolant, belts, steering, and general condition of compartment. – Circle checks unit Tires, lights, signals, trailer hookup, brake/light lines, body, doors, horn, and windshield – wipers. Full air system (Static and dynamic air loss, build time etc.), brake action, tractor protection valve, parking brake, rolling test. Knows use of jacks, tools, emergency warning devices, tire chains, fire extinguisher, spare fuses, 4 way flashers, flares. Checks instruments and sets mirrors. Cleans windshield. Part 2 needs – Pass fail Placing vehicle in motion and use of controls improvement MOTOR Starts motor without difficulty Allows proper warm-up A Understands gauges on instrument panel Maintains proper engine speed Basic knowledge of motors Gas / Diesel – Abuse of motor CLUTCH AND TRANSMISSION Starts loaded unit smoothly Uses clutch properly B shifting properly and shifts smoothly Uses proper gear sequence BRAKES C operating principals of air brakes Proper use of tractor protection
initial evaluation Return to work after ________________weeks Retraining New equipment type (specify) Annual evaluation reason (specify) Post-accident Contractor Evaluation Demonstrated Competencies/Behaviours Part 1 – Pre-trip Inspection and emergency equipment Pass needs improvement fail Checks general condition approaching unit including leakage of coolants, fuel, and lubricants. Checks hood – Oil levels, fluid levels, coolant, belts, steering, and general condition of compartment. Circle checks unit – Tires, lights, signals, trailer hookup, brake/light lines, body, doors, horn, and windshield wipers. Full air system (Static and dynamic air loss, build time etc.), brake action, tractor protection valve, parking brake, rolling test. Knows use of jacks, tools, emergency warning devices, tire chains, fire extinguisher, spare fuses, 4 way flashers, flares. Checks instruments and sets mirrors. Cleans windshield. Part 2 – Placing vehicle in motion and use of controls Pass needs improvement fail A MOTOR Starts motor without difficulty Allows proper warm-up Understands gauges on instrument panel Maintains proper engine speed Basic knowledge of motors – Gas / Diesel Abuse of motor B CLUTCH AND TRANSMISSION Starts loaded unit smoothly Uses clutch properly shifting properly and shifts smoothly Uses proper gear sequence C BRAKES operating principals of air brakes Proper use of tractor protection