Bus Reversing Competency Assessment Form
Record and evaluate a driver's reversing competency.
Driver Name
*
First Name
Last Name
Assessor Name
*
First Name
Last Name
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Bus or Vehicle Identifier
*
Assessment Location
*
Acknowledgment
*
I confirm the driver received a safety briefing and understands that the reversing exercise involves operational risk.
Reversing Competency Assessment Rubric
*
Rows
Rating
Pre-maneuver checks
Not demonstrated
Partially demonstrated
Demonstrated to standard
Communication and spotter use
Not demonstrated
Partially demonstrated
Demonstrated to standard
Controlled reversing
Not demonstrated
Partially demonstrated
Demonstrated to standard
Positioning and clearance
Not demonstrated
Partially demonstrated
Demonstrated to standard
Hazard response
Not demonstrated
Partially demonstrated
Demonstrated to standard
Completion
Not demonstrated
Partially demonstrated
Demonstrated to standard
Overall Competency Rating
*
Please Select
Not demonstrated
Partially demonstrated
Demonstrated to standard
Assessment Outcome
*
Competent
Further Practice Required
Assessor Comments or Recommended Follow-up
Submit Assessment
Should be Empty: