TRAINING RECORD T-02 Original Renewal Instructor Employer:

Name: Birth Date: / / Medical Certificate Expiration Dates: / / / / / /

Driver License #: Class: Expiration Date: / / Restrictions:

Special Certificate Type: Issue Date: / / Expiration Date: / /

Special Certificate Restrictions/Endorsements: First Aid Card Expiration Dates: / / / / / / INSTRUCTIONAL CATEGORIES

CLASSROOM IN-SERVICE BEHIND-THE-WHEEL (BTW)

IN-SERVICE TERRAIN / BTW BRAKE EQUIP. (P) DATE INSTRUCTOR UNITS TIME DATE INSTRUCTOR TIME BUS # TIME CODE (S) CONDITION CODE (S) CODE (S) CODE (S) (C)

IN-SERVICE CODES BTW GUIDE CODES TERRAIN/CONDITIONS CODES (T/CC) BRAKE CODES EQUIPMENT CODES * A Safety Meetings SL1 Basic Vehicle Familiarization & Movement 1 Parking Lot / Bus Terminal AH Air Over Hydraulic V Van to 16 Passengers * B Workshops SL2 Precision Training in Vehicle Movement & Driving Fundamentals 2 Country AA Air Applied Emergency HV Van Over 16 Passengers C First Aid SL3 Transmission Control and Shifting Procedures 3 City SBA Spring Brakes Auto SC Conventional to 42 Passengers D Fire Equipment SL4 Defensive Driving 4 Freeway SBM Spring Brakes Modulated C Conventional Over 42 Passengers E Evacuation Training SL5 Passenger Loading and Unloading Procedures 5 Night Driving DAS Dual Air Systems TF Transit Forward Control F Roadeo Training SL6 Emergency Procedures 6 Rain AS Anti Skid TP Transit Pusher G Special Education 7 Hills H Hydraulic TC Transit Center Mount H Driver Evaluation PROFICIENCY / COMPETENCY 8 Mountain 6%+ Grade over 1 mile HVP Hydraulic-Vacuum Power 3AX Tandem Axle I Films/Videos 9 Snow and Ice HVD Hydraulic-Vacuum Dual System WCB Wheelchair Bus J Retraining (P) Proficiency Demonstrated in a Vehicle 10 Fog HPS Hydraulic-Power Steering System ST___ Standard Transmission K Pre/Post Trip Inspection (C) Competency Demonstrated in a Skill Level 11 Other ______RET__ Retarder (engine, trans., electric, AT Automatic Transmission L Commercial Driver License Training 12 Other ______exhaust) 2SAX Two Speed Axle GI General Information (BTW Guide) TCH Tire Chains SL7 Final Appraisal (BTW Guide) 8-L 8-Light System METH Methanol * Topic Identification (Use the appropriate unit ELEC Electric number from the instructor’s manual. (e.g. U-2) CNG Compressed Natural Gas

INSTRUCTIONAL CATEGORIES

CLASSROOM IN-SERVICE BEHIND-THE-WHEEL

IN-SERVICE TERRAIN / BTW BRAKE EQUIP. (P) DATE INSTRUCTOR UNITS TIME DATE INSTRUCTOR TIME BUS # TIME CODE (S) CONDITION CODE (S) CODE (S) CODE (S) (C)

Update-02 01/2016