TLIC1051 AND TLIC0031 – STUDENT DRIVE TEST – PART 1 OF 2 Step 1 of 7 14% TLIC1051 AND TLIC0031 STUDENT DRIVE TEST VERSION 2025.2 ASSESSMENT TASK 3 - INSTRUCTOR ASSESSMENT TOOL STUDENT DETAILSStudent Name(Required) First Last Student Mobile Number(Required)Student Driver Licence Number(Required)State Issued(Required)VICNSWACTSAQLDNTTASWALicence Expiry Date(Required)Certification & Consent by ApplicantPlease read through the following information and sign the bottom of this page. Without your signature, we will not commence with this assessment.Do you hold have a valid, current and full Australian Drivers Licence(Required) YES NO Is your driver’s licence suspended or cancelled?(Required) YES NO Are you subject to any restrictions on your drivers licence(Required) YES NO Are you subject to providing Medical Reports to licensing testing authorities(Required) YES NO Please provide additional details(Required)There is a camera in the cabin! Our drive assessments may have a camera pointing straight at you and your assessor! We randomly select assessments throughout each course to record. What you may not know is that the camera is primarily there to record what we do. The camera is a way of providing internal and external auditors with evidence of our assessment approach. It also helps us ensure that we remain transparent in our decision-making processes, thereby being accountable. In other words, we are ensuring that we just don’t hand out licences of a glovebox, so to speak. This video footage will be kept by the RTO and used for auditing purposes.STUDENT DECLARATION – TO BE SIGNED PRIOR TO COMMENCING THE ASSESSMENT I agree to the declaration below.• I AGREE to the above ‘camera in the cabin’ terms and conditions • I HAVE READ the student instructions for this assessment task and AGREE to be assessed in this unit. • I certify that the information / answers provided on this document are true and correct to the best of my knowledge. • I understand that providing false information is an offence under the Road Safety Act 1986 (Vic.) • I consent to the mandatory video recording of this drive assessment and understand that the recorded evidence will only be used as evidence of participation for the RTOs auditing requirements and for the purpose of dispute resolution. • I understand that my video recording will not be shown in public, distributed or used for marketing purposes without my written permission. • I UNDERSTAND that if I do not agree to the above terms and conditions, the practical assessment will not be administered and will be rescheduled at a later stage once my concerns have been addressed. • I UNDERSTAND that if I am unsuccessful in this assessment attempt, a re-assessment (second attempt) will cost me $180 (inclusive of GST) • I UNDERSTAND that I have the right to postpone my assessment attempt to a date within my course study period that is mutually acceptable with my assessor. Student Signature(Required) PART A) PRE-DRIVE SAFETY CHECK (10 Minutes)TRAINING PLAN: Pre-Drive Safety Check: Did the learner identify and operate the following vehicle controls?Turn indicators(Required) YES NO N/A Brake lights(Required) YES NO N/A Horn(Required) YES NO N/A Headlights (high and low beam) *(Required) YES NO N/A Hazard lights(Required) YES NO N/A Windscreen washer and wipers(Required) YES NO N/A Did the learner identify, but no operate, the following controls?Handbrake(Required) YES NO N/A Windscreen demister(Required) YES NO N/A Rear window demister (where fitted)(Required) YES NO N/A Could the learner driver?Did the student instruct the learner to start the engine.(Required) YES NO N/A POWER CHECKDid the learner driver perform the following checks?PETROL – Check fuel levels and top-up vehicle if required…(Required) YES NO N/A OILS – Check oil levels and fluid levels and replenish as required(Required) YES NO N/A WATER – Check coolant and windscreen washer fluid levels, replenish as required(Required) YES NO N/A ELECTRICS – Check vehicle systems to ensure working order, including headlight and brake light globs. Replace items as required.(Required) YES NO N/A RUBBER – Check the condition of tyres and door seals.(Required) YES NO N/A Complete the vehicle inspection log report (Via the Safety Culture App)(Required) YES NO N/A Report any defects or identified problems to the assessor (Via the Safety Culture App)(Required) YES NO N/A PART B) DRIVE ASSESSMENT (30 Minutes) LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER After the applicant has started the engine. Whenever you are ready and when it’s safe make your way to the end of the driveway and turn left please. ℹ️- Drive Test CriteriaSIG - 1(Required) YES NO N/A MOF - 2(Required) YES NO N/A GWA - 3(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER After the bend At the end of the street, turn right please. (Entering Radford Rd) ℹ️- Drive Test CriteriaSYS - 4(Required) YES NO N/A STP - 5(Required) YES NO N/A OBS - 6(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Cobham St (on the right) At the next street turn left please. (Entering Broadhurst Av) ℹ️- View Drive Test CriteriaSYS - 7(Required) YES NO N/A VEL - 8(Required) YES NO N/A POS - 9(Required) YES NO N/A TNS - 10(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Barron St (on the left) At the next street turn left please. (Entering Fiddes St) ℹ️- View Drive Test CriteriaSYS - 11(Required) YES NO N/A POS - 12(Required) YES NO N/A OBS - 13(Required) YES NO N/A GCH - 14(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER When you can see the end of the street At the end of the street, turn right please. (Entering Glasgow Ave) ℹ️- View Drive Test CriteriaSYS - 15(Required) YES NO N/A STP - 16(Required) YES NO N/A POS - 17(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Godley St (on the left & right) At the roundabout turn left please. (Entering Massey Ave) ℹ️- View Drive Test CriteriaSYS - 18(Required) YES NO N/A B/S - 19(Required) YES NO N/A CIN - 20(Required) YES NO N/A GWA - 21(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER When you can see the end of the street At the roundabout turn right please. (Entering Godley St) ℹ️- Drive Test CriteriaMIR - 22(Required) YES NO N/A SIG - 23(Required) YES NO N/A TNS - 24(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the applicant completes the turn. At the end of the street turn right please. (Entering Lawley St) ℹ️- Drive Test CriteriaSYS - 25(Required) YES NO N/A GCH - 26(Required) YES NO N/A GWA - 27(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER When you can see the end of the street At the next street turn left please. (Entering Glasgow Ave) ℹ️- Drive Test CriteriaSTP - 28(Required) YES NO N/A SYS - 29(Required) YES NO N/A POS - 30(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER While driving along Glasgow Ave (50KM/H) ℹ️- Drive Test CriteriaSYS - 31(Required) YES NO N/A OBS - 32(Required) YES NO N/A VEL - 33(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Hobbs Cres (On the right) At the next street turn right please. (Entering Maclagan Cres) ℹ️- Drive Test CriteriaSYS - 34(Required) YES NO N/A GCH - 35(Required) YES NO N/A POS - 36(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the applicant completes the turn. At the end of the street turn left please (Entering Broadhurst Av) ℹ️- Drive Test CriteriaSYS - 37(Required) YES NO N/A STP - 38(Required) YES NO N/A OBS - 39(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At the speed hump At the traffic lights turn right into the right lane please. (Entering High St) ℹ️- Drive Test CriteriaSYS - 40(Required) YES NO N/A FPL - 41(Required) YES NO N/A ACC - 42(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Barry St (on the right) When safe move into the left lane please. ℹ️- Drive Test CriteriaMIR - 43(Required) YES NO N/A HCH - 44(Required) YES NO N/A LCH - 45(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Barton St (on the right) At the next traffic lights turn left into the left lane (Entering Cheddar Rd) ℹ️- Drive Test CriteriaMIR - 46(Required) YES NO N/A SIG - 47(Required) YES NO N/A GWA - 48(Required) YES NO N/A NOTESCheddar Rd speed limit now is 50km/h LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Corvey Rd (on the left) At the next street turn left please (Entering Purinuan Rd) ℹ️- Drive Test CriteriaSYS - 49(Required) YES NO N/A FPL - 50(Required) YES NO N/A POS - 51(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As you drive past the car park on the right At the next street turn left please. (Entering Crookston Rd) ℹ️- Drive Test CriteriaSYS - 52(Required) YES NO N/A GCH - 53(Required) YES NO N/A TNS - 54(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Suffolk St (On the right) At the end of the street, turn right into the left lane please (Entering Cheddar Rd) ℹ️- Drive Test CriteriaSTP - 55(Required) YES NO N/A POS - 56(Required) YES NO N/A TNS - 57(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Palm Ave (On the left) At the next street turn left please (Entering Orange Ave) ℹ️- Drive Test CriteriaSYS - 58(Required) YES NO N/A GCH - 59(Required) YES NO N/A GMO - 60(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER Once turn is complete At the next street turn right please. (Entering Orrong Ave) ℹ️- Drive Test CriteriaSYS - 61(Required) YES NO N/A STP - 62(Required) YES NO N/A GWA - 63(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the applicant competes the turn. At the roundabout turn right please (Entering Carrol St) ℹ️- Drive Test CriteriaSYS - 64(Required) YES NO N/A TNS - 65(Required) YES NO N/A GWA - 66(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as turn is complete, observe students left turn, no instruction. (Entering Cheddar Rd) ℹ️- Drive Test CriteriaOBS - 67(Required) YES NO N/A FPL - 68(Required) YES NO N/A GWA - 69(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the turn is complete At the traffic lights, turn right from the right lane into the right lane. (Entering High St) ℹ️- Drive Test CriteriaSYS - 70(Required) YES NO N/A LCH - 71(Required) YES NO N/A HCH - 72(Required) YES NO N/A VEL - 73(Required) YES NO N/A GMO - 74(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Leamington St (On the left) When safe, move into the left lane ℹ️- Drive Test CriteriaSYS - 74(Required) YES NO N/A LCH - 76(Required) YES NO N/A HCH - 77(Required) YES NO N/A VEL - 78(Required) YES NO N/A GMO - 79(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At Maclagan Cres (On the left) At the traffic lights turn left please (Entering Allenby Ave) ℹ️- Drive Test CriteriaMIR - 80(Required) YES NO N/A SIG - 81(Required) YES NO N/A GCH - 82(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As applicant is driving on Allenby Ave mark: ℹ️- Drive Test CriteriaGMO - 83(Required) YES NO N/A MIR - 84(Required) YES NO N/A FPL - 85(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER Applicant should continue straight at the roundabout. (Entering Hughes Parade) ℹ️- Drive Test CriteriaSYS - 86(Required) YES NO N/A VEL - 87(Required) YES NO N/A GWA - 88(Required) YES NO N/A OBS - 89(Required) YES NO N/A POS - 90(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the applicant exits the roundabout. At the next brake in the median strip, do a U-turn please. (Hughes Parade) ℹ️- Drive Test CriteriaSYS - 91(Required) YES NO N/A POS - 92(Required) YES NO N/A GWA - 93(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the applicant completes the U-turn. At the roundabout, turn right. (Entering Botha Ave) ℹ️- Drive Test CriteriaSYS - 94(Required) YES NO N/A GWA - 95(Required) YES NO N/A GCH - 96(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER Once turn is completed At the roundabout turn right please. (Entering Glasgow Av) ℹ️- Drive Test CriteriaSYS - 97(Required) YES NO N/A GWA - 98(Required) YES NO N/A TNS - 99(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At the Ryan St (on the right) At the roundabout turn right please. (Entering Mcfadzean Ave) ℹ️- Drive Test CriteriaSYS - 100(Required) YES NO N/A FPL - 101(Required) YES NO N/A GWA - 102(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At the bus stop on the right At the roundabout turn left please (Entering Hughes Parade) ℹ️- Drive Test CriteriaVEL - 103(Required) YES NO N/A GMO - 104(Required) YES NO N/A MIR - 105(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At the Pallant Av (on the left) At the roundabout turn left please (Entering Massey Av) ℹ️- Drive Test CriteriaSYS - 106(Required) YES NO N/A GCH - 107(Required) YES NO N/A OBS - 108(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER Once the turn is complete At the roundabout turn right please (Entering Amery St) ℹ️- Drive Test CriteriaSYS - 109(Required) YES NO N/A OBS - 110(Required) YES NO N/A GWA - 111(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as the applicant completes the turn. At the next street turn left please (Entering Radford Rd) ℹ️- Drive Test CriteriaSYS - 112(Required) YES NO N/A OBS - 113(Required) YES NO N/A VEL - 114(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER At the Broadhurst Ave At the next street turn left please (Entering Cobham St) ℹ️- Drive Test CriteriaOBS - 115(Required) YES NO N/A FPL - 116(Required) YES NO N/A GWA - 117(Required) YES NO N/A NOTES LOCATION OF INSTRUCTION INSTRUCTION TO THE DRIVER/LEARNER As soon as turn is complete Turn left into ITS driveway, find a safe place to park and make the car safe ℹ️- Drive Test CriteriaSYS - 118(Required) YES NO N/A OBS - 119(Required) YES NO N/A POS - 120(Required) YES NO N/A NOTES Immediate Termination Error (ITE)Immediate termination errors must be recorded in this section at any time they occur and will result in the immediate termination of the assessment. ITE’s are scored in accordance with the Road Traffic Authority Drive Test Criteria. Did the student perform / conduct a ITE?(Required) NO YES Type of ITE: Critical Error (CE)Critical errors must be recorded in this section at any time they occur and will result in the immediate termination of the assessment. That is the applicant commits more than one Critical Error during the first 10 minutes of the Drive Assessment or, more than 2 for the duration of the entire Drive Assessment. CE’s are scored in accordance with the local Road Traffic Authority's Drive Test Criteria.Did the student perform / conduct any CE's?(Required) NO YES Critical Error 1Type of CEDetails and time when CE occuredCritical Error 2Type of CEDetails and time when CE occuredCritical Error 3Type of CEDetails and time when CE occured Assessor Checklist - FeedbackComplete the progress report on the previous pages(Required) YES NO Inform the learner of all the things that went right on the drive test(Required) YES NO Provide the learner with positive, constructive feedback.(Required) YES NO REMEMBER: Provide the following information • What was the error made? • When does the learner driver normally make this error? • How did the learner driver make this error? (if relevant) • Why is it important for the learner to correct this error? Provide examples such as: o Safety reasons for correcting the error o Testing / licence reasons for correcting the error o Legal reasons for correcting the error o Financial reasons for correcting the error • How should the learner driver go about correct the error, in order words what do they need to do!Reinforce what the learner did right and provide the learner with motivation to try again.(Required) YES NO Emphasise the importance of continuous effort and practise(Required) YES NO ASSESSOR NOTES & OBSERVATIONSASSESSMENT OUTCOMEOverall Completion of Assessment Task(Required) SATISFACTORY COMPLETE (SC) NOT SATISFACTORY (NS) NOT ASSESSED (NA) ASSESSOR DECLARATIONASSESSOR DECLARATION I, the person conducting the drive assessment, declare that the above-mentioned learner participated in an appropriate assessment in accordance with the assessment plan, and outcomes and objectives of this drive test. The information recorded above is a true reflection of this learner’s abilities. The learner has been provided with verbal or written feedback and informed of the assessment result and the reasons for the decision. I have conducted a fair, valid, reliable and flexible assessment with this student.Assessor Name First Last Assessor Signature(Required) STUDENT DECLARATIONStudent Declaration(Required) I declare that I have undergone a drive test assessment. Deselect AllStudent Signature(Required)
