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41 aPPENDIX E Sample USaF Driver Certification Checklist AIRFIELD DRIVING TRAINING DOCUMENTATION AND CERTIFICATION CHECKLIST SECTION I â TRAINEE INFORMATION (Completed by the Unit ADPM) Name (Last, First, Middle Initial) Rank, Civilian Grade or equivalent Unit/Office Symbol or Company Name Duty Phone SECTION II â QUALIFICATION TRAINING (Completed by the Trainee and Unit Trainer) Date Completed Traineeâs Initials Trainerâs Initials 1. Trainee possesses a valid (List State of Issue) Driverâs License (List restrictions). 2. Trainee possesses a valid Government Driverâs License. 3. USAF Airfield Driving Computer Base Training. [Score: ] 4. Airfield Driver Training Classroom (as determined locally). 5. Airfield Driving Qualification Training Checklist/ Curriculum (See Attachment 6). 6. Practical Day Airfield Driver Familiarization Training (SeeAttachment 6, Item 4). 7. Practical Night Airfield Driver Familiarization Training as applicable (See Attachment 6, Item 4). 8. Practical Driving Test. Includes day and night (as applicable). 9. Communications Test. [Score: ] 10. Airfield Diagram/Layout Test. [Score: ] 11. General Knowledge Test (Written). [Score: ] 12. Runway Incursion Prevention Test. [Score: ] SECTION III â Color Vision Test for CMA drivers only (Completed by Hospital/Medical Treatment Facility Optometry For) Check applicable. Normal Color Vision. Color Blind/Deficient. Name (Last, First, MI): Grade: Signature: Date: SECTION IV â TRAINER CERTIFICATION (Completed by Authorized Airfield Driving Training Instructor) I certify that the trainee has received all required qualification training requirements annotated above. Name of Trainer (Last, First, MI): Grade: Signature: Date:
42 SECTION V â TRAINEE ACKNOWLEDGEMENT (Completed by Trainee) I have received and completed all of the above training requirements and will comply with Local Base Airfield Driving Instruction (ADI). I am also fully aware that no vehicle or pedestrian shall enter a runway or other controlled movement areas without approval from the Air Traffic Control Tower (ATCT). Name of Trainee (Last, First, MI): Grade: Signature: Date: SECTION VI â UNIT CERTIFICATION (Completed by Unit Commander or Unit ADPM) I certify that the above trainee has successfully completed all training requirements to operate a vehicle at Local Base. Check all applicable restrictions and or special access. Ramp only Daylight hours only Other (Specify): Name (Last, First, MI): Grade: Signature: Date: SECTION VII â AIRFIELD DRIVING AUTHORIZATION (Completed by the Wing ADPM or designated representative) Approved Disapproved AF IMT483 CERTIFICATE # Name (Last, First, MI): Grade: Signature: Date: Source: United States Air Force Instruction 13-213.