West Virginia Code of State Rules › Agency 141 - Adjutant General › Title 141 - LEGISLATIVE RULE ADJUTANT GENERAL › Series 141-54 - Personnel - Driver/Operator, Selection, Training, Testing And Licensing › Section 141-54-5

Current through Register Vol. XLI, No. 28, July 12, 2024
Block by Block instructions for completing of DA Form 348
				  (Equipment Operators Qualification Record) are found in Enclosure 2.
UNIT:
NAME:
PERMIT NUMBER
DATE ISSUED
DATE EXPIRES
TYPE OF PERMIT HEAVY/LIGHT
AUTHORITY/CERTIFICATION (SIGNATURE)
DA FORM 348 (Front)
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DA FORM 348 (Back)
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DA FORM 348A/DA FORM 348-1R
(All
				  entries will be typed or in ink)
GENERAL INFORMATION BLOCKS;
(All
				  information contained on the individuals SF 88 (Report of Physical
				  Examination).
Block 1 - Enter last name, first name, middle initial, social
				  security number (SSN), and place of birth of the individual for which the form
				  is being initiated.
Block 2 - Enter whether the applicant is male or
				  female.
Block 3 - Enter the day, month, and year of the individuals
				  birth.
Block 4 - Enter the individuals hair color - brown, black,
				  blond, etc.
Block 5 - Enter the color of eyes.
Block 6 - Enter the individuals height in inches - 58", 68",
				  73", etc, from the medical records.
Block 7 - Enter the individuals weight - 150 lbs, 170 lbs,
				  etc, from the medical records.
Block 8 - Enter "N/A" if the individual is Military.
PERMIT INFORMATION
;
Block 9 - Enter the permit number. Permit numbers will be
				  assigned in the sequence issued during the calendar year. Numbers will be a
				  locally devised system and incorporated in the Unit SOP. When a permit is
				  issued in accordance with AR 600-55, a line will be drawn through the original
				  permit number, and the new permit entered in Section III of the DA Form 348 (Or
				  DA Form 348-lR if applicable) with explanatory remarks.
Block 10 - Enter the type of permit issued; i.e. Army
				  Standard. If any other permit is issued it must be approved by the Battalion
				  Commander.
Block 11 - Enter the day, month, year, that the initial
				  permit was issued to the individual. See Block 9 above for actions taken upon
				  renewal of an individuals OF 346.
Block 12 - Enter any information concerning physical defects
				  which may limit the individuals performance. Also enter whether the Army
				  Vehicle driver is a light and/or heavy vehicle operator.
SECTION I, OFFICIAL
				  QUALIFICATIONS
;
Block 13 - Enter the type of vehicle or equipment the
				  individual is qualified to operate; i.e., truck (4X4), truck (6X6), generator
				  (electric 1.5KW), Sedan, etc.
Normally, a person will be qualified to drive all vehicles
				  for the same chassis type up to and including those of the weight class for the
				  vehicle on which he passed the performance test. When the characteristics of
				  the vehicle on which tested do not allow evaluation of full driving ability,
				  enter the specific nomenclature and/or characteristics of the vehicle on which
				  qualified. If more space is required, DA Form 348-lR will be used.
Block 14 - Enter the size or capacity of vehicle or equipment
				  the individual is qualified to operate, i.e. 1/4 Ton, 2 1/2 Ton, 1OTon, 1.5KW,
				  5 Passenger, etc.
Block 15 - Enter any special qualification requirements for
				  operation of automatic transmission only, not qualified for tractor trailer,
				  qualified in winch operation, qualified to Ford Vehicles with this capability,
				  or note, as appropriate. Entries in this column can also include a note
				  referring to information in another portion of the form, Example, See Section
				  III.
Block 16 - Enter day, month, year, that the individual was
				  qualified on each type of equipment he or she is authorized to operate.
Block 17 - Enter the activity, post, camp, or station where
				  the qualification was determined.
Block 18 - Enter the payroll signature of each examiner in
				  ink.
SECTION II, BACKGROUND AND
				  EXPERIENCE
;
Block 19 - Enter any information as to type of vehicle or
				  equipment on which the individual has had previous experience.
Block 20 - Enter the size or capacity of each vehicle or
				  piece of equipment.
Block 21 - Enter pertenent information concerning the
				  individuals prior driving experience and record to include city or rural
				  driving, driver education courses, civil convictions or suspensions, accidents,
				  etc.
NOTE
; WHEN A CANDIDATES CIVILIAN
				  LICENSE IS UNDER SUSPENSION HE CANNOT BE TRAINED FOR THE OPERATION OF A
				  MILITARY VEHICLE.
Block 22 - Enter the state and year the individual received
				  any additional licenses.
Block 23 - Enter the license number of any vehicle operator's
				  license or special equipment license the individual may have received.
Block 24 - Enter the signature of the person verifying the
				  previous experience.
SECTION III, PERFORMANCE
				  RECORD
;
Block 25 - Enter the day, month, and year the individual
				  completed formal training on the vehicle or equipment he is authorized to
				  operate, (in certain cases where road tests, age, or local requirements are
				  necessary, training may be completed before the individual is qualified in
				  Section I, DA Form 348). Also enter dates of accidents, traffic violations, or
				  safety awards earned. If more space is required for Performance Records, DA
				  Form 348-1R will be used.
Block 26 - Enter the number of hours completed as credits in
				  training, orientations, rodeo perfomance, retesting, relicensing. Also list one
				  credit for each safety award the individual receives.
Block 27 - Enter the number of hours in attendance at
				  remedial training, refresher training, or other required training as a result
				  of an accident, moving traffic violation, or unsafe act while operating a
				  military or civilian vehicle or equipment.
NOTE
; WHEN A CIVILIAN LICENSE IS
				  SUSPENDED OR REVOKED DUE TO A TRAFFIC VIOLATION OR ACCIDENT, HIS MILITARY
				  LICENSE WILL ALSO BE SUSPENDED OR REVOKED FOR MILITARY VEHICLES/EQUIPMENT
				  OPERATED ON PUBLIC ROADS (AR 600-55).
Block 28 - Enter information pertaining to individual
				  accoplishments, training received, violations, or unsafe acts. Example;
				  Training, tests issued, safety awards, retests, or renewals.
Block 29 - Enter any action taken by the commander to insure
				  that each individual maintains a high standard as vehicle or equipment
				  operator. A commander can glance at this section and determine whether the
				  individual is a good, questionable, or poor driver or equipment operator. Cite
				  the DA or local regulation which directed that training be conducted, or cite
				  the regulation under which a safety award was issued. Note the type of action
				  taken for accidents or moving traffic violations regardless or whether they
				  occurred while driving a military vehicle or privately owned vehicle. Accidents
				  in which the driver or neither caused nor contributed to are not entered. All
				  entries will be by the officer or NCO responsible for the training or testing.
				  All other entries will be authenticated by the service members unit commander
				  or qualified individual serving as the transportation or motor transport
				  officer.
SECTION IV, EXAMINATION
				  FINDINGS
;
Block 30 - Enter N/A.
Block 31 - Battery II will be administered to all applicants,
				  therefore the standard score from DA Pam 611-119 must be entered.
Block 32 - Enter the raw score for each of the three tests in
				  the raw score column.
Block 33 - Enter the standard score for each test which is
				  determined by using DA Pam 611-119 or 611-122 to convert the raw score. This
				  score will be placed in the appropriate block marked standard score.
Block 34 - Enter the total standard score obtained by adding
				  the three scores in the standard score block.
Block 35 - Enter the score obtained by dividing the total
				  standard score by 3 and rounding off the final figure to the nearest whole
				  number.
Block 36 - Enter an "X" in the "yes" block if the standard
				  score for Battery II is 80 or above.
Block 37 - Enter the last name, first name, and middle
				  initial of the individual responsible for administering the Battery II
				  test.
PHYSICAL EVALUATION MEASURES
; (Will
				  be taken using Trainer, Automotive Driver, portable, one student position, NSN
				  6930-00-526-3639.
Block 38 - Enter the visual acuity of the left and right eye
				  in the applicable block.
The
minimum standard is 20/30 in each
				  eye.
Block 39 - Enter the standards obtained in the left and right
				  eyes in the applicable blocks. A lateral range of 75 degrees on each side of
				  the focus line is the minimum standard.
Block 40 - Enter the standard achieved in the left and right
				  ears in the applicable blocks. The minimum standard is the ability to hear the
				  whispered voice at 15 feet, correctable for each ear.
Block 41 - Enter the time in the applicable blocks. A
				  reaction time from 0 to 0.60 seconds is acceptable.
Block 42 - Enter the work "normal" unless some extrremely
				  abnormal condition is obvious. Enter the word "abnormal" if appropriate. There
				  is not a minimum standard for this test, but results may be used for counseling
				  and training.
Block 43 - Enter the work "normal" unless
some
extremely abnormal condition is obvious. Individuals will
				  not necessarily be disqualified for color blindness, however, if there is any
				  indication of color blindness, the individual will be given information on
				  traffic lights, and observation of other traffic, etc.
Block 44 - Enter a checkmark ([RIGHT]) when the individual
				  qualifies for a physical evaluation measure. Enter an "X" when the individual
				  does not qualify.
Block 45 - Enter the signature of the examiner verifying the
				  test.
Block 46 - Enter candidates determined to be physically
				  substandard blocks 38 through 41, or abnormal, blocks 42 and 43, will be
				  referred to an apprqpriate medical authority for judgement as to whether or not
				  they should be qualified for driving. The Medical authority will enter his
				  comments on the DA Form 348.
Block 47 - This block will be used only when the driver
				  candidate has been referred to a medical authority, at which time it will be
				  signed by a qualified medical officer.
DRIVER PERFORMANCE TEST
;
Block 48 - Enter a checkmark ([RIGHT]) in the applicable
				  blocks to indicate successful completion of each task. Enter an "X" in the
				  applicable blocks when the individual has failed and corrective training is
				  needed. Enter not applicable (NA) when any portion of the test does not apply
				  to the vehicle or equipment the individual is being tested on.
Block 49 - Enter successful or unsuccessful completion of DA
				  Form 2404. Additional requirements for licensing required by the local
				  commander may also be entered here.
ROAD TEST - SCORED PHASE
;
Block 50 - Enter the number of tally marks that were listed
				  on the road rest checklist (DA Form 6125) during the road test which indicated
				  further training is required.
Block 51 - Subtract the number of tally marks in block 50
				  from 100 to get the road test score. This score is shewn as a percent. A score
				  of 70 percent or higher is passing.
Block 52 - Enter any strong points or weaknesses the examiner
				  may have pointed out to the applicant. Enter "None" if appropriate.
Block 53 - Enter in ink the payroll signature of the
				  individual that administered the actual road test.
Block 54 and 55 - Enter the day, month, year, and payroll
				  signature of the applicant in the appropriate blocks.
NOTE: WHEN SECTIONS OF THE DA FORM 348 ARE TO BE
				  CONTINUED, DA FORM 348-1R WILL BE USED, THIS FORM CAN BE FOUND IN THE BACK OF
				  AR 600-55.