Your Track Record

Your Track
Record
Your name:
Your pupil number:
Instructor’s name:
Instructor’s telephone number:
Contact BSM Call 0330 100 7493 (option 3).
or visit bsm.co.uk
BSM E6070D (02/15)
Your details
Customer information
Name:
For Instructor’s use.
Customer reference no:
Name:
Driving licence no:
Address:
Your Instructor details
Email:
My name is:
Telephone:
I can be contacted on:
Hours required to test:
Between the hours of:
†
And:
Your personal structured driving tuition course
When would you like to pass by?
Hours required to test:
Date of eyesight check:
Forecasted Theory Test date:
Date of Mock Theory Test:
Forecasted Mock Test date:
Date of Theory Test:
How many hours required per week?
Date of Mock Practical Test:
Forecasted Practical Test date:
Date of Practical Test:
Instructor Signature:
Thank you for choosing to learn to drive with BSM. Please
remember I require 48 hours notice if you wish to cancel a
lesson. Otherwise the lesson fee will be charged in full.
Estimated
Pupil Signature:
†
2
Your Instructor’s
assessment
There are 45 driving skills, each with five assessment levels.
Your Instructor will introduce each skill as appropriate; there is
no set order. But bear in mind levels can go down as well as up.
Assessment levels
1. Skill introduced
2. Skill carried out under full
instruction
3. Skill carried out when
prompted
4. Skill carried out with
minimal prompts
5. Skill carried out without
prompts
7
Moving off downhill
16
Emerging left
8
Changing gear
17
Turning right
9
Steering
18
Emerging right
The cockpit drill
10
Stopping normally
19
Approaching crossroads
2
Use of car controls and instruments
11
Controlled (emergency) stop
20
Roundabouts
3
Controlling the clutch
12
Using the mirrors effectively
21
Complex junctions
4
Moving off safely
13
Giving signals
22
Pedestrian crossings
5
Moving off at an angle
14
Acting on signs and signals
23
Level crossings
6
Moving off uphill
15
Turning left
24
Keeping space either side
1
Date:
Grade:
3
25
Following traffic
34
Dual carriageways
43
Turn in the road
26
Keeping pace with traffic
35
Eco-safe driving
44
Reverse park
27
Meeting traffic
36
Night driving
45
Reverse into a bay
28
Crossing traffic
37
Bad weather
46
29
Overtaking
38
Commentary driving
47
30
Awareness and planning – towns
39
Reversing in a straight line
48
31
Awareness and planning – country roads
40
Sharp left reverse
49
32
Lane discipline and positioning
41
Sweeping left reverse
50
33
One-way systems
42
Reverse to the right
51
4
Notes
5
Please can you keep a copy of this for your records
Your appointments
Day
Date
Time
Hours
Day
Date
Time
Hours
6
Please can you keep a copy of this for your records
Your appointments
Day
7
Date
Time
Hours
Day
Date
Time
Hours