"THE SCHOOL DISTRICT OF (DOC)"
[PLEASE ENTER YOUR DISTRICT NAME HERE] ) TRANSPORTATION DEPARTMENT School Bus Attendant Evaluation BUS ENVIRONMENT. EQUIPMENT. WORKING WITH STUDENTS WITH DISABILITIES & EMERGENCY PLAN CRITERIA, COMMENTS, AND DEFICIENCIES. Knowledge of the bus environment, equipment, students, and bus emergency plan. 1. Fire extinguisher. Can locate it and use it (demonstrates use or verbalizes the steps to take to use it) a a YES COMMENTS NO 2. Locates the First Aid Kit. a a 3. Locates the seat belt cutter. Demonstrates proper use. a 0 4. Operates the two-way radio. Uses the proper code to send a message to dispatch. a a 5. Locates the bus emergency brake(s) and knows how to apply it/them. 0 a 6. Locates the four-way flashers, and knows how to activate them. a a 7. Can locate the fire blanket. Demonstrates proper use and when it would be utilized. a a 8. Locates the body fluid clean up kit. Describes when it would be used; and procedures for replenishing supplies. a a 9. Locates triangle reflectors, describes their use, and proper placement procedures. a a 10. Locates the bus service brakes, and demonstrates use. a a 11. Locates the bus ignition and shut-off controls. a a 12. Locates bus entry doors and all emergency exit points. a 0 13. Locates the bus evacuation plan for the employee's current routes, and demonstrates an understanding of them. a a 14. Verbalizes knowledge and understanding of the students with disabilities and special needs listed on his/her current route sheets. a a 15. Secures/stores student equipment and belongings such as crutches, canes, book-bags, communication devices, trays, etc. Evaluation Date:__________________ Evaluator: ______________________ Title: ___________________________ Name:________________________________ Bus Code: _________________________ Bus#: ________ EVALUATION: PASS FAIL NOTE: Evaluations are based on the standard SCHOOL BUS DRIVER AND BUS ATTENDANT HANDBOOK.