10 – 12 PASSENGER VAN SAFETY ACKNOWLEDGMENT FORM

10 – 12 PASSENGER VAN SAFETY ACKNOWLEDGMENT FORM
Office of Catholic Schools: Appendix L-1

Please read, sign, and date the following form below:

This form shall be completed by a person who may need to drive a Diocesan owned, leased, or rented vehicle for transporting 10-12 passengers at one time.

Possible Risks Associated with Operating 10-12 Passengers at one time

  1. 12 passenger vans have a rollover risk similar to light trucks and vans.
  2. The risk of rollover increases as the number of occupants increases from fewer than 5 to more than 10. Vans should be loaded by filling the front seats first.
  3. The weight of the van, particularly when fully occupied, causes the center of gravity to shirt rearward and upward increasing the likelihood of rollover.
  4. The shift in the center of gravity will also increases the likelihood for loss of control in panic maneuvers.
  5. The weight of the van when fully occupied requires additional stopping distance.
  6. The width of the van allows for less lane room.
  7. The length of the van increases the distances needed for making turns, changing lanes and backing the vehicle.

Please sign, date, and submit the form below.

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Saint Michael the Archangel Catholic High School

6301 Campus Dr, Fredericksburg, VA 22407

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