This document is a table of contents for a manual on transportation operations. It lists 24 chapters and 3 appendices on topics related to operating vehicles and heavy equipment used in construction, such as trucks, loaders, cranes and excavators. The chapters cover systems, safety procedures, and operations for different types of equipment. The appendices include information on mathematics, hand signals and construction symbols used in the industry.

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15. 16a. TYPE OF IDENTIFICATION
CARD (Check)
APPLICATION FOR VEHICLE OPERATOR'S IDENTIFICATION CARD
NAVFAC 11240/10 (REV. 10-75) S/N 0105-LF-012-4055
NEW RENEWAL
(See Privacy Act statement and instructions on reverse)
*IF NO EXPLAIN UNDER REMARKS
9. WEIGHT
5. DATE OF BIRTH
10. HEIGHT 11. COLOR OF HAIR
6. PLACE OF BIRTH
2. RANK/RATE/GRADE AND TITLE
14. SUPERVISOR (Name)
VEHICLE TYPE/SIZE
STATE OTHER
LICENSES ISSUED NO. YRS.
DRIVING
EXP.
1. SCORES IN DRIVING TESTS
SAT UNSAT
a. WRITTEN
b. PHYSICAL
c. PSYCHOPHYSICAL
2. SCORES ACHIEVED
IN TESTS SAT UNSAT
3. GOVERNMENT VEHICLES AUTHORIZED
TO OPERATE (List)
a. ROAD TEST
b. EQUIPMENT INSPECTION
1. IDENTIFICATION CARD ISSUED 2. IDENTIFICATION CARD NUMBER DATE ISSUED (Mo., Day, Yr.) EXPIRATION DATE (Mo., Day, Yr.)
3. IDENTIFICATION CARD MARKED VOID UNLESS ACCOMPANIED BY VALID STATE LICENSE
4. OPERATOR INSTRUCTED TO TURN IN IDENTIFICATION CARD UPON LOSS OR SUSPENSION OF STATE DRIVER'S LICENSE
5. SIGNATURE OF ADMINISTERING OFFICIAL Date
PART I - APPLICATION
LIST ACCIDENTS, VIOLATIONS, ARRESTS
(If any) AND ACTION TAKEN
REMARKS
PART III - EXAMINATION RESULTS
DATESIGNATURE OF APPLICANT7. I CERTIFY THE ABOVE TO BE CORRECT.
DATE
PART II - OPERATOR'S PAST PERFORMANCE RECORD
18. VALID STATE VEHICLE OPERATOR'S LICENSE(S)
Date19. SIGNATURE OF REQUESTING OFFICIAL
17. EXPLANATION
1. NAME (Last, First, Middle Initial)
4. AGE
8. SEX
15. PHONE NUMBER13. SHOP NAME/NUMBER AND APPLICANT'S BADGE NUMBER
REGULAR
RESTRICTED
EXPLOSIVE
EMERGENCY VEHICLE
AVGAS REFUELER
PASSENGER CAR
PICKUP TRUCK
TRUCKS TO 2 TONS
TRUCKS TO 5 TONS
TRUCKS TO 10 TONS
BUS (GAS AND DIESEL)
TRUCK TRACTOR SEMITRAILER
FIRE TRUCK
AMBULANCE
MOTORCYCLE SCOOTERS
TRUCK 4 x 4
TRUCK 6 x 6
TRUCK FIRE/CRASH
TRUCK TANK
OTHER (Explain below)
16b. TYPES OF VEHICLES TO BE OPERATED
(Check)
1 2 3 4 5 6
PART IV - ACTION BY ADMINISTERING OFFICIAL
3. ACTIVITY
7. SOCIAL SECURITY NUMBER
12. COLOR OF EYES
YE NO
NO
YE NO
YE
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6$
NSAT
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16. INSTRUCTIONS FOR COMPLETING APPLICATION FOR VEHICLE OPERATOR'S IDENTIFICATION CARD
NAVFAC 11240/10 (REV. 10-75)
PRIVACY ACT STATEMENT
Authority to request this information is derived from Title 40 United States Code 471. Purpose of this form is to obtain information to determine
whether an individual is qualified to operate a government vehicle and/or equipment. Information is used by agency transportation officials and
may be used by government and civil law enforcement authorities for court action. Providing information for this form is mandatory. If the
information is not provided, the individual would be denied the privilege of operating a government vehicle and/or equipment.
GENERAL
Prepare in duplicate. File original in applicant's personnel jacket and retain copy in issuing office. Use typewriter or ball-point pen.
PART I - APPLICATION
1. Self-explanatory.
2. Enter military rank/rate or civilian grade and title.
3. Enter name and location of activity. Abbreviations may be used.
4. Self-explanatory.
5. Enter day, month and year of birth.
6. Enter city/town and state of birth.
7. Self-explanatory.
8. Enter male or female.
9. Self-explanatory.
10. Enter height in feet and inches; i.e., 6'2.
11. Enter color of hair; i.e., brown, black, gray.
12. Enter color of eyes; i.e., blue, brown, hazel.
13. Enter shop name and number, plus applicant's badge number.
14. Enter the name of the applicant's supervisor.
15. Enter the telephone number of the applicant's supervisor; i.e., 74056.
16. a. Check type of identification card applied for.
b. Check types of vehicles to be operated for which operator's identification card is to be issued.
17. List other types of vehicles that applicant is required to operate not listed under 16 b.
18. Enter current valid state (name and number) vehicle operator's license(s).
19. Signature of requesting official; i.e., Commanding Officer or designated representative and date.
PART III - OPERATOR'S PAST PERFORMANCE RECORD
1. Self-explanatory.
2. Enter vehicle type/size that applicant is or has been authorized to operate.
3. Enter date of issue of previous or present state vehicle operator's license.
4. Enter date of issue of previous identification cards (if any).
5. Enter number of years of driving experience, both civilian and military, for each license entry.
6. Briefly list accidents, violations, arrests, if any, and action taken.
7. Signature of applicant and date.
PART III - EXAMINATION RESULTS
12. Check appropriate boxes.
3. List types of Government vehicles authorized to operate; i.e., pickup truck, truck tank.
4. Enter remarks, if any, the examiner considers necessary; i.e., restrictions, driving weaknesses, outstanding qualifications.
PART IV - ACTION BY ADMINISTERING OFFICIAL
1. Check appropriate box.
2. Enter serial number of identification card issued, date issued, and expiration date.
3. The phrase Void unless accompanied by valid state license may be overstamped on the card or typed on the back under
Other Records.
4. Check appropriate box.
5. Signature of administering official and date.
NAVFAC 11240/10 (REV. 10-75) (BACK)
6$0
3/(
56.
fication card is to be issued.
to operate not listed under 16 b.
cle operator's license(s).
Officer or designated representative and
NCE RE
as been authorized to operate.
e vehicle operator's license.
previous identification cards (if any
ears of driving experience, both civi
ents, violations, arrests, if a d actio
plicant and date.
es.
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18. FROM: Date
TO:
It is requested that the license for equipment descripted in item 6 above be issued to this applicant upon his successful
completion of the required examinations and tests.
Signature
Title
Department, Division or Shop Supervisor
9. SPONSOR'S STATEMENT OF APPLICANT'S READINESS AND/OR PREPARATORY TRAINING FOR TEST (NOTE: The sponsor can
be either a qualified instructor or licensed operator)
2. APPLICANT'S NAME
(b) TYPE OF CONTROL
7. STATEMENT OF QUALIFYING EXPERIENCE
8. DESCRIPTION OF EQUIPMENT APPLICANT IS CURRENTLY LICENSED TO OPERATE
(a) TYPE OF EQUIPMENT (c) TYPE OF ATTACHMENT
6. DESCRIPTION OF EQUIPMENT LICENSE REQUESTED
4. DEPARTMENT, DIVISION AND/OR SHOP ASSIGNED TO 5. APPLICANT'S JOB TITLE
3. RANK, RATE OR CIVILIAN STATUS
PART I - APPLICATION
Read the PRIVACY ACT STATEMENT on reverse before completing this applicantion
APPLICATION FOR CONSTRUCTION EQUIPMENT OPERATOR LICENSE
NAVFAC 11260/1 (Rev. 6/76)
S/N 0105-LF-012-6005
1. NAVAL ACTIVITY
Signature
Sponsor
PART II - REQUEST FOR ADMINISTERING TESTS AND EXAMINATIONS AND ISSUING LICENSE
(OVER)
6$6$6$6$0
3/(
6$
R PREPARATORY TRAIN
(
0
3/((Signature
6$
RT II - REQUEST FOR AD

19. FROM: Date
TO:
Arrangements will be made to proceed with examinations and tests as requested.
No action will be taken on this application for the following reason:
Signature
Title
FROM: Date
TO:
The subject license has been issued to the applicant as requested.
The applicant has failed his physical examination.
The applicant has failed to qualify for the subject license.
number of days (the established waiting period) must elapse before a new application may be made
for this license.
Signature
Title
PRIVACY ACT STATEMENT
This statement is provided in compliance with the provisions of the Privacy Act of 1974 (PL-93-579) (N00011 C02) which require that Federal
agencies must inform individuals who are requested to furnish information about themselves as to the following facts concerning the informa-
tion requested.
1. AUTHORITY: 5 U.S.C. 301 Departmental Regulations
2. PRINCIPAL PURPOSE(S): To apply for a license to operate government-owned vehicles.
3. ROUTINE USE(S): To be used by agency officials to determine the employee's eligibility to operate government-owned vehicles. May be
used by safety and security officials to verify individual's qualifying experience.
4. MANDATORY OR VOLUNTARY DISCLOSURE: The disclosure of information requested is voluntary. However, failure to
complete the form will result in nonissuance of license.
PART III - ACTION ON SUBJECT APPLICATION
PART IV - LICENSE ACTION
NAVFAC 11260/1 (BACK) 2
6$0
3/
6
Da
ed to the applicant as
led his physical examination
d to qualify for the sub
numbe (the
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6
3/3/3/(/(/(
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ENSE ACTION
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23. Standard Form 47
(Rev. 1-77) PHYSICAL FITNESS INQUIRY FOR MOTOR VEHICLE OPERATORS
U.S. Civil Service Commission 47-105
FPM Chapter 930
1. Last Name-First Name- Middle Name 2. Date Of Birth 3. Title Of Position
4. Home Address (Number, street or RFD, city or town, State ZIP code) 5. Employing Agency
6. Have you ever had or have you now (place check at left of each item):
YES NO YES NO
Poor vision in one or both eyes Arthritis, rheumatism, swollen or painful joints
Eye disease Loss of hand, arm, foot, or leg
Poor hearing in one or both ears Deformity of hand, arm, foot, or leg
Diabetes Nervous or mental trouble of any kind
Palpitation, chest pain, or shortness of breath Blackouts or epilepsy
Dizziness or fainting spells Sugar or albumin in urine
Frequent or severe headaches Exsessive drinking habit (alcohol)
High or low blood pressure Other serious defects or diseases
Drug or narcotic habit
7. If your answer is yes to one or more of the above questions,explain fully in this space, indicating date of original condition and
current status:
8. (A) Do you wear glasses (or contact lenses) while driving? YES NO
(B) Do you wear a hearing aid ? YES NO
PRIVACY ACT NOTICE
Authority: This information is provided pursuant to Public
Law 93-579 (Privacy Act of 1974), December 31, 1974, for
individuals completing Standard Form 47, Physical Fitness
Inquiry for Motor Vehicle Operators U.S. Code, Title 5, sec-
tion 301.
Purposes and Uses: SF 47 is used to ascertain the physical
fitness of Federal employees, whose jobs are not regular
motor vehicle operating jobs, to drive Government- owned
motor vehicles. It is also used in the renewal of authoriza-
tions for all employees. Based on the information provided,
employees may be referred for a medical examination before
being given a renewal.
Effects of Non Disclosure: Nondisclosure of this information
will result in the employee not being authorized to drive a
Federal motor vehicle. The disclosure of this information is
mandatory when an employee's job requires driving a Federal
motor vehicle and is voluntary otherwise.
I certify that my answers are full and true, and I understand that a willfully false statement or dishonest answer to any
question may be grounds for cancellation of my eligibility or my dismissal from the service and is punishable by law.
Signature Date
REVIEW AND CERTIFICATION BY DESIGNATED OFFICIAL
I certify that I have reviewed this physical fitness inquiry form and other available information regarding the physical
condition of the applicant, and that I have made the following determination:
There is no information on this form or otherwise available to indicate that the applicant should be referred for physical
examination.
On the basis of items checked in this form or other information, this applicant must be referred for physical examination
before he/she is authorized to operate a government- owned motor vehicle or his/her current authorization is renewed.
Items checked on this form or otherwise available do not warrant referral for medical examination because of the following
facts:
Signature of designated official Date
Adapted For Computer Use 11/8/2000
6
information on thimation on th
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s, to drive Government- ownedo drive Government- owned
motor vehicles. It is alsmotor veh
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essive drinking habit (alcohol)e drinking habit (alcohol)
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/(/(/
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