carfit technician training...technician training. this position can be managed by a volunteer from...
TRANSCRIPT
CarFit Technician Training
The CarFit Manual
Your manual and this presentation were prepared to train you to participate in CarFit events as a Trained Technician
Trained Technicians are eligible to become CarFit Event Coordinators by attending an additional training class designed specially for Event Coordinators
You must successfully complete a CarFit event to be certified a CarFit Technician
Today’s Agenda
1. Program Objectives & Background
2. The CarFit Event
3. CarFit Roles & Positions
4. Review of the CarFit Checklist
Break
5. Lab Portion: Outside
6. Instructions and Plan for CarFit Event
Program Objectives
Promote continued safe driving and mobility among older drivers by focusing attention on safety, comfort and fit
Create an open environment that promotes conversations about driving
Provide information, EDUCATION, and community-based resources to older drivers in a non-threatening, quick, and easily accessible manner
Program Background
Created by the American Society on Aging in collaboration
with:
AAA
AARP
American Occupational Therapy Association (AOTA)
Launched nationally in 2006, CarFit is available in 46
states, and abroad in Canada, Australia and New Zealand
This initiative depends on the efforts of volunteers to work
effectively
Why do we need a program like CarFit?
People over 65 are the fastest growing age
group
By 2030, there will be 58.9 million people age
65 and older— that’s 1 in 4 drivers over 65
Personal mobility is critical for healthy aging
Our bodies change as we age—ill fitting
vehicles can make it uncomfortable and unsafe
to drive
Program Background
CarFit is a community-based program that
focuses on driver fit with their vehicle
Primary focus of the program is to provide
active drivers with safety information and
education
CarFit is NOT an evaluation for ability to drive No Pass/Fail messages
Information is confidential
Program Background
CarFit check-ups are designed for community-based settings
Senior/community centers, church or school parking lots
Hospitals and health centers
AAA or AARP offices
Uses a trained team of volunteers & health professionals
Appointments are designed to take approximately 20
minutes to asses the “fit” between the driver and the vehicle
The central point of the program is the 12 point CarFit
checklist
Roles Within CarFit
There are four roles within CarFit for volunteers
Roles: Instructors
Instructors have responsibility to communicate with
national organization staff--as leaders in CarFit, they
oversee the program’s integrity and consistency
Instructors receive specialized training and can teach
Technicians and Event Coordinators
Roles: Event Coordinators
Event Coordinators hosts CarFit events, manage
logistics, and provide training to the volunteers
and Technicians participating at the CarFit event
Event Coordinators receive additional training and
are able to train Technicians
Roles: Technicians
Technicians participate in and follow the direction of the
Event Coordinator overseeing the CarFit event
After completing today’s training and a CarFit event, you
will be certified as a Technician
Technicians work in teams and review the 12 point
checklist with participants
You must complete a CarFit event after training to be
certified as a Technician
Roles: OT’s or DRS
Occupational Therapists or Driver Rehabilitation
Specialists bring an understanding of aging and medical
conditions to the conversation
OT’s or DRS’s are also Technicians, but their role at a
CarFit event is to address any concerns that may have
come up during the checklist review and provide
information and resources on issues related to driver
safety during the check-out station of the event
Roles: Untrained Volunteers
Volunteers that are not trained to conduct a
vehicle check using the 12 point checklist may
also participate in an event
Untrained Volunteers can assist with traffic
direction, Check-In, and serve as runners
Education is Key…
DO NOT make adjustments for the driver…only the driver
should make the adjustment
If you demonstrate a recommended position, the driver is to
make the change if they choose to do so
A good rule of thumb: the driver is the last person to touch the
wheel, head restraint, seat, etc
This is a public educational event—our role is to educate, not
make changes for the driver
Following the demonstration, the driver can choose to return
the settings to the original position, or keep the new
adjustment—provide them with these options
Keep in Mind…
As driver’s age, they may need new strategies or
adaptive tools to ensure their safety and comfort
Age related changes can have an impact on driving
safety; our goal is to provide education and make
participants feel comfortable
Speak slowly and clearly, and make eye contact with
the participant
Provide clear transitions and offer cues about what
you will discuss
Be patient! Allow the driver the time they need to
understand and perform each task
The CarFit Event
The checklist is the primary tool for conducting a Carfit check
What we review on the checklist…
Safety belt use
Steering wheel tilt
Head restraint setting
Line-of-sight over the steering wheel
Positioning to airbag
Positioning to gas and brake pedals
Mirror adjustment/blind spot check
Operation of parking brake and ignition key
Operation of Vehicle Controls
Working under the supervision of the Event Coordinator,
trained Technicians work in teams of two to conduct the CarFit
check using the checklist
The CarFit Event
How is a CarFit Check-Up Conducted?
A trained team of community volunteers and health
professionals review each checklist item with drivers
while seated in their own vehicle
At the end of the 12 point check, an Occupational
Therapist discusses areas of concern with the
participant
Appointments take approximately 20 minutes and
asses the “fit” between the driver and the vehicle
The CarFit Event
Carfit events range in size, based on availability of
sites, volunteers and community need
A CarFit event can be geared to any size—from a
single car, to a large community event that serves
dozens of drivers
CarFit can be customized to almost any location where
a parking lot can be safely secured for use
The event site should have an easily accessible
parking lot with at least one separate entrance and exit
Ideally, this space will have shade/covered area and
easy access to restrooms
The CarFit Event
Participants are routed to three stations:
Check-In: Staffed by Technicians or volunteers
Check up: Staffed by Technicians in teams of two
Check out: Staffed by the Occupational Therapy Practitioner
Each Technician must be aware of the site layout and
designated stopping places
We’ll take a closer look at the three stations in just a
minute…
The CarFit Event
The CarFit Event: Setting Up
A tent is great for protection from
the sun and rain and may be
available at your event
Tables for paperwork
Paperweights for windy days
Chairs for resting
Snacks and water for volunteers
and participants
Available restrooms for volunteers
and participants
Yellow signs with black lettering are great for visibility
The Event Coordinator is responsible for all signage, but may
assign a member of staff to “manage” the placement of signs
Signs should note the following:
CarFit Today (placed in road)
Welcome to CarFit
Entrance signs
Check-In signs
Signs at each check up station
Sign at the check out
Exit signs
Don’t forget to collect all of the signage at the end!
The CarFit Event: Signage
The CarFit Event: Safety First
Event Coordinators receive special training
that covers parking lot safety and site
logistics
We use cones to map out the parking lot
and lanes
Safety vests for volunteers are required for
visibility…be bright, be seen!
The Event Coordinator may delegate a
member of staff to assist with the
placement/collection of cones either before
or at the completion of the event
Traffic Direction & Check-In
I’m looking for
the shopping
plaza
Why a Traffic Director?
As participants arrive, the Traffic Director guides drivers to the
Check-In area and helps with all aspects of traffic flow
This is the first person to greet the participant—they should be
familiar with the event, local area, and names of nearby roads
The Traffic Director should have good communication skills and
enjoy talking to people
This person can be a non-trained volunteer from the community
(senior volunteer, local law enforcement, cadets, etc)
I’m looking
forward to learning
something new
today!
Safety Note for Traffic Directors
Always wear your safety vest to be seen
Don’t try to wave in cars from a public street
Give simple, clear direction
Overemphasize what you want drivers to do
Never work against traffic controls…if there is a STOP sign,
don’t tell people to “go” until after they’ve come to a
complete stop
Don’t multi-task! Stay alert and omit distractions
Check-In Station
Enter
Exit
Check Up Station
#1
Check Up Station
#2
Check Out
Check In
Check-In Station
Location: Far enough into the site that cars are not
blocking the roadway
Check-in personnel greets participants, confirms
appointments (managing participants without
appointments according to the Event Coordinator’s
plan) and completes all paperwork
Check-in personnel are not required to attend the
Technician Training. This position can be managed by
a volunteer from the Host agency, for example, only
performing Check-in duties
Check-In Station
Responsibilities at Check-in include:
Reviews and collects signed Waiver Form, placing it in
marked folder or bin
Scans for the safety belt check and notes on the
checklist
If available, offers the participant a bottle of water
Hands driver the clip board with checklist attached, and
directs the driver to proceed with caution to the check
up area (or safe holding location)
Check-In Station: Seatbelt Check
TAKE NOTE!! The first person to observe the
driver at Check-In should fill out this portion of
the checklist (located in top right-hand corner)
DATE PARTICIPANT # VEHICLE MAKE, MODEL & YEAR 1/6/2013 006 2012 Hyundai Sonata
________________________________________________________ Was driver wearing seatbelt when they arrived at event? Y N
Check-In Station: Waiver Form
Waiver form must be completed in order
for the driver to participate—no
exceptions
If the participant refuses to complete the
waiver, politely explain they cannot go
through the event today, or alert your
Event Coordinator so they can speak to
the participant and inform of this policy
This form protects the CarFit program,
the event and facility, Event Coordinator
and staff/volunteers from liability
Should be retained in a folder for the
Event Coordinator to keep in files
Check-In Station: Model Release Even though the waiver contains an
optional photo waiver, your Event
Coordinator or the host facility may require
an additional model release form if media
is present
The driver does not need to sign this form
and has the right to decline to be on
camera
If the participant declines to be on
camera:
Place a Post-It note on their windshield so
the media and check up personnel are
aware
Notify your Event Coordinator, so they can
ensure the driver’s wishes are met
A Note About Media…
Event Coordinators or designated PR representatives are the only
staff at the event authorized to speak to media
If the Event Coordinator has granted access for staff to speak to
the media, this will be planned in advance and staff will be notified
Check-In Station
Sample Script/Role Play
Check-Up Station
Enter
Exit
Check Up Station
#1
Check Up Station
#2
Check Out
Check In
Check-Up Station
Technicians use the 12-point checklist to examine the
driver’s positioning in their vehicle during the check-up
We provide information and educate on proper positioning
in vehicle
Volunteers work in two-partner teams
# Volunteers + size of lot = multiple check-up stations
Issues needing additional education are brought to the OT
or DRS’s attention for review at check out
If a driver becomes upset, or has questions you cannot
answer, simply circle the √ for the OT to address
Check-Up Station
Briefly introduce yourself and organization when driver
pulls into your station
Make them feel comfortable and welcome
Have the driver:
Put the vehicle in park
Roll down passenger & driver windows
Turn off the engine
Reminder! This process is to take 20 minutes, so be
friendly, but punctual
How to Conduct a CarFit Check
Now we will review the 12 items on the checklist
and how to conduct a vehicle check
Time will be provided today to practice what you’ve
learned in teams with the use of vehicles outside
Tip: The owner’s manual typically provides detail about the location and operation of vehicle controls
Using the √ mark on the Checklist
The √ mark feature on the Checklist is to be used
to notify the occupational therapist of items that
need further attention at Check-out
Below is an example of a Checklist properly
completed in which the driver’s safety belt was
worn correctly, but caused discomfort
Discomfort with belt
Using the √ mark on the Checklist
Circling the √ is not reserved solely for serious safety
concerns, but is also used as an opportunity to make a
driver more comfortable or knowledgeable about a “fit”
related issue
If the professional services of an occupational therapist or
DRS might be of benefit, materials on local driving
programs and safety resources will be shared at checkout
Item 1: Number of Drivers
What we check: If others – such as a spouse or partner
also drive the vehicle
Why we check: Drivers of the same car may require
different adjustments to the seat, steering wheel, wheel tilt
and mirrors for visibility and comfort
Item 1: Number of Drivers
If there are additional passengers, invite them to either
wait in the waiting area, or stay in the vehicle to observe
the check-up
Ask the participant if there is more than one driver of the
vehicle
If yes, ask if they are participating today
If no, encourage them to enroll their spouse/friends in a
future CarFit event
Explain that drivers of the same car may require different
adjustments for optimal safety
Item #1
Sample Script/Role Play
Item 2: Safety Belt Check
Discomfort with belt
What we check: If the driver consistently uses the
vehicle’s safety belt and uses it correctly
Why we check: This is an opportunity to help drivers
understand the life saving benefits of the safety belt
Item 2: Safety Belt Check
Safety Belt: Also more commonly referred to as the seat
belt (both terms are correct)
Note comments from Check-in about use
If the driver is wearing the seat belt, ask if this is a habit
Provide education on why it is important to wear the seat
belt on every single ride
Item 2: The Safety Belt
Explain the lifesaving benefits of wearing the vehicle’s
seat belt
Reduces ejection
Helps keep person in place in the event of a crash
Helps absorb some of the energy forces from the
crash by allowing passenger to “ride-down” the
crash
It’s the law!
Item 2: The Safety Belt
Observe if the belt is being used correctly (over the shoulder--mid
collar bone, and low on the hips)
If placed behind the back or under the arm, injury may result
Ask the driver if the seat belt is comfortable and if they normally
use it
If the driver says it is uncomfortable or cutting across their neck,
make a note for the OT
Make the driver aware of the possible adjustments, show them
where they can adjust the safety belt
It is then the driver's choice to apply changes
Item 2: The Safety Belt
Also observe any problems the driver has in
turning/reaching for the safety belt and buckling it
correctly
Have the driver buckle & unbuckle the safety belt
several times
Make sure it retracts completely before re-buckling
If there are problems, note and refer to the OT to
address at check out
Take Initial Measurements
What we check: At this point, the Technician will take the initial
measurements of the driver-to-vehicle fit for steering wheel position
and line of sight by measuring the distance between the chest and
steering wheel, and the line of sight above the steering wheel
Why we check: Taking an initial measurement will provide us with
a guide as we check items #3-#6 on the checklist
How To Take Measurements Distance between chest and steering wheel:
Either give the driver the ruler and ask them to do the measuring, or
do the measurement yourself
If taking measurement for the driver, use good judgment and be
careful to protect their personal space
To get this measurement, ask driver to look straight ahead and
place one end of the ruler/measuring tape about the middle of the
participants chest and place the other end on the middle of the
steering wheel
Note how many inches are
between the participant
and the steering wheel
in the space provided
How To Take Measurements
Line-of-Sight above steering wheel:
Ask the driver to look straight
ahead with hands on wheel in normal
driving position, and position yourself
at the driver’s eye level
Ask the driver to hold a ruler in a straight, horizontal line from the
eye level to the windshield
Using a second ruler, measure the distance from the first ruler to
the top of the steering wheel
Note both measurements on the checklist before proceeding
to item #3
Item #2
Sample Script/Role Play
Item 3: Steering Wheel Tilt & Airbag Position
Made recommendation
What we check: The steering wheel should be tilted at an
angle that allows the driver to have good forward vision,
unobstructed view of dashboard, and good control of the
wheel
Why we check: Many drivers do not know how to adjust
the tilt of the steering wheel and don’t understand the
clearance required between drivers and airbags
Item 3: Steering Wheel Tilt
Explain the reasons why the tilt of the steering wheel is
important
The airbag should be positioned pointing to the
driver’s chest, not their face, to minimize injury in the
event of a crash
The steering wheel should be at least 2 inches above
thigh to prevent injury to the legs
Driver should be able to reach the wheel easily, with the arms slightly bent for comfort
Item 3: Steering Wheel Tilt
Look at steering wheel angle
Driver should be able to see gauges and speedometer
Based on the initial measurement, is the steering wheel
a safe distance from the driver?
10+ inches from chest to wheel is ideal for optimal safety
in the event of a crash
Item 3: Position to Airbag
Hands should be positioned at 9 and 3 o’clock OR at
the 8 and 4 o’clock positions to prevent injury to the
arms if the airbag deploys…most drivers are
accustomed to the “old way” of 10 and 2
Note! Some newer vehicles have hand controls—in this
case, the 8 and 4 o’ clock position is preferred
Don’t forget to provide education and review how to make adjustments if they are needed
Item #3
Sample Script/Role Play
Item 4: The Head Restraint
What we check: If the driver’s head restraint is adjusted
properly
Why we check: A properly adjusted head restraint
protects drivers from whiplash and other injuries,
particularly if the vehicle is rear-ended
Item 4: Head Restraint
Check to see if the vehicle has an adjustable head
restraint and note Yes/No on the checklist
Educate on proper positioning for the head restraint
Explain that the recommended position is to optimize
protection in a crash, prevent whiplash and protect the
head/neck
Item 4: Head Restraint
Measure the distance from back of head
to head restraint for the driver
Height: Should be mid-ear
Distance: 2 ½ inches or less
from back of head (touching is fine)
Show driver how to reposition the
head restraint
Driver then chooses to make the
Adjustment to the head restraint
Item #4
Sample Script/Role Play
Item 5: Distance to Steering Wheel
What we check: Based on possible adjustments made
in #3, the measurement will be taken again to ensure a
safe distance between the chest and steering wheel
This is the second measurement, so it could differ from
the first measurement
Why we check: If the driver is too close, or cannot reach
the pedals, they may need to move their seat
10
Once adjustment was made, driver could no longer reach the pedals
Item 5: Distance to Steering Wheel
Explain to the driver why it’s vital to sit a safe distance from the
airbag
There should be at least 10 inches from your chest or to the
center of the steering wheel
You need this clearance because when the airbag deploys, it
fills with air and moves toward you like a big balloon
It only stays inflated for a quarter of a second, and the airbag
cushions the driver as it deflates
It deploys so quickly that many drivers don’t realize it until the
airbag is already deflated
It’s job is to protect you, but we need to ensure you are sitting
a safe enough distance away
Item 5: Distance to Steering Wheel
Use the ruler to take the second measurement, or allow the
driver to take the measurement
In addition to sitting at least 10 inches back from the airbag,
the driver should be able to position their seat so there is no
slack in the safety belt or difficulty in reaching the pedals
If an optimal adjustment cannot be made by moving the seat,
make a note for the OT to address at check out
Item #5
Sample Script/Role Play
Item 6: Line of Sight
4
What we check: If the driver has the proper line of sight over
the steering wheel for an adequate view of the road ahead
Again, this is the second measurement, so it could differ from
the first measurement
Why we check: Drivers may not realize that at least 3 inches
above the top of the steering wheel is ideal for a safe, straight
line of sight
Item 6: Line of Sight
Explain to the driver why a good line of sight is needed for
safety
If the driver has a proper line of sight over the steering
wheel, they have an adequate view of the road ahead
Experts agree that at least 3 inches above the top of the
steering wheel is ideal for a safe, straight line of sight
Item 6: Line of Sight
Use the method from earlier to measure the distance from the
first ruler to the top of the steering wheel
Record the distance in the space provided on the checklist
If the line of sight is less than 3 inches, suggest a seat
adjustment or steering wheel tilt adjustment
DO NOT adjust the seat for the participant, let the driver make
the adjustment
If adjustments to the seat and wheel tilt do not bring the driver’s
line of sight to 3 inches or more, note for the OT to address at
check out
Item #6
Sample Script/Role Play
Things To Consider… Remember: When one adjustment is made, it may alter the
settings for another part of the vehicle
Example: Participant was sitting too close to the airbag, but
by moving the seat, they can no longer reach the pedals
Note for OT: If there is difficulty in finding an optimal fit,
always note for the OT to address at check out
Best Practice: The Event Coordinator is available to come to
your station to assist as needed—always involve the EC if
you feel uncomfortable or have questions regarding a
particular vehicle or check
Item 7: Position to Gas/Brake Pedal
What we check: If the driver can easily and effectively
depress the gas pedal without reaching, and if they can
move between gas and brake pedals without difficulty
Why we check: This check is an opportunity to make
drivers aware of safe, non-fatiguing pedal use
.
Item 7: Position to Gas/Brake Pedal
Caution: Be sure the engine is OFF
Ask driver to place hands on wheel and look straight
ahead at road
Position yourself so you can see the driver’s right foot
Is the ball of foot on the pedal? Can the driver reach
easily?
Driver should not strain to reach the pedals
Item 7: Position to Gas/Brake Pedal
Explain to the driver why we check this
Certain footwear – such as thick soles, high heels and
flip flops – can affect safe movement between pedals
Drivers should not need to fully extend their legs or
use their toes to depress the gas pedal through the
full range
Reaching in this manner can fatigue the leg muscles
Item 7: Position to Gas/Brake Pedal
With hands on the wheel, looking straight ahead, ask
the driver to move their foot from the gas to brake pedal
Is the driver able to move between the gas and brake
pedals without issue, using the “pivot” method?
Could the driver benefit from an adjustment? If so,
provide education
With your partner, check if the brake lights are in
working order
Note any areas for the OT to address at check out
Item #7
Sample Script/Role Play
Questions on 1-7?
Item 8: Mirror Adjustments
Driver could benefit from additional info on mirror adjustment
What we check: If the driver is able to use the
rearview and side view mirrors effectively to check blind
spots
Why we check: For older drivers, many crashes
involve merging and lane changing; proper use of
mirrors or the use of special mirrors can make these
maneuvers safer
Item 8: Mirror Adjustments
Work in pairs on items #8 and #9
This is the most involved part of the checklist and will
take the most time
First, observe if the vehicle has mirrors in good condition
(clean, not broken)
Item 8: Mirror Adjustments Explain to the driver the importance of proper mirror adjustment
Many drivers have not been instructed to adjust mirrors correctly
and some drivers get into the bad habit of not using mirrors
We have already checked forward field of vision; equally important
are good side and rear views
Using the side view and rearview mirrors effectively requires that
each mirror be adjusted properly
The Blind spot Glare Elimination (BGE) Method can be
demonstrated during this item
If the driver is not able to obtain appropriate views through
adjusting mirrors, the OT can recommend solutions
Item 8: Side View Mirrors
Proper Adjustment:
It allows the driver to see along side and to the rear of
the vehicle
The traditional way adjusts the side mirror to just see
the edge of the vehicle
Mirrors are designed to warn the
driver when another vehicle is
entering the vehicle’s space cushion
Item 8: Checking Side Mirrors
Driver should have hands on wheel, in normal
driving position
Partner places himself even with the rear
bumper, and 3 feet to the side
Using only the mirrors, ask the driver to identify
the cue (the number of fingers your partner is
holding up at hip-level)
Item 8: Rearview Mirror
Proper Adjustment: Driver should be able to see
the edges of the rear window in the rearview mirror
Function: Rearview mirrors allow the driver to see
behind the vehicle
Item 8: Checking Rearview Mirror
At the rear of car, partner stands 10 feet back
Partner holds up 1, 2 or 3 fingers near hip-level
Driver identifies in rearview mirror while facing
forward with hands on wheel in normal driving
position
Item 8: Checking Blind Spots
Checking for Blind Spots Do this exercise to test blind spots
Driver seated facing forward,
hands on wheel, uses side mirrors
Volunteer begins at starting point
at rear of car, then walks forward
slowly
Driver identifies when volunteer
“disappears” into blind spot using
side view mirror
Repeat this process with the other
side view mirror
If mirrors were not sufficient in previous exercise, adjust
sideview mirrors using Blindspot Glare Elimination (BGE)
method:
For the driver’s side mirror, participant leans the left side of their
head against the driver’s side window and sets the mirror so
they can just see the side of the car
For the passenger’s side mirror, participant leans to the right so
their head is in the center of the car
and sets the mirror so it has
the same view
Confirm the new setting is correct
by repeating the blind spot check in
previous exercise
Item 8: BGE Method
Item #8
Sample Script/Role Play
Reminder! Education is Key…
Changing mirror settings requires practice and
familiarization
It is recommended that mirror adjustments should be
done in gradual increments
Suggest home use of written handout as a guide for the
participant
If driver chooses to make adjustments, remind them that
the “feel” may be unfamiliar when they leave the check up
Those who would benefit from additional instruction about
mirrors should be referred to the OT
Item 9: Neck Mobility/Blind Spots
What we check: If the driver is able to identify visual
blind spots on both sides of the vehicle
Why we check: Some drivers do not have the mobility
of their head, neck or trunk to perform this vital task, and
an inability to check blind spots adequately when merging
and lane changing contributes to collisions
Item 9: Neck Mobility/Blind Spots
Explain to the driver that neck mobility and the
prevention of blind spots go hand-in-hand
Goal is to check for mobility in neck and check for
blind spots
Many drivers check only rearview and side view
mirrors and these mirrors may not be adjusted for the
best visibility
Visual awareness also depends on physical
ability/flexibility to rotate the neck and trunk
Item 9: Neck Mobility/Blind Spots
With hands on wheel in normal driving position, ask the
driver to turn to look at your partner (you want to be in their
blind spot at this point, so you may need to adjust where
you’re standing)
Ask the driver to identify the number of fingers partner is
holding up
Repeat the process on the right side
Note of caution! You are observing flexibility, there is no
need for the driver to repeat head turning multiple times
(doing so can lead to injury)
Note if the participant has any difficulty moving their
neck for the OT to address at check out
Item #9
Sample Script/Role Play
Item 10: Ignition Key/System
What we check: If the driver is able to properly use the
ignition key or system
Why we check: There may be new techniques or
adaptive devices that improve the comfort and safety of
drivers experiencing difficulties
Item 10: Ignition Key/System
Explain to the driver why we check the ignition system
We are going to look at how they turn the engine on,
with a key or keyless system
Our goal is to identify any problems or discomfort they
may experience when performing this task
Item 10: Ignition Key/System
If the key is in the ignition, ask the driver to remove it
If not, ask the driver to put the key in the ignition and then
remove it
Ask the driver to put the key into the ignition and start the
vehicle
Use same method for keyless ignition
Ask driver if they have any difficulty with this task
Note any problems with mobility in the hand, wrist and
fingers that the OT can address at check out
Item #10
Sample Script/Role Play
Item 11: Vehicle Controls
What we check: If the driver has difficulty operating the
secondary controls: wipers, turn signal, horn, and parking
brake
Why we check: There may be new techniques or devices
that improve safety and comfort
Item 11: Vehicle Controls
Explain to the driver:
Item 11 is done with the parking brake engaged and
engine on
Working in pairs, you will note any equipment failures
such as burnt out lights
You will note if there is any difficulty operating the
secondary controls: wipers, turn signal, horn, and
parking brake
Item 11: Vehicle Controls
After going through the points in item 11, note any issues
for the OT to address at check out
Review the checklist for any missed items, and then ask
driver to sound their horn—it’s fun for the participant and it
alerts staff that a vehicle is on the move
Note on the checklist if the horn is in working order
Hand driver the clipboard and direct them to the check out
area
Item #11
Sample Script/Role Play
Check Out Station
Enter
Exit
Check Up Station
#1
Check Up Station
#2
Check Out
Check In
This is the
last step
for the
participant
The OT or DRS conducts a vehicle
walk-around at check out using item
#12 on the checklist
Reviews the other checklist items and
addresses any concerns the
Technician has noted
Demonstrates adaptive device items
in the OT gadget kit
Discusses community resources and
reviews items in goody bag
Item 12: Vehicle Walk-Around
Key holder and walking cane
A few scratches on bumper—driver unaware. Reviewed in-depth handout for BGE mirror method and tire education
What we check: If the driver has any difficulties getting
out of the vehicle and walking around it
Why we check: This is an opportunity to observe any
concerns with the driver’s mobility and balance
and answer questions
Item 12: Vehicle Walk-Around
Explain to the driver:
Introduce yourself and briefly explain the role of an
Occupational Therapist at CarFit
In addition to vehicle walk around, you will provide
education on tires and review the handouts on tire
pressure and mirror settings that are in the goody bag
You will also discuss adaptive equipment and answer
any questions
Item 12: Vehicle Walk-Around
Observe how the driver exits the vehicle; did this appear to
be painful or difficult?
Did the driver pull up using the door or seat for assistance?
Point out any issues related to tire condition or pressure
and review tire safety handout with participant
Point out any significant dents, scratches or cracks on the
vehicle and allow the driver the opportunity to share how
the damage occurred
Double-check the checklist for any missed concerns and
review the contents of the goodie bag with the driver
Item #12
Sample Script/Role Play
Thank driver for their participation and collect the forms
Driver Keeps:
Top copy of checklist
Goodie bag
We Keep:
Duplicate copy of checklist
Clipboard
Direct the driver to proceed with caution to
the exit of the parking lot
Check-Out Station
Check-Out Station
During checkout, the OT discusses any items flagged
by the circled checkmark and responds to questions from the
driver
OT’s educate the driver about possible solutions and
resources—from the use of adaptive devices to considering a
driving rehabilitation program or education offered by driving
programs for mature operators
AAA and AARP offer driver safety programs/courses
Driver Rehabilitation Programs also offer specialized services
Helpful Tips… The purpose of CarFit is to improve safety: if you
see something unsafe going on, report it to the
Event Coordinator
Don’t forget to explain why we do something
when reviewing a checklist item with a senior;
teachable moments are the moments they will
take home with them and remember
Wear your safety vest at all times –be safe: be
seen
Do not step in front of moving cars; even at slow
speeds
Helpful Tips…
Don’t listen to your iPod or MP3 player while working
an event – pay attention to what is going on around
you
If you have to make or take a phone call or send a
text, step away from where traffic may be moving
Remember your role at CarFit is to provide
education—never make a driver feel bad or
uncomfortable
Have Fun!!!
Questions?