S.I. No. 370/2017 - Road Traffic Act 2010 (Impairment Testing) (Amendment) Regulations 2017.

1. STOPS WALKING □

2. MISS HEEL/ TOE □

3. RAISES ARMS □

4. STEPS OFF LINE □

CORRECT TURN

YES/ NO* Comment..............

IF NO: STATE REASON

..............

COUNTS OUT LOUD

YES/ NO* Comment..............

CORRECT STEP COUNT

YES/ NO* Comment..............

IF NO

TO TURN □ FROM TURN □

Additional Comments..............

5. MODIFIED ROMBERG BALANCE TEST

“

Stand up straight with your heels and toes together and your arms down by your sides (demonstrate). Maintain that position while I give you the remaining instructions. Do not begin until I tell you. When I tell you, tilt your head back slightly, close your eyes

(demonstrate but do not close your eyes)

. When you think 30 seconds has passed, bring your head forward, open your eyes and say ‘Stop’.”

“

Do you understand?

” YES/ NO* Comment..............

“

Do you have any disability or medical condition that prevents you from participating in this test?

”

________

*Delete as appropriate

Reply..............

START

ABLE TO BALANCE DURING INSTRUCTIONS

YES/ NO*..............

IF NO

STEPS □ SWAYS □ RAISES ARMS □

COMPLIED WITH INSTRUCTIONS

YES/ NO* Comment..............

IF NO

EYES □ OPEN

HEAD □ RAISED

STEPS □

SWAYS □

RAISED □ ARMS

record time in seconds

ESTIMATES 30 SECONDS AT....SECONDS

“

How long was that?

”

REPLY

..............

Additional Comments..............

6. WALK AND TURN TEST

(Identify a real or imaginary line. Do not use a kerb or anywhere the subject may fall.)

“

Place your left foot on the line. Place your right foot on the line in front of your left touching heel to toe

(demonstrate)

. Put your arms down by your sides and keep them there throughout the test. Maintain that position while I give you the remaining instructions.”.

“

Do you understand?

” YES/ NO* Comment..............

“

When I say start, you must take nine heel to toe steps along the line. On each step the heel of the foot must be placed against the toe of the other foot (demonstrate). When the ninth step has been taken, you must leave the front foot on the line and turn around using a series of small steps with the other foot. After turning you must take another nine heel to toe steps along the line. During the test you must watch your feet at all times and count each step out loud. Once you start walking do not stop until you have completed the test”.

(demonstrate complete test)

“

Do you understand?

” YES/ NO* Comment..............

________

*Delete as appropriate

“

Do you have any disability or medical condition that prevents you from participating in this test-

”

Reply..............

START

ABLE TO BALANCE DURING INSTRUCTIONS

YES/ NO*..............

IF NO

STEPS □ SWAYS □ RAISES ARMS □ STARTS TOO SOON □

COMPLIED WITH INSTRUCTIONS

YES/ NO*

IF NO

..............

Any deviation from the instructions should be indicated as below and on the diagram above

7. ONE LEG STAND TEST

“

Stand with your feet together and your arms down by your sides

(demonstrate)

. Maintain that position while I give you the remaining instructions. Do not begin until I tell you.”.

“Do you understand?” YES/ NO* Comment..............

________

*Delete as appropriate

“

When I tell you to you must raise your right foot 6 to 8 inches (or 15 to 20 cms) off the ground, keeping your leg straight and your toes pointing forward, with your foot parallel to the ground (

demonstrate

). You must keep your arms down by your sides and keep looking at your raised foot while counting out loud in the following manner, ‘one thousand and one, one thousand and two’ and so on until I tell you to stop.”.

“Do you understand?” YES/ NO* Comment..............

“Do you have any disability or medical condition that prevents you from participating in this test?”

Reply..............

Repeat procedure with each foot.

START

ABLE TO BALANCE DURING INSTRUCTIONS

YES/ NO*..............

IF NO

STEPS □ SWAYS □ RAISES ARMS □

COMPLIED WITH INSTRUCTIONS

YES/ NO*

IF NO

..............

LEFTLEG □

SWAYS □

HOPS □

PUTS FOOT DOWN □

RAISES ARMS □

Time (seconds)

RIGHT LEG □

SWAYS □

HOPS □

PUTS FOOT DOWN □

RAISES ARMS □

Time (seconds)

COUNTED CORRECTLY

YES/ NO* Comment..............

Additional Comments..............

________

*Delete as appropriate

8. FINGER AND NOSE TEST

“

Stand with your feet together and your arms in this position

(demonstrate extending both hands out in front, palms side up and closed with the index finger of both hands extended)

. Maintain that position while I give you the remaining instructions. Do not begin until I tell you. When I tell you, you must tilt your head back slightly and close your eyes (

demonstrate

, but do not close your eyes). When I tell you which hand to move, you must touch the tip of your nose with the tip of that finger and lower your hand once you have done so (demonstrate)”.

“Do you understand-” YES/ NO* Comment..............

“Do you have any disability or medical condition that prevents you from participating in this test-”

Reply..............

START: Call out the hands in the following order, left, right, left, right, right, left.

ABLE TO BALANCE DURING INSTRUCTIONS

YES/ NO*..............

IF NO

STEPS □ SWAYS □ RAISES ARMS □

9. OVERALL ASSESSMENT

SUBJECT: IMPAIRED / NOT IMPAIRED*

10. SIGNATURES

I.T. Member: .............. Rank: .............. Registered No.: ..............

(Member carrying out the Impairment Test under Regulations in accordance with Section 11(4)

Road Traffic Act 2010

, as amended.)

Member:.............. Rank:.............. Registered No.:..............

(completing form if different)

________

*Delete as appropriate

”

GIVEN under my Official Seal,

8 August 2017.

SHANE ROSS,

Minister for Transport, Tourism and Sport.

EXPLANATORY NOTE

(This note is not part of the Instrument and does not purport to be a legal interpretation).

These regulations amend the form for recording results of non-technological cognitive impairment tests which may be carried out on drivers to test for impairment in accordance with

section 11

of the

Road Traffic Act 2010

(No. 25 of 2010), as amended by

section 12

of the

Road Traffic Act 2016

(No.21 of 2016). Changes to the form are technical and take account of amendments to

section 11

.

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of

11

th August

, 2017.

I, SHANE ROSS, Minister for Transport, Tourism and Sport, in exercise of the powers conferred on me by section 11(4) (amended by

section 12

of the

Road Traffic Act 2016

(No. 21 of 2016)) of the

Road Traffic Act 2010

(No. 25 of 2010), hereby make the following regulations