Title Page
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Year
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Make
- Ford
- Chevy
- Kioti
- Trailer
- Toro
- Nissan
- Dodge
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Model
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Plate Number
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Prepared by
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Inspection Date
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Please submit a photo showing the condition of the vehicle.
Maintenance Info
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Mileage/Hours
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Oil Change Due Date or Mileage
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DOT Inspection Date (For DOT Vehicles)
General Condition *check defects only*
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Body/Doors
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Cab/Doors/Windows
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Oil Leaks
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Grease Leak
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Coolant Leak
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Fuel Leak
Interior
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Gauges/Warning Indicators
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Windshield Wipers/Washers
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Horn
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Heater/Defroster
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Mirrors
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Steering
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Clutch
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Emergency Brakes
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Seat Belts
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Spare Fuses
Exterior
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Headlights
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High Beams
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Hazard Lights
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Turn Signals
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Brake Lights
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Suspension
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Tire Condition and inflation
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Wheels
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Rims
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Lug Nuts
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Battery
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Service Brakes
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Air Filter
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Spare Tire
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Reflectors
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Coupling Devices
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Dents
Engine Compartment
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Oil Level
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Coolant Level
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Belts
Emergency Equipment
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Fire Extinguisher (Insect and initial)
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First Aid Kit
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Caution Triangle/Flares (For DOT Trucks)
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Yellow Strobe Light (For Lift Trucks)
Paperwork
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Insurance Card
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Registration
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Accident Report Sheets
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MSDS Booklet
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Safety Manual
Remarks and Signature
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Comments
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Reporting Driver (Inspector)
Maintenance Actions
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Repairs Needed?
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Work Order Number
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Repaired By
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Location
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Shop Remarks
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Repair Mechanic Signature