Title Page

  • Document No.

  • BLR DOT Review:

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Adminastration

  • Branch Location:

  • Number of CDL Drivers

  • Number of non CDL drivers:

  • Log files 6 months plus current

  • Vehicle Daily Inspection files (DVIR) 90 days plus current

  • Driver Qualification file complete

  • Maintenance file and or records

Truck

  • Number of trucks:

  • Commercial annual inspection all trucks:

  • Valid registration

  • Valid insurance

  • IFTA Sticker and license

  • BLR decals installed both sides

  • BLR US DOT number installed both sides

Securement gear/ equipment

  • 3/8 chain (min 6600 WLL)

  • 3/8x1/2 binders ( min 9200 WLL)

  • 2" cargo straps

  • Height stick

  • Emergency cones

  • Wheel chalks

Issues needing addressed:

  • Recommendation:

  • Signature :

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