Information

  • BU & Location

  • Conducted on

Vehicle Information

  • Unit Number:

  • Vehicle Photo (optional)

  • Vehicle Type

  • Registration current and registration card present?

  • Insurance current and insurance card present?

  • Annual inspection current?

  • Pre-trip inspections accurate and complete?

  • Is drivers med card current and present?

  • Vehicles weight leaving yard.

  • IIPP binder, First aid kit, Fire Extinguisher present?

Vehicle Condition

  • Odometer:

  • Is cab of vehicle clean and organized?

  • Tires in good condition?

  • Mud flaps in place?

  • Required lamps operative?

  • Head lamps

  • Brights

  • Front turn signals

  • Identification (cab) lights

  • Side marker lamps

  • Tail lamps

  • Brake lamps

  • Warning (4-way) lamps

  • Reverse (back-up) lamps

  • License plate lamp

Trailer Information

  • Unit Number:

  • Trailer Type:

  • Registration current?

  • Annual inspection current?

  • Tires in good condition?

  • Mud flaps in place?

  • Required lights operative?

  • Tail lamps

  • Brake lamps

  • Hazard (warning) lamps

  • Backup (reverse) lamps

  • License plate lamp

  • Side marker lamps

Load Securement

  • Truck bed/trailer free of loose equipment, tools, and cargo?

  • Tie-downs and straps in good condition?

Hazardous Materials

  • Shipping documents in cab?

  • Shipping documents accurate and complete?

  • Hazardous Materials registration in cab?

  • Placarding in good condition, on all 4 sides, and correct for material?

Emergency Equipment

  • Fire extinguisher mounted and in service?

  • Accident/breakdown warning triangles available?

Driver Information

  • Driver Name:

  • License current?

  • License class (select all that apply):

  • License adequate for vehicle type?

  • Endorsements (select all that apply):

  • Endorsements adequate for vehicle type?

  • Restrictions (select all that apply):

  • Restrictions adequate for vehicle type?

  • Medical card current?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.