Covia - Truck Inspection - ME-524

• Date & Time

  Date

• Prepared by

  Select

General Conditions

• Cab, doors, windows

  OK

  Needs repair

• Body

  OK

  Needs repair

• Fuel leak

  Compliant

  Non-Compliant

  N/A

Engine Compartment

• Oil level

  Compliant

  Non-Compliant

  N/A

• Coolant level

  Compliant

  Non-Compliant

  N/A

• Transmission Fluid

  Compliant

  Non-Compliant

  N/A

• Brake Fluid

  Compliant

  Non-Compliant

  N/A

• Power Steering Fluid

  Compliant

  Non-Compliant

  N/A

• Battery

  Compliant

  Non-Compliant

  N/A

In-Cab

• Gauges/warning indicators

  Compliant

  Non-Compliant

  N/A

• Windshield wipers/washers

  Compliant

  Non-Compliant

  N/A

• Horn(s)

  Compliant

  Non-Compliant

  N/A

• Heater/defroster

  Compliant

  Non-Compliant

  N/A

• Mirrors

  Compliant

  Non-Compliant

  N/A

• Steering

  Compliant

  Non-Compliant

  N/A

• Clutch/transmission

  Compliant

  Non-Compliant

  N/A

• Parking brakes

  Compliant

  Non-Compliant

  N/A

• Emergency brakes

  Compliant

  Non-Compliant

  N/A

• Fire extinguisher

  Compliant

  Non-Compliant

  N/A

• Seat belts available and working

  Compliant

  Non-Compliant

  N/A

Exterior

• Lights/turn signals

  Compliant

  Non-Compliant

  N/A

• Reflectors

  Compliant

  Non-Compliant

  N/A

• Suspension

  Compliant

  Non-Compliant

  N/A

• Tires

  Compliant

  Non-Compliant

  N/A

• Wheels/rims/lugs

  Compliant

  Non-Compliant

  N/A

• Exhaust

  Compliant

  Non-Compliant

  N/A

• Brakes

  Compliant

  Non-Compliant

  N/A

Signature

• Comments (if any)

• Please sign to indicate that you have completed the pre-start check and that you will tag the vehicle out and report it if not safe to operate

  Sign