Information
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Conducted on
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Prepared by
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Truck Number
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Technician Name
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Location
Critical Items
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Fire Extinguisher Location?
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Seat Belts Operational?
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Turn Signals Operational?
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Brake Lights Operational?
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Headlights/Taillights Operational?
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Backup Lights Operational?
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Piping Stock Secured & End Caps On?
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Locks, Dead Bolts, and Alarm Operational?
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Mirrors All Have Blindspot Mirrors?
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Windshield Wipers and Windshield Washers Operational?
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Windshield is Free From Cracks in Line of Vision?
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Miles on Existing Tires:
Non-Critical Items
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Defroster & Heater Operational?
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Triangles in Truck?
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Ice Scraper in Cab?
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Spare Tire Operational & Jack on Truck
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Windshield Free From All Cracks?
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Combustible Gases Properly Secured?
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CO2 Gas Secured?
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All Other Pressurized Gases Secured?
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Flammable Glues and Primers Secured in a Metal Framing?
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Ladder Rack, With Ladder, Secured and Locked?
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All Ladders are Free From Visible Cracks?
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Feet of Ladders are in Good Condition?
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All Ladder Rungs Are Tightly Secured?
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Locking Hinge on A-Frame Ladder is in Good Condition?
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Rope is Properly Attached on Extension Ladder?
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Extension Cords in Good Condition?
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Personal Protective Equipment Aboard?
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Vehicle is Free From Dents or Body Damage?
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Tire Condition:
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Truck Cleanliness (INSIDE):
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Truck Cleanliness (OUTSIDE):
