Information
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Document No.
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Conducted on
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Employee Name
- Loren Waters
- Kyle Brelage
- Ray Petrie
- Jason George
- Sonny Smith
- Max Bean
- Don Utley
- Benny Valenzuela
- Morrie Roberts
- Joel Jones
- Rob Hill
- Richard Witty
- Tyson Olds
- Phillip Larson
- Curt Woodyard
- Jeff Jones
- Jerry Alsup
- Dave Alsen
- Jim Hane
- Wayne Higgins
- John Jones
- Dave Bly
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Time Operated
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Time Start
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Time End
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Vehicle Type
- Flat Bed
- Pickup
- Foreman
- Digger
- Small Bucket
- Big Bucket
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Vehicle Number
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Trailer
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Miles Hauled
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Trailer Number
Trailer Checklist
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Remarks
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Brake Connections
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Brakes
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Coupling Devices
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Coupling King Pin
-
Doors
-
Hitch
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Landing Gear
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Lights - All
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Reflectors
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Reflective Tape
-
Roof
-
Suspension System
-
Straps
-
Tarpaulin
-
Tires
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Wheels and Rims
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Other
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Other
Pre and Post Trip Inspection
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Air Compressor
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Air Lines
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Battery
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Belts and Hoses
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Body
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Brake Accessories
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Brakes, Parking
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Brakes, Service
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Clutch
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Coupling Devices
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Defroster / Heater
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Drive Line
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Engine
-
Exhaust
-
Fifth Wheel
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Fluid Levels
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Frame and Assembly
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Front Axle
-
Fuel Tanks
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Generator
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Horn
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Lights<br>Head-Stop<br>Tail-Dash<br>Turn Indicators
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Mirrors
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Muffler
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Oil Level
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Radiator Level
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Rear End
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Reflectors
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Safety Equipment <br>Fire Extinguisher <br>Flags - Flares - Fuses<br>Reflective Triangles<br>Spare Bulbs and Fuses<br>Spare Seal Beam
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Starter
-
Steering
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Suspension System
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Tire Chains
-
Tires
-
Transmission
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Trip Recorder
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Wheels and Rims
-
Windows
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Windshield Wipers
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Other
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Other
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Vehicle Number
- 14
- 31
- 33
- 34
- 35
- 36
- 37
Pre and Post Trip Inspection
-
Air Compressor
-
Air Lines
-
Battery
-
Belts and Hoses
-
Body
-
Brake Accessories
-
Brakes, Parking
-
Brakes, Service
-
Clutch
-
Coupling Devices
-
Defroster / Heater
-
Drive Line
-
Engine
-
Exhaust
-
Fifth Wheel
-
Fluid Levels
-
Frame and Assembly
-
Front Axle
-
Fuel Tanks
-
Generator
-
Horn
-
Lights<br>Head-Stop<br>Tail-Dash<br>Turn Indicators
-
Mirrors
-
Muffler
-
Oil Level
-
Radiator Level
-
Rear End
-
Reflectors
-
Safety Equipment <br>Fire Extinguisher <br>Flags - Flares - Fuses<br>Reflective Triangles<br>Spare Bulbs and Fuses<br>Spare Seal Beam
-
Starter
-
Steering
-
Suspension System
-
Tire Chains
-
Tires
-
Transmission
-
Trip Recorder
-
Wheels and Rims
-
Windows
-
Windshield Wipers
-
Other
-
Other
-
Vehicle Number
Pre and Post Trip Inspection
-
Air Compressor
-
Air Lines
-
Battery
-
Belts and Hoses
-
Body
-
Brake Accessories
-
Brakes, Parking
-
Brakes, Service
-
Clutch
-
Coupling Devices
-
Defroster / Heater
-
Drive Line
-
Engine
-
Exhaust
-
Fifth Wheel
-
Fluid Levels
-
Frame and Assembly
-
Front Axle
-
Fuel Tanks
-
Generator
-
Horn
-
Lights<br>Head-Stop<br>Tail-Dash<br>Turn Indicators
-
Mirrors
-
Muffler
-
Oil Level
-
Radiator Level
-
Rear End
-
Reflectors
-
Safety Equipment <br>Fire Extinguisher <br>Flags - Flares - Fuses<br>Reflective Triangles<br>Spare Bulbs and Fuses<br>Spare Seal Beam
-
Starter
-
Steering
-
Suspension System
-
Tire Chains
-
Tires
-
Transmission
-
Trip Recorder
-
Wheels and Rims
-
Windows
-
Windshield Wipers
-
Other
-
Other
-
Vehicle Number
-
Trailer
-
Miles Hauled
-
Trailer Number
Trailer Checklist
-
Remarks
-
Brake Connections
-
Brakes
-
Coupling Devices
-
Coupling King Pin
-
Doors
-
Hitch
-
Landing Gear
-
Lights - All
-
Reflectors
-
Reflective Tape
-
Roof
-
Suspension System
-
Straps
-
Tarpaulin
-
Tires
-
Wheels and Rims
-
Other
-
Other
Pre and Post Trip Inspection
-
Air Compressor
-
Air Lines
-
Battery
-
Belts and Hoses
-
Body
-
Brake Accessories
-
Brakes, Parking
-
Brakes, Service
-
Clutch
-
Coupling Devices
-
Defroster / Heater
-
Drive Line
-
Engine
-
Exhaust
-
Fifth Wheel
-
Fluid Levels
-
Frame and Assembly
-
Front Axle
-
Fuel Tanks
-
Generator
-
Horn
-
Lights<br>Head-Stop<br>Tail-Dash<br>Turn Indicators
-
Mirrors
-
Muffler
-
Oil Level
-
Radiator Level
-
Rear End
-
Reflectors
-
Safety Equipment <br>Fire Extinguisher <br>Flags - Flares - Fuses<br>Reflective Triangles<br>Spare Bulbs and Fuses<br>Spare Seal Beam
-
Starter
-
Steering
-
Suspension System
-
Tire Chains
-
Tires
-
Transmission
-
Trip Recorder
-
Wheels and Rims
-
Windows
-
Windshield Wipers
-
Other
-
Other
-
Vehicle Number
Pre and Post Trip Inspection
-
Air Compressor
-
Air Lines
-
Battery
-
Belts and Hoses
-
Body
-
Brake Accessories
-
Brakes, Parking
-
Brakes, Service
-
Clutch
-
Coupling Devices
-
Defroster / Heater
-
Drive Line
-
Engine
-
Exhaust
-
Fifth Wheel
-
Fluid Levels
-
Frame and Assembly
-
Front Axle
-
Fuel Tanks
-
Generator
-
Horn
-
Lights<br>Head-Stop<br>Tail-Dash<br>Turn Indicators
-
Mirrors
-
Muffler
-
Oil Level
-
Radiator Level
-
Rear End
-
Reflectors
-
Safety Equipment <br>Fire Extinguisher <br>Flags - Flares - Fuses<br>Reflective Triangles<br>Spare Bulbs and Fuses<br>Spare Seal Beam
-
Starter
-
Steering
-
Suspension System
-
Tire Chains
-
Tires
-
Transmission
-
Trip Recorder
-
Wheels and Rims
-
Windows
-
Windshield Wipers
-
Other
-
Other
-
Vehicle Number
-
Trailer
-
Miles Hauled
-
Trailer Number
Trailer Checklist
-
Remarks
-
Brake Connections
-
Brakes
-
Coupling Devices
-
Coupling King Pin
-
Doors
-
Hitch
-
Landing Gear
-
Lights - All
-
Reflectors
-
Reflective Tape
-
Roof
-
Suspension System
-
Straps
-
Tarpaulin
-
Tires
-
Wheels and Rims
-
Other
-
Other
Pre and Post Trip Inspection
-
Air Compressor
-
Air Lines
-
Battery
-
Belts and Hoses
-
Body
-
Brake Accessories
-
Brakes, Parking
-
Brakes, Service
-
Clutch
-
Coupling Devices
-
Defroster / Heater
-
Drive Line
-
Engine
-
Exhaust
-
Fifth Wheel
-
Fluid Levels
-
Frame and Assembly
-
Front Axle
-
Fuel Tanks
-
Generator
-
Horn
-
Lights<br>Head-Stop<br>Tail-Dash<br>Turn Indicators
-
Mirrors
-
Muffler
-
Oil Level
-
Radiator Level
-
Rear End
-
Reflectors
-
Safety Equipment <br>Fire Extinguisher <br>Flags - Flares - Fuses<br>Reflective Triangles<br>Spare Bulbs and Fuses<br>Spare Seal Beam
-
Starter
-
Steering
-
Suspension System
-
Tire Chains
-
Tires
-
Transmission
-
Trip Recorder
-
Wheels and Rims
-
Windows
-
Windshield Wipers
-
Other
-
Other
Driver
-
Remarks
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CONDITION OF VEHICLE IS SATISFACTORY
-
Driver's Signature
Mechanic
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DEFECTS CORRECTED
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DEFECTS NEED NOT BE CORRECTED FOR SAFE OPERATION OF VEHICLE
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Mechanic's Signature
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Driver's Signature
