Information

  • Company & Location

  • Conducted on

  • Prepared by

Vehicle Information

  • Vehicle Type

  • Tractor Unit #

  • (Optional)

  • Tractor Unit #

  • Trailer Unit #

  • (Optional)

  • Unit #

  • Add media

  • Truck #

  • (Optional)

Power Unit Information

  • Registration current?

  • Insurance current?

  • Are IFTA stickers current and License in cab binder?

  • Annual inspection current?

  • Post-trip inspections accurate and complete?

Trailer Information

  • Is power unit coupled to a trailer?

  • Registration current?

  • Insurance current?

  • Annual Inspection current?

  • Post-trip inspections accurate and complete?

Hazardous Materials

  • Is this vehicle subject to the Hazardous Materials Regulations?

  • Shipping documents accurate, complete and in cab binder?

  • Hazardous Materials Registration current and in cab binder?

  • Colorado State Public Utilities Registration current and in cab binder (must be original with watermark, no copies)?

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

Vehicle Condition

  • Odometer:

  • Vehicle Type

Emergency Equipment

  • Fire extinguisher mounted securely in cab, inspection current and fully charged?

  • Accident/breakdown warning triangles available?

  • Is there spare fuses?

  • Is there a first aid kit?

General

  • Is there evidence of leaks under vehicle?

  • Are brake components mounted securely (not damaged or broken)?

  • Is brake lining within required specifications?

  • Are air lines mounted securely and free of leaks?

Engine Compartment

  • Are all fluids topped off?

  • Are steering components mounted securely (not damaged or broken)?

  • Is exhaust mounted securely and free of leaks?

Walk Around

  • Is windshield clean and free of cracks/damage?

  • Are mirrors mounted securely, clean and free of cracks/damage?

  • Is exhaust system mounted securely and free of leaks?

  • Are fuel tank and hydraulic oil tank mounted securely and free of leaks?

  • Lug Nuts tight?

  • Tires in good condition (tread depth within limits, no sidewall damage)?

  • Mud flaps in place?

  • Is DOT reflective tape visible and in satisfactory condition (not torn, ripped or peeling off)?

Coupling Devices

  • Fifth wheel and kingpin properly coupled and locked? (if applicable)

  • Trailer tongue seated and locked on ball/pintle securely? (correct size ball, locking pin installed on trailer tongue?)

  • Trailer safety chains attached properly? (not dragging on ground)

  • Trailer electric emergency brake cable mounted properly? (not connected to safety chain hook)

Inside cab

  • Is cab of vehicle clean and organized?

  • Windshield washer fluid and wipers operative?

  • Heater/Defroster operative?

  • Do seat belts operate freely (not torn or frayed)?

  • Traffic Horn/Air Horn operative?

  • Air System Checks completed?

  • Air Leakage Rate

  • Low Air Warning Devices (lights/buzzer)

  • Tractor Protection Valve: Spring/Emergency Brake Button(s) automatically pop out

  • Tug Tests: against spring/emergency brakes

  • Electric Brake System Checks completed? (if applicable)

Other Information

  • Other:

Vehicle Lighting

Required Lighting

  • Headlamps?

  • High Beams?

  • Cab Clearance Lamps?

  • Front and Rear Turn Signals?

  • Front and Rear Hazard Warning Lamps/Flashers?

  • Side Marker/Clearance Lamps?

  • Rear Marker/Clearance Lamps?

  • Tail Lamps?

  • Brake Lamps?

  • ABS Lamp?

  • License Plate Lamp?

  • Back Up?Reverse Lamps?

Load Securement

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

  • Add media

  • Tie-downs and straps in good condition?

  • Caps/plugs on all external valves prior to vehicle movement?

  • Caps/plugs equipped with chain or cable to prevent safety hazard if it comes loose during vehicle movement?

Additional Load Securement Information

  • Other:

Driver Information

  • Driver Name:

  • Is driver current on logs?

  • Is license in drivers possession?

  • 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?

  • Is medical card in drivers possession?

  • Medical card current?

We have discussed any defects and/or corrections needed

  • Remarks:

  • Driver signature

  • Auditor signature

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.