Information
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Company & Location
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Conducted on
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Prepared by
Vehicle Information
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Vehicle Type
- Tractor Only
- Tractor/Trailer Combo
- Straight Truck
- Light Duty CMV
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Tractor Unit #
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(Optional)
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Tractor Unit #
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Trailer Unit #
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(Optional)
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Unit #
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Add media
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Truck #
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(Optional)
Power Unit Information
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Registration current?
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Insurance current?
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Are IFTA stickers current and License in cab binder?
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Annual inspection current?
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Post-trip inspections accurate and complete?
Trailer Information
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Is power unit coupled to a trailer?
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Registration current?
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Insurance current?
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Annual Inspection current?
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Post-trip inspections accurate and complete?
Hazardous Materials
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Is this vehicle subject to the Hazardous Materials Regulations?
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Shipping documents accurate, complete and in cab binder?
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Hazardous Materials Registration current and in cab binder?
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Colorado State Public Utilities Registration current and in cab binder (must be original with watermark, no copies)?
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Placarding in good condition, on all 4 sides and correct for material?
Vehicle Condition
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Odometer:
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Vehicle Type
- Water Truck
- Hot Oil Truck
- Acid Truck
- Frac Heater
- Tractor
- Light Duty CMV/Water Transfer
- Service Truck/Mechanic Truck
Emergency Equipment
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Fire extinguisher mounted securely in cab, inspection current and fully charged?
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Accident/breakdown warning triangles available?
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Is there spare fuses?
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Is there a first aid kit?
General
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Is there evidence of leaks under vehicle?
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Are brake components mounted securely (not damaged or broken)?
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Is brake lining within required specifications?
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Are air lines mounted securely and free of leaks?
Engine Compartment
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Are all fluids topped off?
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Are steering components mounted securely (not damaged or broken)?
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Is exhaust mounted securely and free of leaks?
Walk Around
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Is windshield clean and free of cracks/damage?
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Are mirrors mounted securely, clean and free of cracks/damage?
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Is exhaust system mounted securely and free of leaks?
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Are fuel tank and hydraulic oil tank mounted securely and free of leaks?
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Lug Nuts tight?
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Tires in good condition (tread depth within limits, no sidewall damage)?
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Mud flaps in place?
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Is DOT reflective tape visible and in satisfactory condition (not torn, ripped or peeling off)?
Coupling Devices
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Fifth wheel and kingpin properly coupled and locked? (if applicable)
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Trailer tongue seated and locked on ball/pintle securely? (correct size ball, locking pin installed on trailer tongue?)
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Trailer safety chains attached properly? (not dragging on ground)
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Trailer electric emergency brake cable mounted properly? (not connected to safety chain hook)
Inside cab
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Is cab of vehicle clean and organized?
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Windshield washer fluid and wipers operative?
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Heater/Defroster operative?
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Do seat belts operate freely (not torn or frayed)?
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Traffic Horn/Air Horn operative?
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Air System Checks completed?
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Air Leakage Rate
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Low Air Warning Devices (lights/buzzer)
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Tractor Protection Valve: Spring/Emergency Brake Button(s) automatically pop out
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Tug Tests: against spring/emergency brakes
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Electric Brake System Checks completed? (if applicable)
Other Information
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Other:
Vehicle Lighting
Required Lighting
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Headlamps?
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High Beams?
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Cab Clearance Lamps?
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Front and Rear Turn Signals?
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Front and Rear Hazard Warning Lamps/Flashers?
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Side Marker/Clearance Lamps?
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Rear Marker/Clearance Lamps?
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Tail Lamps?
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Brake Lamps?
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ABS Lamp?
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License Plate Lamp?
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Back Up?Reverse Lamps?
Load Securement
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Truck bed/trailer free of loose equipment, tools, and cargo?
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Add media
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Tie-downs and straps in good condition?
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Caps/plugs on all external valves prior to vehicle movement?
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Caps/plugs equipped with chain or cable to prevent safety hazard if it comes loose during vehicle movement?
Additional Load Securement Information
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Other:
Driver Information
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Driver Name:
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Is driver current on logs?
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Is license in drivers possession?
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License current?
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License class (select all that apply):
- Class A
- Class B
- Class C
- Class D
- Restricted CDL
- Temporary CDL
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License adequate for vehicle type?
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Endorsements (select all that apply):
- T=Double Triple
- P=Passenger
- N= Tank
- H= Hazardous Material
- X= Combination Tank/Hazardous Materials
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Endorsements adequate for vehicle type?
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Restrictions (select all that apply):
- L = Air Brakes
- Corrective Lenses
- N/A
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Restrictions adequate for vehicle type?
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Is medical card in drivers possession?
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Medical card current?
We have discussed any defects and/or corrections needed
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Remarks:
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Driver signature
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Auditor signature