Information
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Date / Time
Truck Number
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Beginning Odometer
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Ending Odometer
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Miles Driven
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Beginning Hours
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Ending Hours
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Hours operated
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Employee Operating Vehicle
- Chinn Joshua
- Cumby Logan
- Daniels Jerry
- Douglas Brett
- Elam Tanner
- Epperson Jr. Richard
- Frericks Luke
- Fuqua Brian
- Gehring Quentin
- Goehl Tim
- Gottman Steve
- Hankins Quinton
- Hill Joel
- Hirner Joshua
- Holtschlag AJ
- Huber Anthony
- Hudson Jeremy
- Jeffries Michael
- Jones Cyle
- Leach Dustin
- Lemen Joe
- Locke Alexis
- Lovelace Jake
- Miller Curtis
- Moyer Drew
- Pearl Conner
- Pearn Thomas
- Pennewell Cole
- Porter James
- Powell James
- Powell Jason
- Reid Daniel
- Riney Zach
- Roberts Justin
- Rockhold Dalton
- Schmohe Corey
- Scholl Kevin
- Scifres Phil
- Scott Damon
- Semkin Nick
- Simmons Matthew
- Smith Steven
- Smoot Adam
- Snow Jesse
- Steidinger Rick
- Stewart Jared
- Sydenstricker Kevin
- Taylor Jamie
- Treaster William
- Wiegmann Skyler
Pre-Trip Inspection
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Check off the boxes as you inspect that part. Should any defects be found IMMEDIATELY inform your supervisor who will instruct you on whether or not to fill out a legal DVIR.
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Review previous post-trip driver vehicle inspection report - no issues or the issue has been resolved.
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Service Brakes, including trailer brake connections
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Fluid leaks in the engine compartment
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Fluid leaks from the under the vehicle or attachments? e.g. digger derrick or bucket truck components.
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Attachments or other apparatus coupling points are in safe working condition?
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Parking (hand) brakes
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Steering mechanism
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Lighting devices and reflectors
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Tires
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Horn
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Windshield wiper(s)
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Rear-vison mirror(s)
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Coupling devices
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Wheels and rims
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Fire extinguishers
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Spare fuses
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Warning devices
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Cargo properly distributed and secured
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Tailgate, tailboard, doors, tarps, spare tire, other equipment, and cargo securement system are secured
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Cargo or any other object does not obscure the driver's view, interfere with the driver's movement, prevent easy access to emergency equipment, or prevent a quick exit from the cab
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Remarks - Enter any defective equipment here. Report all defective equipment immediately to supervisor. Supervisor will instruct you to fill out a DVIR form if necessary.
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Condition of vehicle is satisfactory
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Is this a bucket or digger truck?
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Has the pre-flight been performed?
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Please perform the pre-flight. 1910.67(c)(2)(i)
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This Section is complete. When this Vehicle is returned to the shop please complete the DOT required Post-Trip portion of this form.
Post-Trip Inspection
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Check off the boxes as you inspect that part. Should any defects be found IMMEDIATELY inform your supervisor who will instruct you on whether or not to fill out a legal DVIR.
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Service brakes, including trailer brake connections
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Fluid leaks in the engine compartment
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Fluid leaks from the under the vehicle or attachments? i.e. digger derrick or bucket truck components.
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Parking (hand) brakes
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Steering mechanism
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Lighting devices and reflectors
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Tires
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Horn
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Windshield wiper(s)
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Rear-vision mirror(s)
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Coupling devices
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Wheels and rims
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Fire extinguisher(s)
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Spare fuses
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Warning devices
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Remarks - Enter any defective equipment here. Report all defective equipment immediately to supervisor. Supervisor will instruct you to fill out a DVIR form if necessary.
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Condition of vehicle is satisfactory
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Driver's Signature
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REMINDER: FILL OUT YOUR MILEAGE AND HOURS AT THE BEGINNING OF THIS FROM.
