Title Page
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Conducted on
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Prepared by
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Select date
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Truck #:
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Trailer#:
Check Any Defective Item And Give Details Under Notes
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Air Compressor
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Air Lines
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Battery
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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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Defroster/Heater
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Drive Line
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Engine
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Exhaust
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Frame Assembly
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Front Axle
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Fuel Tanks
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Generator
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Horns
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Oil Pressure
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Radiator
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Rear End
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Reflectors
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Suspension System
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Starter
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Steering
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Tachograph
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Tires
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Tire Chains
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Transmission
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Wheels & Rims
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Windows
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Windshield
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Windshield Wipers
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Other
Lights
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Head-Stop
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Tail-Dash
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Turn Indicators
Safety Equipment
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Fire Extinguisher
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Reflective Triangles
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Flags-Flares-Fuses
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Spare Bulbs-Fuses
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Spare Seal Beam
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First Aid Kit
Booms
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Pedestal
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Turrent
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Bucket
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Jib
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Other
Digger/Derrick
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Rated Load
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Slings/Hoists/Chains
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ID Tags
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Swing Radius
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Other
Trailer
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Brake Connections
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Brakes
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Coupling Devices
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Coupling (King) Pin
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Doors
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Hitch
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Landing Gear
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Lights - All
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Roof
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Suspension System
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Tarpaulin
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Tires
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Wheels and Rims
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Other
Remarks
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CONDITION OF THE ABOVE VEHICLE IS SATISFACTORY
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DRIVERS SIGNATURE
Discrepancies
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Above Defects Corrected
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Above Defects Need Not Be Corrected For Safe Operation of Vehicle
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Mechanic Signature
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Date Time Repaired
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Driver’s Signature
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Date Time Inspected
