Driver Vehicle Inspection Report Form NPRT

• Company Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Vehicle Information

• Whos Truck

INSPECTIONS

• INSPECTIONS

  Date

• Headlights (high and low beam)

  Safe

  At Risk

  Not Applicable

• Brake lights

  Yes

  No

  N/A

• Chains

  Yes

  No

  N/A

• Tread depth

  Safe

  At Risk

  Not Applicable

• Tire pressure

  Safe

  At Risk

  Not Applicable

• Windshield wipers

  Safe

  At Risk

  Not Applicable

• Dashboard Clean

  Safe

  At Risk

  Not Applicable

• Mirrors

  Safe

  At Risk

  Not Applicable

• Physical Damage

• Placards

  Yes

  No

  N/A

• Comments or Additional Notes

• Driver's Signature

  Sign

• Mechanic's Signature (if applicable)

  Sign