Driver's Heavy Vehicle Inspection

• Inspection Number

• Driver Name

• Conducted on

  Date

• Tractor/ Truck No.

• Trailer Number

• Odometer Reading

• Trip Type

  Select Pre-Trip Post-Trip Requires-Repair

  • Pre-Trip
  • Post-Trip
  • Requires-Repair

• Submitted To

  Live

  Local

  OTR

ADMINISTRATIVE

• Registration & insurance cards are current?

  Yes

  No

  N/A

• License plate and tags are current?

  Yes

  No

  N/A

SAFETY & PROJECT MANAGEMENT

• Emergency positioning beacon in vehicle

  Yes

  No

  N/A

• Emergency water supplies

  Yes

  No

  N/A

• First Aid kit is complete and items within the expiration date?

  Yes

  No

  N/A

• Fire extinguisher mounted with current inspection tag?

  Yes

  No

  N/A

• Emergency contacts list in truck

  Yes

  No

  N/A

INTERIOR OF VEHICLE

• Interior clean of trash and dirt?

  Yes

  No

  N/A

• Instrument panel is indicating properly?

  Yes

  No

  N/A

• Windshield and mirrors clean and free from cracks?

  Yes

  No

  N/A

EXTERIOR & MECHANICAL

• Backup lights?

  Safe

  At Risk

  N/A

• Belts & Hoses?

  Safe

  At Risk

  N/A

• Air Compressor

  Safe

  At Risk

  N/A

• Air Lines

  Safe

  At Risk

  N/A

• Parking Brakes? (Pedal Pressure)

  Safe

  At Risk

  N/A

• Service Brakes ( Air Lines)

  Safe

  At Risk

  N/A

• Body

  Safe

  At Risk

  N/A

• Coupling Devices

  Safe

  At Risk

  N/A

• Defroster/Heater

  Safe

  At Risk

  N/A

• Drive Line

  Safe

  At Risk

  N/A

• Engine

  Safe

  At Risk

  N/A

• Exhaust

  Safe

  At Risk

  N/A

• Fifth Wheel

  Safe

  At Risk

  N/A

• Fluid Levels ?

  Full

  3/4

  1/2

  1/4

  Empty

• Front Axle

  Safe

  At Risk

  N/A

• Fuel Tanks

  Safe

  At Risk

  N/A

• Generator

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Visible Fluid Leaks?

  Safe

  At Risk

  N/A

• Clutch

  Safe

  At Risk

  N/A

• Coupling Devices

  Safe

  At Risk

  N/A

• Defroster/Heater

  Safe

  At Risk

  N/A

• Engine

  Safe

  At Risk

  N/A

• Exhaust

  Safe

  At Risk

  N/A

• Fifth Wheel

  Safe

  At Risk

  N/A

• Did you Grease the 5th Wheel ?

  Media

• Fluid Levels

  Safe

  At Risk

  N/A

• Frame & Assembly

  Safe

  At Risk

  N/A

• Front Axle

  Safe

  At Risk

  N/A

• Fuel Tanks

  Safe

  At Risk

  N/A

• Generator

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Head - Stop

  Safe

  At Risk

  N/A

• Tail - Dash

  Safe

  At Risk

  N/A

• Turn Indicators

  Safe

  At Risk

  N/A

• Mirrors

  Safe

  At Risk

  N/A

• Muffler

  Safe

  At Risk

  N/A

• Oil Level

  Full

  3/4

  1/2

  1/4

  Empty

• Radiator Level

  Full

  3/4

  1/2

  1/4

  Empty

• Rear End

  Safe

  At Risk

  N/A

• Reflectors

  Safe

  At Risk

  N/A

• Starter

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Suspension System

  Safe

  At Risk

  N/A

• Tire Chains

  Safe

  At Risk

  N/A

• Tires

  Safe

  At Risk

  N/A

• Transmission

  Safe

  At Risk

  N/A

• Windshield/Wiper Blades/Fluid?

  Safe

  At Risk

  N/A

• Other

CARGO & EQUIPMENT (LEAN)

• All equipment is secured & adequately stored?

  Compliant

  Non-Compliant

  N/A

• Emergency Flashers?

  Compliant

  Non-Compliant

  N/A

• Fire Extinguisher

  Compliant

  Non-Compliant

  N/A

• Flags - Flares - Fusees

  Compliant

  Non-Compliant

  N/A

• Reflective Triangles

  Compliant

  Non-Compliant

  N/A

• Spare Bulbs & Fuses

  Compliant

  Non-Compliant

  N/A

• Spare Seal Beam

  Compliant

  Non-Compliant

  N/A

• Truck is organized & free of excessive material?

  Safe

  At Risk

  N/A

TRAILER

• Trailer has been checked for proper connection to the vehicle?

  Safe

  At Risk

  N/A

• Coupling Devices

  Pass

  Fail

  N/A

• Brakes/ Brake Line

  Pass

  Fail

  N/A

• Coupling (King) Pin

  Pass

  Fail

  N/A

• Ramp

  Pass

  Fail

  N/A

• Hitch

  Pass

  Fail

  N/A

• Rear Gates

  Pass

  Fail

  N/A

• Landing Gear

  Pass

  Fail

  N/A

• Lights - ALL

  Pass

  Fail

  N/A

• Reflectors/ Reflective Tape

  Pass

  Fail

  N/A

• Suspension System

  Pass

  Fail

  N/A

• Straps

  Pass

  Fail

  N/A

• LiveHaul Trailer Curtains

  Pass

  Fail

  N/A

• Tires

  Pass

  Fail

  N/A

• Wheels & Rims

  Pass

  Fail

  N/A

• Cargo Secure?

  Yes

  No

  N/A

• Springs Appear OK?

  Yes

  No

  N/A

• Straps/Tie Downs?

  Yes

  No

  N/A

• Trailer Tires & Pressure?

  Yes

  No

  N/A

• Trailer Platforms Integrity?

  Yes

  No

  N/A

• Other

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