DRIVER'S VEHICLE INSPECTION REPORT

• Conducted on

  Date

• Prepared by

• Location
  Address

TRUCK INFORMATION

• Truck:

• VIN:

• Odometer:

SAFETY INSPECTIONS: In good working order?

• Air compressor

  Yes

  No

  N/A

• Air lines

  Yes

  No

  N/A

• Battery

  Yes

  No

  N/A

• Body

  Yes

  No

  N/A

• Brake accessories

  Yes

  No

  N/A

• Brakes, parking

  Yes

  No

  N/A

• Brakes, service

  Yes

  No

  N/A

• Clutch

  Yes

  No

  N/A

• Coupling devices

  Yes

  No

  N/A

• Defroster/heater

  Yes

  No

  N/A

• Drive line

  Yes

  No

  N/A

• Engine

  Yes

  No

  N/A

• Exhaust

  Yes

  No

  N/A

• Fifth wheel

  Yes

  No

  N/A

• Frame and assemby

  Yes

  No

  N/A

• Front axle

  Yes

  No

  N/A

• Fuel tank(s)

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Lights: Head, stop, tail, dash, turn indicators

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Muffer

  Yes

  No

  N/A

• Oil pressure

  Yes

  No

  N/A

• Radiator

  Yes

  No

  N/A

• Rear end

  Yes

  No

  N/A

• Reflectors

  Yes

  No

  N/A

• Safety equipment: Fire extinguisher, reflective triangles, flags, flares, fusees, spare bulbs, fuses, spare seal beam

  Yes

  No

  N/A

• Suspension system

  Yes

  No

  N/A

• Starter

  Yes

  No

  N/A

• Steering

  Yes

  No

  N/A

• Tachograph

  Yes

  No

  N/A

• Tires

  Yes

  No

  N/A

• Tire chains

  Yes

  No

  N/A

• Transmission

  Yes

  No

  N/A

• Wheels and rims

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

• Windshield wipers

  Yes

  No

  N/A

TRAILER INFORMATION

• Model:

• VIN:

SAFETY INSPECTIONS: In good working order?

• Brake connections

  Yes

  No

  N/A

• Brakes

  Yes

  No

  N/A

• Coupling Devices

  Yes

  No

  N/A

• Coupling (King) pin

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• Hitch

  Yes

  No

  N/A

• Landing gear

  Yes

  No

  N/A

• Lights - All

  Yes

  No

  N/A

• Roof

  Yes

  No

  N/A

• Suspension system

  Yes

  No

  N/A

• Tarpaulin

  Yes

  No

  N/A

• Tires

  Yes

  No

  N/A

• Wheels and rims

  Yes

  No

  N/A

NOTES

SIGNATURE

• Condition of the above vehicle and/or trailer is satisfactory

• Driver's signature

  Sign

• Above defects corrected

• Technician's signature

  Sign