Information

  • Tractor/Truck and Trailer Number. Registration State and #.

  • Vehicle type

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Vehicle Mileage

  • Tire size

Driver Information if the Driver is present

  • Drivers Name

  • Drivers Date of Birth

  • Drivers License Number and State

  • Does the driver have a Current Drivers License and the Proper Endorsements to operate the vehicle?

  • Driver License Endorsements

  • Does the Driver have any Restrictions on his license and are they being followed?

  • Does the driver have a Current Medical Card?

  • When does the Medical Card Expire?

  • Is the driver in possession of a Log Book?

  • Does the Log Book conform to the Federal Regulation?

  • Other Deficiencies

  • Other Deficiencies

Inside the Truck Cab

  • Is the Truck Cab Clean and Free of Trash?

  • Is there a copy of the previous days DVIR inside the truck?

  • Are the Windows Clean and free of Cracks that might impair the drivers ability to see?

  • Are the Mirrors Clean and free of Cracks that might impair the drivers ability to see?

  • Are the Windshield Wipers clean with no dry rotting or cracks that would impair their functionality?

  • Do the Windshield Wipers work?

  • Is the Fire Extinguisher Accessible, Fully Charged and Secured?

  • Has the Fire Extinguisher been Inspected Annually and within the Last Month?

  • Are the Emergency Triangles present and stored correctly? (3)

  • Is the Horn working properly?

  • Turning on the Ignition, are all of the Gauges functioning properly?

  • Turn Signals, 4-way Emergency Flashers and High Beam Indicator lamps are all working properly?

  • Is the Steering Wheel free from excessive play when turned side to side?

  • Is there a copy of the Vehicle Registration and Company Insurance Card in the glove box?

  • Does the Vin Number on the truck match the Vin Number on the registration card?

  • Does the Registration Plate on the truck match the Registration Number on the registration card?

  • When does the Vehicle Registration Card Expire?

  • When does the Insurance Card Expire?

  • Is there a copy of the Federal Motor Carrier Safety Regulation (green book) in the cab?

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

Brake Check

  • Apply the Parking Brake. Does it hold when putting the vehicle in drive and pulling against it?

  • Move the vehicle forward and apply the brake. Does it grab firmly with no slipping?

  • Does the Brake Modulator Activate ALL Electric Trailer Brakes when applied?

  • Is the Emergency Break Away Cable in good condition and properly attached to the towing unit?

  • Does the Emergency Break Away Device on the trailer work when the pin is pulled?

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

Engine compartment

  • Is The area under the Engine free of Leaks ( oil, water, other fluids)?

  • Check the Oil, Coolant, Brake and Washer Fluid levels. Are they all within manufacturers parameters?

  • Is the Serpentine Belt snug and free from cracks or fraying?

  • Are all of the Hoses free from cracks, fraying or wear?

  • On the Battery, are the posts tight and free of corrosion?

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

Outside the vehicle Inspection

  • Vehicle picture.

  • Is there an Annual Inspection Decal on the Truck, is it Legible? If not there must be a Hard copy available in the truck.

  • When does the Annual Inspection on the Truck Expire?

  • Is there an Annual Inspection Decal on the Trailer, is it Legible? If not there must be a Hard copy available on the Trailer.

  • When does the Annual Inspection on the Trailer Expire?

  • Is there a copy of the Trailer Registration Document on the Trailer?

  • Does the Vin Number on the trailer match the Vin Number on the registration card?

  • Does the Registration Plate on the trailer match the Registration Number on the registration card?

  • When does the Registration on the Trailer Expire?

  • Are the License Plates on the Truck properly Mounted and Legible?

  • Are the License Plates on the Trailer properly Mounted and Legible?

  • Is the Company Name and DOT number in legible condition on both the driver and passenger sides of the truck?

  • Is the current IFTA decal visible on both sides of the truck?

  • Is the Truck and Trailer Numbers on the vehicles and are they Legible?

  • Is the Electrical Connection between the Truck and Trailer in good working condition?

  • Are the Electrical Wires are in good condition with no cuts or frays?

  • Are all Truck and Trailer Lights functioning properly, including but not limited to the license plate lamps?

  • Are all Lighting Device Lenses in good condition?

  • Is there a 20lb Fire Extinguisher on the Trailer and is it in proper operating condition?

  • Are there Mud Flaps on the Truck and Trailer if Required?

  • Using a Tire Gauge, check the Tires for proper Inflation. Are they within specifications?

  • Are the Tires free of Excessive Wear and Damage, is the Tread Depth within allowable limits (4/32 Steer Axle, 2/32 others)?

  • Do the Lug Nuts Appear to be Tight on all of the wheels?

  • Are the Rims in good condition with no Bends or Cracks?

  • Does the vehicle have a set of Wheel Chocks?

  • If Required are the Wheel Chocks being Used?

  • Is there a Spare Tire for the Truck?

  • is there a Spare Tire for the Trailer?

  • Do the Frames of both the Truck and Trailer appear to be free of defects and in good operating condition?

  • If using a Ball Hitch, is it the proper Size Ball for the trailer? ( if trailer is being utilized)

  • Are the Safety Chains Crossed, in good condition and Properly Attached to the towing unit?

  • Is the a truck Bed and Trailer free of Trash and Debris?

  • Are all items on the Truck and Trailer Properly Secured?

  • Are all Securement Devices in good condition?

  • If Rods are being used to Secure Iron in the Racks, do the Rods have R-Clips in them?

  • Is the DOT reflective tape on the trailer?

  • Is the Paint on the trailer, the iron and on the equipment in good condition?

  • Is the Iron Certification Current and are the certification bands in good, readable condition?

  • Other Deficiencies

  • Other Deficiencies

  • Other Deficiencies

  • Is the Vehicle Safe to Operate?

Audit Certification

  • Auditor signature

  • Auditor comments

  • Driver signature

  • Driver comments.

  • Mechanics signature after repairs have been completed. Date repairs have been completed.

  • Mechanics comments / notes.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.