Title Page
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Prepared by
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Conducted on
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Location
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Truck Number
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Mileage
Interior
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Does the bright setting on the headlights work?
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Does the dim setting on the headlights work?
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Do the parking lights work?
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Does the brake lights work?
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Does the taillights work?
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Do all the turn signal lights work?
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Which turn signal lights are out?
- Right front
- Right rear
- Left front
- Left rear
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Do the emergency flashers work?
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Do the clearance lights work?
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Do the interior lights work?
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Do the spot lights work?
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Does the flashlight work?
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Do the lights inside the bins work?
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Do the door locks work properly?
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Do all the lights and gauges on the instrument cluster work properly?
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Does the horn work?
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Do all the brakes work properly?
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Which braking system does not work?
- Parking
- Foot
- Trailer
- Emergency
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Does the windshield have any damage?
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Do the windshield wipers work?
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What is the condition of the wiper blades?
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Does the windshield washer work?
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Does the rear window or door windows have any damage?
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Do the mirrors have any damage?
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What is the condition of the tires?
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What is the condition of the body?
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Does the seat belts work properly?
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Does the winch work properly?
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Is the Geotab plugged in?
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Are all hand tools stored properly with sharp edges covered?
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Are the fiberglass hot sticks in date? (Expires 2 years after test date)
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What is the test date?
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Are rubber gloves and sleeves in date and properly stored?
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What is the test date?
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What condition is the PPE in?
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Is animal deterrent available? (Halt spray, Bully Ray Stick, Dog Dazer)
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Do the batteries in the PVD need to be changed?
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Is the fire extinguisher in date? (1 year from date on tag)
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What is the date on the fire extinguisher?
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Are there decals designating where the FAK, AED, FE, GB is located?
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What decals are missing?
- First aid kit
- Gel blanket
- fire extinguisher
- AED
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Is the FAK complete?
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What items are missing?