Title Page

  • Prepared by

  • Conducted on

  • Location
  • Truck Number

  • Mileage

Interior

  • Does the bright setting on the headlights work?

  • Does the dim setting on the headlights work?

  • Do the parking lights work?

  • Does the brake lights work?

  • Does the taillights work?

  • Do all the turn signal lights work?

  • Which turn signal lights are out?

  • Do the emergency flashers work?

  • Do the clearance lights work?

  • Do the interior lights work?

  • Do the spot lights work?

  • Does the flashlight work?

  • Do the lights inside the bins work?

  • Do the door locks work properly?

  • Do all the lights and gauges on the instrument cluster work properly?

  • Does the horn work?

  • Do all the brakes work properly?

  • Which braking system does not work?

  • Does the windshield have any damage?

  • Do the windshield wipers work?

  • What is the condition of the wiper blades?

  • Does the windshield washer work?

  • Does the rear window or door windows have any damage?

  • Do the mirrors have any damage?

  • What is the condition of the tires?

  • What is the condition of the body?

  • Does the seat belts work properly?

  • Does the winch work properly?

  • Is the Geotab plugged in?

  • Are all hand tools stored properly with sharp edges covered?

  • Are the fiberglass hot sticks in date? (Expires 2 years after test date)

  • What is the test date?

  • Are rubber gloves and sleeves in date and properly stored?

  • What is the test date?

  • What condition is the PPE in?

  • Is animal deterrent available? (Halt spray, Bully Ray Stick, Dog Dazer)

  • Do the batteries in the PVD need to be changed?

  • Is the fire extinguisher in date? (1 year from date on tag)

  • What is the date on the fire extinguisher?

  • Are there decals designating where the FAK, AED, FE, GB is located?

  • What decals are missing?

  • Is the FAK complete?

  • What items are missing?

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