ESES Pre-Dispatch Driver

• Conducted on

  Date

• Prepared by

• Location
  Address

Pre-Dispatch

• Drivers License?

  Yes

  No

  N/A

• Medical Card?

  Yes

  No

  N/A

• All lights operational? (head, brake, clearance, signal, 4-way, etc)

  Yes

  No

  N/A

• Completed Pre-Trip and Post-Trip (utilize the ELD if equipped, any defects repaired and noted)

  Yes

  No

  N/A

• Cab Book? (all required paperwork is present and up to date)

  Yes

  No

  N/A

• All required door markings?

  Yes

  No

  N/A

• HAZMAT (correct placards, quantity and placement)

  Yes

  No

  N/A

• Annual Inspection? (current within the last 12 months)

  Yes

  No

  N/A

• Paperwork for permitted loads (over-weight, over-size, HAZMAT)

  Yes

  No

  N/A

• License Plate? (is it up to date)

  Yes

  No

  N/A

• Registration? (does license plate sticker match paperwork)

  Yes

  No

  N/A

• Emergency Equipment? (1st Aid Kit, Triangles, Emergency Response Book, Spare Fuses, Accident Forms, etc.)

  Yes

  No

  N/A

• Fire Extinguishers (Serviceable, Mounted, Accessible, Inspected with the last 12 months)

  Yes

  No

  N/A

• Load Securement?

  Yes

  No

  N/A

• Air Brake System Operational and tested?

  Yes

  No

  N/A

• Emergency Brake (Does it Hold)

  Yes

  No

  N/A

• Tires Checked?

  Yes

  No

  N/A

• Lug Nuts Checked?

  Yes

  No

  N/A

• Glass (any broken and can see clearly out of windshield)

  Yes

  No

  N/A

• Horn (both air and city horn operational)

  Yes

  No

  N/A

• Windshield Wipers Operational?

  Yes

  No

  N/A

• Gauges (fuel, tach, etc)

  Yes

  No

  N/A

• Seatbelts intact and operational?

  Yes

  No

  N/A

• Paper Logs, DVIR (in case ELD is not operational)

  Yes

  No

  N/A

• Under the Hood (fluids, oils, batteries, hoses, etc)

  Yes

  No

  N/A

• I have the required knowledge of the federal motor carrier safety regulations. I am capable and possess the skills necessary for safe operations. I have a sufficient number of legal hours to operate this vehicle and not be in violation of the hours of service regulations. I am not under the influence of drugs and/or alcohol.

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