Information
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Company & Location
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Conducted on
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Prepared by
Vehicle Information
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Unit Number:
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Vehicle Photo (optional)
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Vehicle I Type
- Water Truck
- Hot Oil Truck
- Acid Truck
- Frac Heater
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Registration current?
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Insurance current?
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Annual inspection current?
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Post-trip inspections accurate and complete?
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Safety locks
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Safety cargo straps
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Truck driver Guide
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Pre trip Inspection
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PMC offloaded off trailer
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Driver positioned at rear while offload and loading.
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Locks Used for each PMC
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safety Vest
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Using Guide while backing up to loader.
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Vehicle Condition
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Odometer:
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Is cab of vehicle clean and organized?
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Tires in good condition?
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Mud flaps in place?
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Required lamps operative?
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Head lamps
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Brights
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undefined
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Front turn signals
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undefined
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Identification (cab) lights
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undefined
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Side marker lamps
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undefined
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Tail lamps
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undefined
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Brake lamps
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undefined
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Warning (4-way) lamps
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undefined
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Reverse (back-up) lamps
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undefined
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License plate lamp
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Trailer Information
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Trailer info if applicable
Trailer info
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Trailer Type:
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Unit Number:
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Registration current?
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Annual inspection current?
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Tires in good condition?
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Add media
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Mud flaps in place?
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Add media
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Required lights operative?
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Tail lamps
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undefined
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Brake lamps
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undefined
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Hazard (warning) lamps
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undefined
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Backup (reverse) lamps
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undefined
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License plate lamp
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undefined
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Side marker lamps
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Load Securement
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Truck bed/trailer free of loose equipment, tools, and cargo?
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undefined
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Add media
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Tie-downs and straps in good condition?
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Hazardous Materials
- Hazmat vehicle
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Shipping documents in cab?
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Hazardous Materials registration in cab?
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Placarding in good condition, on all 4 sides, and correct for material?
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undefined
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Shipping documents accurate and complete?
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Emergency Equipment
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Fire extinguisher mounted and in service?
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undefined
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Accident/breakdown warning triangles available?
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undefined
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Is there spare fuses?
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Is there a first aid kit?
Driver Information
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Driver Name:
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Is driver current on logs?
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License current?
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License class (select all that apply):
- Class A
- Class B
- Class C
- Class D
- Restricted CDL
- Temporary CDL
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License adequate for vehicle type?
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Endorsements (select all that apply):
- T=Double Triple
- P=Passenger
- N= Tank
- H= Hazardous Material
- X= Combination Tank/Hazardous Materials
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Endorsements adequate for vehicle type?
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Restrictions (select all that apply):
- L = Air Brakes
- Corrective Lenses
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Restrictions adequate for vehicle type?
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Medical card current?
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We have discussed any defects and/or corrections needed
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Driver signature
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Auditor signature