Information
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Location
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Department
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Conducted on
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Prepared by
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Location
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Office
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Department
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Driver details
REQUIRED DOCUMENTATION
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Accident packet, insurance card, and registration are available and current?
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Note the date of the last service.
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Note the odometer reading at the last service.
VEHICLE DESCRIPTION
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Vehicle Make
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Odometer reading
EXTERIOR LIGHTING
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Brake lights (DS, PS, trunk lid, rear window etc.) are operational?
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The left and right tail lights are operational?
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The left and right back-up lights are operational?
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The left and right rear turn signals are operational?
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Front and rear emergency flashers are operational?
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The left and right front turn signals are operational?
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The high and low beams are operational?
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The left and right side marker lights are operational?
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The back license plate lights are operational?
GLASS AND MIRRORS
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The windshield is free of cracks, chips, breaks or scratches?
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Mirrors (DS, PS, and rearview) are adjustable and free of damage?
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Door windows are free of cracks and chips?
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The rear window is free of cracks and chips?
EXTERIOR BODY AND GLASS (Take photo's of any noted damage)
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The front hood, grill and bumper are free of damage?
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The front fender is free of damage?
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The DS door(s) is/are free of damage?
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The DS rear fender is free of damage?
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The rear of the vehicle and bumper are free of damage?
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The PS side rear fender is free of damage?
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The PS door(s) is/are free of damage?
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The PS front fender is free of damage?
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The truck topper is free of damage and doors are operational?
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Decals are free of damage and not faded?
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The vehicle is clean and free of road grime and dirt?
TIRES
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The front DS tire is in a good condition with no visible signs of damage?
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The rear DS tire is in a good condition with no visible signs of damage?
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The rear PS tire is in a good condition with no visible signs of damage?
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The front PS tire is in a good condition with no visible signs of damage?
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The spare tire is in a good condition with no visible signs of damage?
INTERIOR
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The seat belts are in good condition and operational?
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Seats are in a good and clean condition?
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Floor mat/rug are in a good and clean condition?
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The interior cabin is clean and free of loose objects?
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All the gauges are operational and show within the acceptable ranges?
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The interior compartment lights are operational?
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The dashboard lights are operational?
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Dashboard warning lights illuminate for per-check then go off?
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Interior doors are in good condition?
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The interior of truck bed is clean, organized, products labeled and secured for stop?
MECHANICAL
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The windshield wipers are functioning and in a good condition? (check to see that washer is operational)
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The horn is oprerational?
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Steering is good and does not pull to side?
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Are the AC, defroster and heater operational?
List any other items that need to be addressed or corrected
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Enter/list items here
SIGNATURES
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Driver