Gate Check

• Company Location

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Driver Name

• Asset Number (Tractor)

Gate Check Page 2

• Annual Inspection

  Yes

  No

  N/A

• Drivers License

  Yes

  No

  N/A

• Medical Card

  Yes

  No

  N/A

• Vehicle Registration

  Yes

  No

  N/A

• Insurance card

  Yes

  No

  N/A

• CPH Hazmat License

  Yes

  No

  N/A

• Hazmat Cert Of Registration

  Yes

  No

  N/A

• Motor Carrier Permit/ IRP

  Yes

  No

  N/A

• IFTA Registration/ Sticker

  Yes

  No

  N/A

• ELD Operating Instructions

  Yes

  No

  N/A

• Spare Grid log Books

  Yes

  No

  N/A

• Spare DVIR Books

  Yes

  No

  N/A

• CO2 Shipping Papers

  Yes

  No

  N/A

• Fire Extinguisher Charged/ Secured

  Yes

  No

  N/A

• Spill kit

  Yes

  No

  N/A

• Accident Kit/ Camera

  Yes

  No

  N/A

• Triangles

  Yes

  No

  N/A

• Fuses

  Yes

  No

  N/A

• Company Name & DOT Number

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Lights

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Wipers

  Yes

  No

  N/A

• Consp Tape

  Yes

  No

  N/A

• Any noted Defects? Brakes Leaks, Etc.

  Yes

  No

  N/A

• What Defects Are Notated