Title Page
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Date:
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Prepared by:
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Location
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Driver Name:
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Trailer Number:
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Hubometer Reading:
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Vehicle Inspection Decal
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Air System Leakage
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Lighting System
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Mud Flaps
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Load Securement
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Safety Chains & Cables
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Emergency Equipment & Safety Devices
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Suspension System
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Wheels, Hubs & Fasteners
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Fuel System
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Permanently Attached Equipment
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Heater or Reefer
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Compressor Build Up
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Low Air Warning
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Air, Parking, Emergency Brake, Electric Brakes
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Tires
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Exhaust System
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Hitch, Couplers, Drawbars, Self Steering Axle
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Instrument Lamps & Reflectors
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Brake Performance & Adjustment
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Bumper, Under-Ride Protection, General Defects
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Dangerous Goods (If Any)
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Glad Hands
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Rear License Plate
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Add media
Certification & Sign Off
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The condition of this power unit is
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Inspector Comment(s):
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Add signature
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Select date
