Heavy Duty Pre Trip

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Basic Information

• Enter Unit Number

• Enter Date and Time

  Date

• Take photos of all 4 sides of vehicle

  Media

Vehicle Safety Checklist

• Brakes and Parking Brake

• Horn Operation

• Wiper Operation

• Tires (Inflate to max sidewall pressure)

• Wheels/Lugnuts

• Reflectors

• Headlights, Taillights and Stoplights

• Turn Indicators

• Mirrors

• Fire Extinguisher in Cab

• Enter Remarks and Notes

Final Vehicle Condition (Choose 1 of 3)

• Above defects were corrected

• Vehicle is safe for operation (no defects were found)

• Above defects need not be corrected for safe operation of vehicle

Signature

• Driver's Signature

  Sign