Information

  • Job Number

  • Serial Number

  • Delivered By

  • Date Received

  • Mode of Delivery

  • Recieved By

Cab & Chassis Inspection Checkpoints

  • Odometer Reading

  • Fuel

Cab Inspection

  • Windsheild

  • Side Windows

  • Rear Window

  • Windsheild Wiper

  • Headlights

  • Turn Signal

  • Stop & Tail Lights

  • Back Up Lights

  • Cab Marker Lights

  • Outside Mirrors

  • CC Oil Level

  • Back Up Alarm

  • Transmission Oil Level

  • Radiator Level

  • Inspection for Oil & Air Leaks

  • Anti-Freeze Reading

Tires

  • Cuts, Bruises, or Burns

Front Tires

  • Tire Make

  • Size

Rear Tires

  • Tire Make

  • Size

  • Sheet Metal Damage to Cab

  • Paint Damage to Cab

Condition of Cab Interior/Upholstery

  • Headliner

  • Seats

  • Floor Mats

  • Instrumentation

  • Dash

  • Muffler System

  • Vertical Mount

  • Horizontal Mount

Sunvisors

  • Left

  • Right

  • Cigarette Lighter

  • Arm Rests

  • Federal 108 Certification Papers With Vehicle

  • Tap to enter information
  • Please Request Paperwork From Sales Department - Not Required on Used Trucks

  • List Any Loose Items

Truck Engineering Data

  • Make & Series

  • Color

  • Year

  • Serial Number

  • Frame Condition

  • Transmission Make & Model

PTO Mount Openings

  • Left Side

  • Right Side

  • Bottom

  • Top

  • If PTO Mounting Interference Exists at any Opening Explain

  • Incoming Truck Weight

  • Outgoing Truck Weight

Layout & Inspection

Truck In

  • Job Number

  • Truck Make

  • Truck Model

  • Truck Serial Number

  • Hoist Model

  • Hoist Serial Number

  • Transmission Make

  • Transmission Model

  • PTO

  • Third Axle Make

  • Third Axle Model

  • Suspension Make

Weight of

  • Front

  • Rear

  • Total Weight

  • Checked In By

  • Date

Truck Out

Brake Chambers Measurements

  • Steer Axle

  • Drive Axles

  • Third Axle

Weight of

  • Front

  • Rear

  • Total Weight

  • Hoist Operational

  • PTO Operational

  • Lights Operational

  • Hoist Up Lights Operational

  • Checked Out By

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.