• Bussiness Unit/Department:

  • Location/Site

  • Location
  • Prepared by

  • Conducted on


Under the Hood

  • Battery

  • Fluid Levels - Coolant, Power Steering, oil, wind shield wash fluid.

  • Comments:

  • Add media

  • Headlamps

  • Turn Signals, Front & Rear (Tail lamps, Stop lamps, Hazard lamps, Back up lamps, License Plate lamp)

  • Windshield - Front / Rear

  • Windshield Wipers - Front

  • Lug nuts- Complete set (not loose or missing)

  • Tires and Rims in good condition -All

  • Brakes

  • Fire extinguisher (Note: 10 B:C or more if hauling Haz Mat)

  • Extra fuses and bulbs

  • Rear-vision mirrors

  • Defroster

  • Emergency Equipment


  • Breakaway and emergency breaking ( Note: Check cables for damage, battery functional and properly hooked up to power unit if in use)

  • Electrical connections: Properly attached and secured.

  • Hitch/Safety Chains/Safety Pin

  • Lights (Tail lamps, Stop Lamps, Hazard Lamps, Backup Lamp, License Plate Lamp, Turn Signals, Side Marker Lamps)

  • Brakes

  • Rear Reflex Reflectors

  • Rear Side Reflex Reflectors

  • Retro flextime Sheeting-Sides and Rear of Trailer<br>(Note: Required on trailers 80' or more and gross vehicle weight of 10,001 lbs. or more)

  • Tires/lugs nuts-missing or loose

  • Copy of required paperwork for trailer.

  • Copy of DOT inspection certificate.

  • Copy of trailer license receipt.

Vehicle Documents

  • Bill of Lading /Shipping Papers

  • SDS Available (if applicable)

  • Insurance Card

  • Insurance Cab Card

  • Inspection book (DVIR)

  • Accident Report Envelope

  • Permits Oversize / Weight (if applicable)

  • HAZMAT Guidebook

  • Emergency Response Guidebook

  • Comments:

Sign Off

  • Truck No.:

  • Trailer No.:

  • Driver's Name:

  • Driver's signature:

  • Safety/DOT Inspector Name:



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.