Title Page
VEHICLE INFORMATION
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Vehicle ID #:
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Current Odometer Reading:
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Vehicle Make
- Ford
- Toyota
- Nissan
- International
- Dodge
- Kenworth
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Model
- F-150
- Transit
- Escape
- E-350 Van
- F-650
- F-450
- F-350 Welder
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Year:
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
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Model
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Year:
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
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Model
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Year:
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
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Model
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Year:
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
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Model
-
Year:
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
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Model
-
Year:
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
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Date of last maintenance:
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Odometer Reading at Date of Last Maintenance
CAB INSPECTION
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Gauges and Instruments
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All gauges and lights are working properly.
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Horn
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Gives adequate and reliable warning signal.
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Windshield Wipers
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Worn out wipers should be replaced.
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Windshield And Windows
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Cracked and/or broken glass should be reported and replaced; Defroster should be working properly; Glass should be clean inside and out; No objects or stickers on windshield or windows which impair vision.
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Seat Belts
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All safety belt buckles should work easily. Driver note: USE THEM!
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Rear View Mirrors
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Firmly attached, intact, and properly adjusted.
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Brakes
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If pedal goes more than half way to the floor, brakes need serviced. Engine must be running for this test. Parking brake must work securely when set.
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General Condition
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Remove objects from dash, visors, or seat which could fly around the cab and injure the driver if vehicle stops suddenly or an accident occurs.
VEHICLE EXTERIOR
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Lights
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Check high and low beam, emergency flashers, side markers, parking lights, license plate lights, tail lights, brake lights, back-up lights, turn signals. Get assistance!
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Tires
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Check tire pressure and tread wear; Check both sides of tires for bulges or large cracks on sidewalks.
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General Condition - Are there any dents, scrapes, or other damage.
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Add media
UNDER VEHICLE
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Brake Lines
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Are there any fluid leaks?
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Oil Leaks
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Check for leaks under transmission or engine?
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Gas Tank
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Make sure gas cap is securely attached.
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Water Leaks
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Check for fluid leaks around radiator.
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Exhaust System
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Check for exhaust leaks in exhaust system, muffler, tail pipe.
SAFETY EQUIPMENT
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Cone /Reflective Triangle
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Use in the event of a vehicle breakdown or accident.
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Fire Extinguisher
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Check for full charge and current inspection tag.
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First Aid Kit
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Should be kept fully stocked.
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Accident Reporting Kit (should include camera)
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Must be present. Use in the event of an accident to record information and take photos of the accident scene.
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Spare Fuses
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Keep in glove compartment.
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Cargo Tie Downs
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To secure all loads including ladders, tools and equipment/materials.
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Comments:
