Title Page
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Conducted on
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Inspected by
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Truck #:
Truck Info
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Mileage:
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Next Service Due(Mileage/Hours):
(Truck) Inspecting for defects
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Service brakes including trailer brake connection.
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Parking brake.
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Steering.
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Lights (including spot).
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Reflectors.
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Tires.
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Horn.
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Mirrors.
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Windshield wipers.
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Coupling device.
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Wheels & Rims
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Emergency equipment (including fire extinguisher).
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Remarks or Notes.
(Trailer) Inspecting for Defects
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Trailer #
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Lights.
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Reflectors.
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Hitch.
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Tires/Wheels/Rims.
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Brakes.
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Remarks or Notes.
Driver's Signature
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Driver's Signature.
Defects Followup
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Above defects need not be corrected for safe operation of vehicle.
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Above defects corrected.
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Today's Date.
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Reviewing Driver's Signature.
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Remarks or Notes.
Supervisor's Signature
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Supervisor's Signature
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Today's Date.