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