Information

  • Driver Name:

  • Conducted on

  • Truck number

  • Trailer numbers

  • Submitted To:

Administrativo

  • Registration & insurance cards are current?

  • License plate and tags are current?

SAFETY & PROJECT MANAGEMENT

  • Emergency positioning beacon in vehicle

  • Emergency water supplies

  • First Aid kit is complete and items within the expiration date?

  • Fire extinguisher mounted with current inspection tag?

  • Emergency contacts list in truck

INTERIOR OF VEHICLE

  • Interior clean of trash and dirt?

  • Instrument panel is indicating properly?

  • Windshield and mirrors clean and free from cracks?

EXTERIOR & MECHANICAL

  • Backup lights?

  • Belts & Hoses?

  • Brakes? (Pedal Pressure)

  • Visible Fluid Leaks?

  • Emergency Flashers?

  • Headlights?

  • Tail Lights?

  • Turn Signals?

  • Horn?

  • Steering & Alignment?

  • Tyres & Pressure?

  • Windshield/Wiper Blades/Fluid?

CARGO & EQUIPMENT (LEAN)

  • All equipment is secured & adequately stored?

  • Truck is organized & free of excessive material?

IF EQUIPPED WITH A TRAILER

  • Trailer has been checked for proper connection to the vehicle?

  • Brakes if equipped?

  • Cargo Secure?

  • Lights/Marker Lamps?

  • Springs Appear OK?

  • Straps/Tie Downs?

  • Trailer Tires & Pressure?

  • Trailer Platform Integrity?

Signature

  • Add signature

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.