Renew Gas Transportation LLC

• Conducted on

  Date

• Driver/Operator

• Start Time

  Date

• Truck Number

• Trailer Number (If Applicable)

TRUCK/TRACTOR INSPECTION

• Take a picture of the vehicle being inspected

  Media

• Did the driver perform and document a pre-trip inspection?

  Yes

  No

Lights

• Are headlights operational? (Regular and High Beam)

  Yes

  No

• Are all tail lights operational?

  Yes

  No

• Are all turn signals/4 way flashers operational?

  Yes

  No

• Are all marker lights operational?

  Yes

  No

• Is the license plate illumination light operational?

  Yes

  No

Body

• Is a fire extinguisher accessible and secured?

  Yes

  No

• Are warning triangles (set of 3) available?

  Yes

  No

• Are all mirrors in good working order? (i.e. not cracked, properly secured, adjusted properly)

  Yes

  No

• Is windshield in good shape? (i.e. clean, not cracked)

  Yes

  No

• Is fuel tank in good shape? (i.e. properly secured, not leaking, cap is present)

  Yes

  No

• Is the vehicles suspension in good working order?

  Yes

  No

Cab

• What is the expiration date for the vehicles "Annual Inspection"?

  Date

• What is the expiration date for the vehicles insurance?

  Date

• Are there spare fuses? (for ALL amps used in vehicle)

  Yes

  No

• Does the vehicle have a RoadSafe Accident kit?

  Yes

  No

Cab - Start Engine

• Are ALL seatbelts functional?

  Yes

  No

• Do the windshield wipers work properly and are the blades in good condition?

  Yes

  No

• Does the defroster work?

  Yes

  No

• Are the service brakes operating properly?

  Yes

  No

• Notify mechanic before taking the truck anywhere.

• Are the vehicles back up alarms working properly

  Yes

  No

Placarding

• Does the vehicle require HAZMAT placarding?

  Yes

  No Placard Req'd

• Are placards securely fastened to the vehicle?

  Yes

  No

• Is the vehicle placarded on all 4 sides?

  Yes

  No

Tractor Tires

Front Tires

• Are the wheels in good condition?

  Yes

  No

  N/A

• Are the lug nuts tight and secure?

  Yes

  No

  N/A

• Passenger side air pressure

  Safe

  At Risk

  N/A

• Driver side air pressure

  Safe

  At Risk

  N/A

• Driver Side Tire Tread Depth (4/32" Minimum)

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Passenger Side Tire Tread Depth ( 4/32" Minimum )

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

Rear Tires

• Driver Side 1st Axle O/S Air Pressure

  Safe

  At Risk

  N/A

• Driver Side 1st Axle I/S Air Pressure

  Safe

  At Risk

  N/A

• Driver Side 1st Axle Tire Depths (2/32" Minimum)

• Driver Side Rear Tandem O/S Air Pressure

  Safe

  At Risk

  N/A

• Driver Side Rear Tandem I/S Air Pressure

  Safe

  At Risk

  N/A

• Driver Sider Rear Tandem Tire Depth (2/32" Minimum)

• Passenger Side 1st Axle O/S Air Pressure

  Safe

  At Risk

  N/A

• Passenger Side 1st Axle I/S Air Pressure

  Safe

  At Risk

  N/A

• Passenger Side 1st Axle Tire Depth (2/32" Minimum)

• Passenger Side Rear Tandem O/S Air Pressure

  Safe

  At Risk

  N/A

• Passenger Side Rear Tandem I/S Air Pressure

  Safe

  At Risk

  N/A

• Passenger Side Rear Tandem Tire Depth (2/32" Minimum)

  Safe

  At Risk

  N/A

Trailer Inspection

• Is there a trailer attached to the vehicle?

  Yes

  No

  N/A

• Do the tail lights work?

  Yes

  No

• Do the brake lights work?

  Yes

  No

• Do all marker lights including the license plate illumination light work?

  Yes

  No

• Is the jack in good operating condition?

  Yes

  No

• Is the trailer suspension in good working condition?

  Yes

  No

• What is the trailer registration expiration date?

  Date

Trailer Tires

• Are the wheels in good shape?

  Yes

  No

  N/A

• Are ALL lug nuts tight and secure?

  Yes

  No

  N/A

• Tire pressure checked on all tire's?

  Yes

  No

  N/A

• Tire Depth on all tires 2/32" or above?

  Yes

  No

  N/A

• Driver's Signature

  Sign

• Inspectors Signature

  Sign