RFM

• Driver Name:

• Conducted on

  Date

• Truck number

• Trailer numbers

• Submitted To:

Tractor

• Registration & insurance cards are current?

  Yes

  No

  N/A

• License plate and tags are current?

  Yes

  No

  N/A

• Belts?

  Safe

  At Risk

  N/A

• Is fire extinguisher secure

  Safe

  At Risk

  N/A

• Annual inspection is current?

  Safe

  At Risk

  N/A

• Is interior clean?

  Yes

  No

  N/A

• Tire pressure

  Safe

  At Risk

  N/A

• Windshield and mirrors clean and free from cracks?

  Yes

  No

  N/A

• Tread depth condition

  Safe

  At Risk

  N/A

• Brakes condition?

  Safe

  At Risk

  N/A

• Horn?

  Safe

  At Risk

  N/A

• Damage?

  Safe

  At Risk

  N/A

• Lights?

  Safe

  At Risk

  N/A

• Fluids?

  Safe

  At Risk

  N/A

Trailer

• Tk has fuel

  Safe

  At Risk

  N/A

• Brakes ?

  Safe

  At Risk

  N/A

• Trailer Tires & Pressure?

  Safe

  At Risk

  N/A

• Bulkheads?

  Safe

  At Risk

  N/A

• Lights?

  Safe

  At Risk

  N/A

• Damage?

  Safe

  At Risk

  N/A

• Tag is current?

  Safe

  At Risk

  N/A

• Annual inspection is current?

  Safe

  At Risk

  N/A