RoadSafe Vehicle Inspection

• Audit Title

• Conducted on

  Date

• Prepared by

• Driver/Operator

• 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

• Take a picture of the pre-trip performed

  Media

Engine

• Is oil level within normal operating range?

  Yes

  No

  Couldn't Check

• Is power steering fluid level within normal operating range?

  Yes

  No

  Couldn't Check

• Is the engine coolant level within normal operating range?

  Yes

  No

  Couldn't Check

• Is the brake fluid reservoir within normal range?

  Yes

  No

  Couldn't Check

• Is the windshield washer fluid level sufficient?

  Yes

  No

• Is the transmission fluid level within normal operating range?

  Yes

  No

• Are the belts in good working condition?

  Yes

  No

• Is the engine free from excessive grease and leaking oil?

  Yes

  No

• What is leaking?

Batteries

• Are positive and negative terminals secured to the battery posts?

  Yes

  No

• Are the batteries secured with proper mounting hardware?

  Yes

  No

• Take picture of securement

  Media

• Are the batteries secured inside a closed battery box?

  Yes

  No

• Take a picture of the battery box

  Media

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

• Are all strobe lights in good shape and operational?

  Yes

  No

• Does vehicle have an arrow board attached?

  Yes

  No

  N/A

• Does arrow board move up and down freely?

  Yes

  No

• Are all lights on arrow board working properly?

  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

• Are all gates and latches in good working order?

  Yes

  No

  N/A

• Are any built-in ladders free from defects?

  Yes

  No

  N/A

• Is company name and USDOT number legible?

  Yes

  No

• Is "Driver's Alert" decal legible?

  Yes

  No

• Does vehicle have a current license plate?

  Yes

  No

• What is the vehicles registration expiration date?

  Date

• Is the Vehicles conspicuity tape in good shape?

  Yes

  No

• Replace the conspicuity tape ASAP

Driver Information

• Does the driver have a valid drivers license?

  Yes

  No

• Drivers License Expiration Date?

  Date

• Does the driver have a current medical card?

  Yes

  No

  Medical Card Not Required

• What is the driver's medical card expiration date?

  Date

• Is the driver required to have a log book?

  Yes

  No Log Required

• Does the driver have a current log as well as the previous 7 days?

  Yes

  No

Cab

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

  Date

• What is the expiration date for the vehicles insurance?

  Date

• Is there a first aid kit and eye was bottles in the vehicle?

  Yes

  No

  N/A

• What is the eye was bottles expiration date?

  Date

• Is there a current SDS book in the truck?

  Yes

  No

  N/A

• 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

• Does the engine build proper oil pressure?

  Yes

  No

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

  Yes

  No

• Do the horn(s) work properly?

  Yes

  No

• Does the defroster work?

  Yes

  No

• Do ALL instrument lights work properly?

  Yes

  No

• Is steering tight and in good operating condition?

  Yes

  No

• Are the service brakes operating properly?

  Yes

  No

• Notify mechanic before taking the truck anywhere.

• Are the parking brakes operating properly?

  Yes

  No

• Notify mechanic before taking the truck anywhere.

• Does the vehicle have air brakes?

  Yes

  No

  N/A

• Does the air brake pressure gauge work?

  Yes

  No

• Does the air brake warning device sound when the air pressure is low?

  Yes

  No

• Does the fuel gauge work?

  Yes

  No

• Does the Speedometer work properly?

  Yes

  No

• Are the vehicles back up alarms working properly

  Yes

  No

Placarding

• Does the vehicle require HAZMAT placarding?

  Yes

  No

  N/A

• Is the vehicle placarded on all 4 sides?

  Yes

  No

  N/A

• Are placards securely fastened to the vehicle?

  Yes

  No

• Is there a Straight Bill of Lading in the vehicle?

  Yes

  No

  N/A

• Does driver have a CDL with a HAZMAT endorsement?

  Yes

  No

Cargo Securement

• Is this vehicle carrying a load?

  Yes

  No

  N/A

• Is the load properly secured to the vehicle?

  Yes

  No

  N/A

• Is the load secured using proper straps?

  Yes

  No

• Are the straps in good working condition?

  Yes

  No

• Take a picture of the load

  Media

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

• Are there 2 safety chains attached and are they crossed with no defects?

  Yes

  No

• If equipped, are the trailer brakes in good operating condition?

  Yes

  No

  N/A

• Is the emergency break-away brake system in good operating condition and attached correctly to the vehicle?

  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

• Is there a spare tire available for the trailer?

  Yes

  No

  N/A

• Is the trailer a single axle or double axle trailer?

  Yes

  No

  N/A

• Driver Side Tire Tread Depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Drivers Side Tire Pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Passenger Side Tire Tread Depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Passenger Side Tire Pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Spare tire tread depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Spare tire pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Drivers side front axle tire tread depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Drivers side front axle tire pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Drivers side rear axle tire tread depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Drivers side rear axle tire pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Passenger side front axle tire tread depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Passenger side front axle tire pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Passenger side rear axle tire tread depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Passenger side rear axle tire pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Spare tire tread depth

  >4/32"

  5/32"-6/32"

  7/32"-8/32"

  <8/32"

  N/A

• Spare tire pressure

  Select <75 PSI 76-80 PSI 81-85 PSI 86-90 PSI 91-95 PSI 96-100 PSI 101-105 PSI >105 PSI N/A

  • <75 PSI
  • 76-80 PSI
  • 81-85 PSI
  • 86-90 PSI
  • 91-95 PSI
  • 96-100 PSI
  • 101-105 PSI
  • >105 PSI
  • N/A

• Driver's Signature

  Sign

• Inspectors Signature

  Sign