Information
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Vehicle No.
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Month of Inspection
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Driver
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Conducted on
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Prepared by
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Location (Area that you work in)
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Fire Extinguisher Number:
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Mileage:
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Tires:
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Lights all in working order?
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First Aid Kit:
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Accident Forms:
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EH&S Manual:
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Insurance Verification:
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Date Tag is Due:
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Fire extinguisher free from obstruction and damage that could prevent operation?
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Windshield free of cracks and breaks?
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Lock out Tag out:
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Vehicle Clean:
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Driver Signature:
