Title Page
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Customer Name
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Prepared by
TRUCK NUMBER
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ADDRESS
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DATE
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Select date
TRUCK COMPLIANCE
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Wheel Chocks Used?
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Safety Cones Used?
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E-Brake Used?
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Ramps Properly Placed?
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Work Area Neat And Orderly With Adequate Walking Space?
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Is safety vest present?
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Is Truck Binder Present?
BRAND COMPLIANCE
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Proper Uniform? - Driver #1
Driver #2
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Proper Uniform
Mover #1
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Proper Uniform?
Mover #2
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Proper Uniform?
Mover #3
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Proper Uniform?
Mover #4
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Proper Uniform?
Truck
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Is the truck properly branded?
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Is MIKEY on board?
MOVE EXECUTION
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Furniture Padded Properly?
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Proper Lifting Techniques Being Used?
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Packing Of Truck?
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Entry Way Protected?
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Floor Protection?
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Is Stretch Wrap Being Used?
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Is back of truck clean and presentable?
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Is cab area clean and presentable?
Is Customer Happy?
OVER ALL COMMENTS
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INSPECTED BY:
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Name?
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