Title Page
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Conducted on
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Driver
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Prepared by
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Location
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What kind of vehicle?
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Windshield Condition
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Washer Fluid Level
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Tire Condition
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Head Lights Functional?
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Tail Lights Functional?
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Blinkers Functional?
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Tire Changing Equipment Present?
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Fire Extinguisher Present?
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Roadside High Visibility Markers?
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Health and Safety Plans for all Sites to be visited?
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Required PPE
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Route & Schedule
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Driver's Mental and Physical Being