Information
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Sales Order #
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Truck #
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Beginning Mileage
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Conducted on
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Prepared by
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Personnel
DVIR
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Did you perform a full DVIR?
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Were there any issues that management needs to be aware of?
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Please explain
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Take a photo of the violations
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Please perform your DVIR now. Remember a DVIR is required by law and you can be fined if you fail to complete your inspection.
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Was the truck returned clean and organized?
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Please submit a photo of the box
Equipment
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Equipment container?
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Pads?
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How many?
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Ratchet Straps?
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How many?
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Pull Straps?
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How many?
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Hump strap?
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How many?
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Bungees?
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How many?
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Rubber bands?
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Cones?
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How many?
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Wheel chock?
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4 Wheel dolly?
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How many?
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Appliance dolly?
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Box dolly?
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How many?
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Stretch wrap?
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How many?
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Door jam pad?
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Gas card?
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Truck Card #
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Locks?
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How many?
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Hallway runners?
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How many?
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Ramp Runners?
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How many?
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Broom?
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Triangles?
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First Aid Kit?
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Tablet?
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Unit #?
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Carpet Shield?
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How many?
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Carpet Shield is $19.95 each plus 7% sales tax, remember to charge for it!
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Do you need the piano board?
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Do you have the piano board loaded on your truck?
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Good Job!
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Then go load it!
Signatures
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Driver
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Mover #1
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Mover #2
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Mover #3
