Title Page

  • Prepared by

  • Captain and Wingman

  • Conducted on

  • Location

  • Van Number or Name

  • Plate Number

  • Vin Number

  • Mileage

Fluid Levels

  • How much fuel do you have in the truck?

  • Oil

  • Transmission

  • Coolant

  • Brake

  • Power Steering

  • Wiper Fluid

Physical Condition

  • Take a photo of the front, back, left side, and right side of the truck (4 photos required)

  • Body (Note all Physical Damage)

  • Explain damage to vehicle

  • Photo of damage. Only 1 required

  • Windshield (Note Cracks)

  • Explain damage to windshield

  • Photo of windshield

  • Interior (front/cab)

  • Explain why cab is not clean

  • Photo of clean cab

  • Interior (rear/cargo)

  • Explain why cargo is not clean

  • Photo of clean cargo

  • Were there any maintenance or repairs done last week?

  • Describe the maintenance or repairs done.

Documentation

  • Current Registration

  • Insurance Card

  • Gas Card

  • Truck Folder Stocked

Safety Items

  • Headlights

  • Turn Signals (front and rear)

  • Brake Lights

  • Wiper Blades

  • Fire Extinguisher

  • First Aid Kit

  • Seat Belts

  • Side Mirrors and Blind Spot Mirrors

Tire Pressure

  • Measure front tire pressure. It must be within +/- 3Ibs of recommended pressure. DO NOT OVER INFLATE

  • Measure rear tire pressure. It must be within +/- 3Ibs of recommended pressure. DO NOT OVER INFLATE

Tire Tread Depth

  • Front Tires. Measure tread depth from outer, middle, and inner depth to determine wear. (Minimum 3/32 tread remaining)

  • Rear Tires. Measure tread depth from outer, middle, and inner depth to determine wear. (Minimum 3/32 tread remaining)

Equipment Count

  • Blankets

  • Hand Trucks

  • Floor Dollies

  • Cam Straps

Boxes Count

  • Small

  • Medium

  • Large

  • Dish

  • Wardrobe

  • Picture (each)

Action Required

Explain all "Not Acceptable" and include corrective action and expected completion date

  • Explain issues or N/A

  • I confirm that all this information is correct and valid.

  • Send email to the Operations Manager

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.