Information
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Document No.
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Unit Number
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Operator
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Conducted on
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Prepared by
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Location
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Document No.
Truck Information
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Operator Name
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Unit Number
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License Plate Number
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Mileage
Truck Condition
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Truck Condition
Element
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Right Front Tire Condition
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Left Front Tire Condition
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Right Rear Tire Condition
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Left Rear Tire Condition
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Windshield Condition
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Damage To Unit
House Keeping
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House Keeping
Element
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Inside
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Outside
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Under Hood
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Storage In Truck Box
Tools And Supplies
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Tools And Supplies
Element
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Tools Complete
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First Aid Kit
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Bed Net
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Spill Kit
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Road Kit
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Calcium Kit/ Mud Scale
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Lock Out Tag Out Kit
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Safety Binder
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Accident Investigation Kit
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Registration Insurance
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Fire Extinguisher
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Expire Date
Signatures
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Supervisor Signature
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Operator Signature