Information
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Driver Name:
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Conducted on
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Vehicle Year, Make, Model.
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VIN Number
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Submitted To:
ADMINISTRATIVE
SAFETY & PROJECT MANAGEMENT
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Foreman's Manual is up to date with claims reporting forms?
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Foreman's Manual is up to date with national account forms?
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MSDS binder present & accounted for?
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Health & Safety Manual in the truck?
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First Aid kit is complete and items within the expiration date?
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Fire extinguisher mounted with current inspection tag?
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Sure off tester and water management tools on truck?
INTERIOR OF VEHICLE
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Interior clean of trash and dirt?
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Instrument panel is indicating properly?
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Windshield and mirrors clean and free from cracks?
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Please provide a photo of the interior.
EXTERIOR & MECHANICAL
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Date of last service?
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Backup lights?
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Belts & Hoses?
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Brakes? (Pedal Pressure)
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All Fluid Levels?
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Oil
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Coolant
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Visible Fluid Leaks?
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Emergency Flashers?
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Headlights?
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Tail Lights?
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Turn Signals?
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Horn?
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Steering & Alignment?
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Tyres & Pressure?
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Windshield/Wiper Blades/Fluid?
CARGO & EQUIPMENT (LEAN)
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All equipment is secured & adequately stored?
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Truck is organized & free of excessive material?
PLEASE PROVIDE PHOTOS
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Driver's Side
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Passenger's Side
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Bed of truck
IF EQUIPPED WITH A TRAILER
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Trailer has been checked for proper connection to the vehicle?
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Brakes if equipped?
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Cargo Secure?
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Lights/Marker Lamps?
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Springs Appear OK?
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Straps/Tie Downs?
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Trailer Tires & Pressure?
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Trailer Platform Integrity?
Signature
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