Title Page
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Document No.
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Vehicle Number
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Year, make & model of vehicle
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Client / Site
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Conducted on
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Prepared by
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Location assigned to
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Type of unit (semi, straight truck, pickup, trailer, etc.)
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Take a picture of the vehicle.
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Currentt Proof of insurance card present?
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Registration current?
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Current Hazardous Materials Registration?
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Is a fire extinguisher present?
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Has the fire extinguisher had an annual inspection by an outside agency?
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Has the fire extinguisher been inspected monthly?
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Does the vehicle have a current annual inspection?
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Is there a Driver Vehicle Inspection Report in the vehicle (Pre-trip)?
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Is the front license plate present and current?
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Is the rear license plate present and current?
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Is the DOT number present and in satisfactory condition?
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Are placards present and in satisfactory condition?
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Are required documents easily accessible? (Emergency Response book, binder of required documents, etc.)
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Is the interior of the cab neat and orderly?
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Is the outside of the truck/trailer clean so that vehicle identification items are clearly identifiable?
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Does the outside of the vehicle appear damage free?
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Is all equipment properly secured?
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Do all doors close properly?
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Is the vehicle free of major dents or dings?
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Is the windshield free of cracks?
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Are front (steering) tires acceptable (4/32 tread depth)?
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Are rear tires acceptable (2/32 tread depth)?
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Add signature
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