Title Page

  • Conducted on

  • Inspected By

  • Vehicle Type?

  • Vehicle Number

General Cab/Chassis Condition

  • Cab/Doors/Windows

  • Description of Defect

  • Body/Doors

  • Description of Defect and Corrective Action

  • Visible Leaks- Oil/Grease/Coolant/Fuel

  • Description of Defect and Corrective Action

Engine Compartment/Power Train

  • Oil Level

  • Description of Defect and Corrective Action

  • Coolant Level

  • Description of Defect and Corrective Action

  • Hoses/Belts/Transmission

  • Description of Defect and Corrective Action

  • Battery

  • Description of Defect and Corrective Action

  • Other

  • Description

  • Defective-No Defects

  • Description of Defect and Corrective Action

Exterior

  • Lights/Reflectors/ ICC Bar

  • Description of Defect and Corrective Action

  • Tires/ Wheels/Rims/Lugs

  • Description of Defect and Corrective Action

  • Brakes/ Air Lines

  • Description of Defect and Corrective Action

In Cab

  • Gauges/Warning Indicators

  • Description of Defect and Corrective Action

  • Windshield Wipers/ Washers

  • Description of Defect and Corrective Action

  • Horns

  • Description of Defect and Corrective Action

  • Heater/Defroster

  • Description of Defect and Corrective Action

  • Mirrors

  • Description of Defect and Corrective Action

  • Steering

  • Description of Defect and Corrective Action

  • Brakes-Service/Parking/Trailer

  • Description of Defect and Corrective Action

  • Triangles/Fire Extinguisher/ First Aid/ Spare Fuses

  • Description of Defect and Corrective Action

  • Seat Belts

  • Description of Defect and Corrective Action

  • Vehicle Number

  • General Condition- Panels/Fenders/Floors

  • Description of Defect and Corrective Action

  • Lights/Light Cord/Reflectors

  • Description of Defect and Corrective Action

  • Tires/Wheels/Rims/Lugs

  • Description of Defect and Corrective Action

  • Coupling-(Pintle Ring/ Ball Shank) (Retaining Pins)

  • Description of Defect and Corrective Action

  • Safety Chains

  • Description of Defect and Corrective Action

  • Trailer Jack

  • Description of Defect and Corrective Action

  • Load Retainers (Pins/Latches)

  • Description of Defect and Corrective Action

  • Vehicle Number

General Condition Cab/Body

  • Cab/Doors/Windows/Body

  • Description of Defect and Corrective Action

  • Lights/Reflectors/Strobes

  • Description of Defect and Corrective Action

Engine Compartment/Power Train

  • Fluid Levels- Oil /Coolant/Other

  • Description of Defect and Corrective Action

  • Belts/Hoses

  • Description of Defect and Corrective Action

  • Battery

  • Description of Defect and Corrective Action

Wheels and Tires

  • Tires/Wheels/Rims/Lugs

  • Description of Defect and Corrective Action

In Cab

  • Windshield/ Wipers/Washers

  • Description of Defect and Corrective Action

  • Horn

  • Description of Defect and Corrective Action

  • Seat Belts

  • Description of Defect and Corrective Action

Equipment

  • Fire Extinguisher

  • Vehicle Equipment Mounting- Tool Box/ Headache Racking/ Topper

  • Description of Defect and Corrective Action

  • Add signature

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