• Vehicle Insurance Card

  • DOT Inspection Placard / Form

  • Fuel Card

Emergency Equipment

  • Fire Extinguisher

  • Safety Triangles

  • Safety Cones

Engine Compartment

  • Windshield Washer Fluid

  • Engine Oil Level

  • Coolant Level

  • Brake Fluid Level

  • Transmission Fluid Level


  • Odometer

  • Fuel Level

  • Windshield

  • Windshield Wiper / Washer

  • Horn

  • Seatbelts

  • Mirrors Adjusted


  • Headlights Low/High Beam

  • Running Lights

  • Brake Lights

  • Turn signals


  • Emergency Brake

  • Service Brakes

  • Tires

  • Bald tires

  • Damaged tires

  • Not inflated properly


  • Trailer

  • Trailer Brake Controller

  • Coupling Devices

  • Trailer Brake/Lighting Connection

  • Trailer Insurance Card

  • DOT Inspection Placard / Form

  • Running Lights

  • Brake Lights

  • Turn Signals

  • Tires

  • Wheels / Rims

  • Equipment Locks

  • Additional comments/observation

  • Observation
  • Add observations/comments here.


  • I hereby certify that all information is accurate and that an actual inspection was conducted.

  • Driver's Printed Name & Signature

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