Vehicle Inspection Checklist

• Truck #:

  Select 105 106 107 108 109 111 112 115 118 119

  • 105
  • 106
  • 107
  • 108
  • 109
  • 111
  • 112
  • 115
  • 118
  • 119

• Trailer #

  Select T05 T06 T07 T08 T09 T10

  • T05
  • T06
  • T07
  • T08
  • T09
  • T10

• Conducted on:

  Date

• Driver

  Select Jon Johnson Rodney Johnson Justin Johnson Tyler Kleban

  • Jon Johnson
  • Rodney Johnson
  • Justin Johnson
  • Tyler Kleban

Documentation

• Vehicle Insurance Card

  Yes

  No

  N/A

• DOT Inspection Placard / Form

  Yes

  No

  N/A

• Fuel Card

  Yes

  No

  N/A

Emergency Equipment

• Fire Extinguisher

  Yes

  No

  N/A

• Safety Triangles

  Yes

  No

  N/A

• Safety Cones

  Yes

  No

  N/A

Engine Compartment

• Windshield Washer Fluid

  Full

  Needs Fluid

  Added Fluid

  N/A

• Engine Oil Level

  Full

  Needs Fluid

  Added Fluid

  N/A

• Coolant Level

  Full

  Needs Fluid

  Added Fluid

  N/A

• Brake Fluid Level

  Full

  Needs Fluid

  Added Fluid

  N/A

• Transmission Fluid Level

  Full

  Needs Fluid

  Added Fluid

  N/A

Interior

• Odometer

• Fuel Level

  Full

  3/4

  1/2

  1/4

  Empty

• Windshield

  Safe

  At Risk

  N/A

• Windshield Wiper / Washer

  Working

  Needs Repair

  N/A

• Horn

  Working

  Needs Repair

  N/A

• Seatbelts

  Working

  Needs Repair

  N/A

• Mirrors Adjusted

  Yes

  No

  N/A

Lights

• Headlights Low/High Beam

  Working

  Needs Repair

  N/A

• Running Lights

  Working

  Needs Repair

  N/A

• Brake Lights

  Working

  Needs Repair

  N/A

• Turn signals

  Working

  Needs Repair

  N/A

Exterior

• Emergency Brake

  Working

  Needs Repair

  N/A

• Service Brakes

  Working

  Needs Repair

  N/A

• Tires

  Meets Standard

  Needs Improvement

  not applicable

• Bald tires

• Damaged tires

• Not inflated properly

Trailer

• Trailer

  Yes

  No

• Trailer Brake Controller

  Working

  Needs Repair

  N/A

• Coupling Devices

  Safe

  At Risk

  N/A

• Trailer Brake/Lighting Connection

  Safe

  At Risk

  N/A

• Trailer Insurance Card

  Yes

  No

  N/A

• DOT Inspection Placard / Form

  Yes

  No

  N/A

• Running Lights

  Working

  Needs Repair

  N/A

• Brake Lights

  Working

  Needs Repair

  N/A

• Turn Signals

  Working

  Needs Repair

  N/A

• Tires

  Meets Standard

  Needs Improvement

  not applicable

• Wheels / Rims

  Meets Standard

  Needs Improvement

  not applicable

• Equipment Locks

  Yes

  No

  N/A

• 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

  Sign