Title Page
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Date of Assessment:
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Prepared by
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Location
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Registration:
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Current Mileage
Daily Vehicle Prestart Checklist (Weekly Upload)
1) Vehicle and Driver Information
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2.2 Head Lights (High, Low, and Dash Indicators) and Tail Lights operate<br>properly
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2.3 All turn signals, marker lights, and emergency flashers operate<br>properly and are free of damage
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2.4 Is the vehicle equipped with a Fire Extinguisher and Accident Report
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2.5 Seat belt operational and free of cuts
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2.6 Fluid levels within acceptable limits and free of leaks? (Coolant, Engine and Transmission Oil, other fluids)
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2.7 Heater/Defroster/ AC and Horn operational
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2.8 Tire Tread, Sidewalls, and Air Pressure within acceptable limits *Including the Spare Tire
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2.9 Brake (Free of Noise, Fluid Leaks, and Visual Defects)
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2.10 Windshields, Windshield Wipers, and Mirrors are free of damage<br>and adjusted properly
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2.11 The fuel Tank Cap and Exhaust System Visually Intact
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2.12 Engine Hoses, Belts, Battery and Cables free of excessive wear and<br>tear
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2.13 The steering Wheel is free of excessive play
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2.14 Load Securement Equipment is present and free of wear and tear