Information

  • Driver Name:

  • Conducted on

  • Vehicle Year, Make, Model.

  • VIN Number

  • Submitted To:

ADMINISTRATIVE

  • Registration & insurance cards are current?

  • License plate and tags are current?

SAFETY & PROJECT MANAGEMENT

  • Foreman's Manual is up to date with claims reporting forms?

  • Foreman's Manual is up to date with national account forms?

  • MSDS binder present & accounted for?

  • Health & Safety Manual in the truck?

  • First Aid kit is complete and items within the expiration date?

  • Fire extinguisher mounted with current inspection tag?

  • Sure off tester and water management tools on truck?

INTERIOR OF VEHICLE

  • Interior clean of trash and dirt?

  • Instrument panel is indicating properly?

  • Windshield and mirrors clean and free from cracks?

  • Please provide a photo of the interior.

EXTERIOR & MECHANICAL

  • Date of last service?

  • Backup lights?

  • Belts & Hoses?

  • Brakes? (Pedal Pressure)

  • All Fluid Levels?

  • Oil

  • Coolant

  • Visible Fluid Leaks?

  • Emergency Flashers?

  • Headlights?

  • Tail Lights?

  • Turn Signals?

  • Horn?

  • Steering & Alignment?

  • Tires & Pressure?

  • Windshield/Wiper Blades/Fluid?

CARGO & EQUIPMENT (LEAN)

  • All equipment is secured & adequately stored?

  • Truck is organized & free of excessive material?

PLEASE PROVIDE PHOTOS

  • Driver's Side.

  • Passenger's Side

  • Bed of truck.

IF EQUIPPED WITH A TRAILER

  • Trailer has been checked for proper connection to the vehicle?

  • Brakes if equipped?

  • Cargo Secure?

  • Lights/Marker Lamps?

  • Springs Appear OK?

  • Straps/Tie Downs?

  • Trailer Tires & Pressure?

  • Trailer Platform Integrity?

Signature

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.