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Vehicle Inspection & Trip Report
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Driver's Vehicle Inspection Report
Date & Time
MM
/
DD
/
YYYY
Time
:
AM
PM
Vehicle Number
Your answer
Operator
Your answer
Mileage
Your answer
Location
Your answer
Suggested Procedure
1. Check under hood.
2. Start engine.
3. Proceed with the in-cab check.
4. Walk around and examine the vehicle.
5. Look under for leaks.
6. Test breaks. steering and transmission before the trip.
7. Recheck the equipment enroute.
8. Ensure HRM and COVID-19 PPE On Site
Engine
OK
Defective
Cooling System
Exhaust System
Oil, Water, Windshield Solvent
Leaks - Water, Oil, Fuel, Grease
Belts - Fan, Alternator, Compressor, etc.
OK
Defective
Cooling System
Exhaust System
Oil, Water, Windshield Solvent
Leaks - Water, Oil, Fuel, Grease
Belts - Fan, Alternator, Compressor, etc.
Clear selection
Exterior
OK
Defective
Lights, Flashers, Signals
Reflectors
Tires, Wheels, Lugs, Studs, Drums
Chassis, Frame, Tanks, Battery box, etc.
Suspension
Brake Hoses & connections
Exhaust system
Rear-end Protection
Cargo Area Condiition - Floor, Walls, Roof, Doors
OK
Defective
Lights, Flashers, Signals
Reflectors
Tires, Wheels, Lugs, Studs, Drums
Chassis, Frame, Tanks, Battery box, etc.
Suspension
Brake Hoses & connections
Exhaust system
Rear-end Protection
Cargo Area Condiition - Floor, Walls, Roof, Doors
Clear selection
IN CAB
OK
Defective
Cab Condition (locks, latches, doors, mountings)
Mirrors, Windshield, Windows
Horn, Wipers and Washers
Defroster, Heater
Low Air warning device
Instruments and Gauges
Emergency Equipment - Fire Extinguishers
Seat Belts
Steering
Brakes - Service, Parking
Clutch
Drive Train
Vehicle Registration (Mandatory)
Policy/Insurance Copy (Mandatory)
OOH Waiver QRC/Form Mandatory)
OK
Defective
Cab Condition (locks, latches, doors, mountings)
Mirrors, Windshield, Windows
Horn, Wipers and Washers
Defroster, Heater
Low Air warning device
Instruments and Gauges
Emergency Equipment - Fire Extinguishers
Seat Belts
Steering
Brakes - Service, Parking
Clutch
Drive Train
Vehicle Registration (Mandatory)
Policy/Insurance Copy (Mandatory)
OOH Waiver QRC/Form Mandatory)
Clear selection
Gas Level
ex : 5L
Your answer
Oil Level
ex : 5L
Your answer
Completed by
Your answer
Date
MM
/
DD
/
YYYY
All Repairs made
Yes
No
Clear selection
Certified by
Your answer
Location
Your answer
Date
MM
/
DD
/
YYYY
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