DRIVER’S VEHICLE INSPECTION REPORT
Name of Driver: ______Date: ______
Vehicle Number: ______Vehicle Type ( ex: Ford F-250): ______
Current Mileage: ______Mileage for Next Oil Change (not the date): ______
Instructions: Please inspect all applicable items to your type of vehicle/trailer combination from the lists below. In the applicable items, Put a check mark in the box if the item is O.K. Put an X if it needs attention. Leave blank if it does not apply. Describe in detail in the Driver’s Comments below.
Due by the 10th of every month.
FLUIDS LIGHTS Engine Oil Headlights Antifreeze Turn Signals Brake Fluid Break lights Power Steering Running/License plate Transmission Fluid Diesel Exhaust Fluid DEF TIRES Windshield Washer Fluid Tread Air Pressure GENERAL A/C Heater/Defroster SAFETY Engine Air Filter Accident Kit (Fire Extinguisher, First Aid, SDS) Cabin Air Filter (behind glove comp) Cones (5 for crew trucks,3 vans,1 mgr.) Trailer Lights Connector Mower Straps Mirrors Chains/Binders for Heavy Equipment Seatbelts Pipe Racks Straps Windows (cracks) Toolbox that Locks for Chemicals and Tools Horn Locks, Cable with Lock for Truck Beds, racks, cages Engine Belts & Hoses Labels for Fuel, Chemicals, Water Jugs Battery
DOCUMENTATION TRAILER No. ______Vehicle Gas Card Lights: break lights, running lights, markers Equipment Gas Card Pins, Chains, Breakaway Cable, Connections, Hitch Insurance Tires Truck Registration Trailer Brake Controller Trailer integrity: floorboards, tail gate, mud Trailer Registration guards, jack,2 cycle racks Valid License plate stickers
Driver’s Comments: ______
______
New damage to vehicle/trailer: Yes No Describe if Yes: ______
Driver’s Signature: ______