Drivers Daily Vehicle Inspection Report Canada Schedule 1

DRIVERS DAILY VEHICLE INSPECTION REPORT CANADA SCHEDULE 1 (TRUCK) per NSC Standard 13:(3) Driver must have a copy of the schedule in his/her possession while operating this vehicle

Inspection Detail Majo Mino Majo Mino M Minor r r r r a j o r Air Brake System Emergency / Safety Hydraulic Brake Equipment System Cab Exhaust System Lamps & Reflectors

Cargo Securement Frame & Cargo Body Steering

Coupling Devices Fuel System Suspension System

Dangerous Goods General Tires

Driver Controls Glass & Mirrors Wheels, Hubs, & Fasteners Drivers Seat Heater / Defroster Windshield Wiper / Washer Electric Brake Horn System *see explanations below

DAILY VEHICLE INSPECTION REPORT

Operator's name:

Power unit: Plate # / jurisdiction Odometer reading ______Trailer: Plate # / jurisdiction Odometer reading ______

Inspection date / time: ______Inspection location: ______

Printed name of inspection person: ______

‹ power unit ‹ trailer; no major or minor defects found during initial inspection ‹ power unit ‹ trailer; major and minor defects found during the initial inspection or while en route Repairs Needed

Signature - I inspected vehicles in accordance with the applicable Regulation DRIVERS DAILY VEHICLE INSPECTION REPORT CANADA SCHEDULE 1 (TRUCK) per NSC Standard 13:(3) Driver must have a copy of the schedule in his/her possession while operating this vehicle Signature of each driver who did not conduct the initial inspection

Power unit ______Trailer ______