VEHICLE INSPECTION REPORT (Use your safety belt) Date: Company Location (City, State) Vehicle Number Driver Signature Instructions: Drivers will perform necessary inspections. A () indicates satisfactory condition. An (X) indicates unsafe or improper conditions. An (O) indicates condition does not apply. Corrected deficiencies should be circled by management certifier. INSIDE SIDE Parking brake (apply) (Left) (Right) Release trailer emergency brakes service brake (air loss should not exceed 3 psi/min on single vehicles, 4 psi/min on combinations) DOORS ENGINE REAR Oil Pressure (light or gauge) Tail lights Air Pressure or Vacuum (gauge) Stop light Low air or vacuum warning device (air pressure below Turn signals and 4-way flasher 40 psi check on pressure build-up. Air pressure above Clearance lights 60 psi deplete air until warning device works. Vacuum Identification lights below 8 inches Hg, check on build-up. Above 8 inches Reflectors Hg. Deplete vacuum until device works. Tires and wheels, lugs and serviceability Instrument panel (telltale lights, buzzer, gauges) Rear end protection (bumper) Horn Cargo tie-downs/doors Windshield Wiper and Washer MECHANICAL OPERATION Heater-defroster Engine knocks, misses, overheats, etc. Mirrors Clutch skips, grabs, other Steering wheel (excess play) Transmission noisy, hard shifting, jumps out of gear, Apply trailer brakes in EMERGENCY other: Turn on all lights including 4-way flasher Axles noisy, other: – Starts properly Steering loose, shimmy, hard, other: EMERGENCY EQUIPMENT Air, oil, water, leaks Fire extinguishers Springs broken, other: Flags, standards, warning lights Brakes noisy, pulls soft, other: Spare fuses Speedometer, tachometer Spare bulbs Tachograph, speed control devices Chains in season ON COMBINATIONS First-aid kit Hoses, connections FRONT Couplings (fifth wheel, tow bar, safety chains, locking Headlights devices) Clearance lights OTHER Identification lights Turn signals and 4-way flasher Tires and wheels-lugs and serviceability Equipment inspection enroute ( yes no) Cargo securing devices ( yes no) Start time: Mileage: End time: Mileage: Remarks/Other Defects: Defects corrected (initial) Yes No Certified by: Date
VEHICLE INSPECTION REPORT (Use your safety belt) Date: Company Location (City, State) Vehicle Number Driver Signature Instructions: Drivers will perform necessary inspections. A () indicates satisfactory condition. An (X) indicates unsafe or improper conditions. An (O) indicates condition does not apply. Corrected deficiencies should be circled by management certifier. INSIDE Parking brake (apply) Release trailer emergency brakes service brake (air loss should not exceed 3 psi/min on single vehicles, 4 psi/min on combinations) SIDE (Left) (Right) ENGINE Oil Pressure (light or gauge) Air Pressure or Vacuum (gauge) Low air or vacuum warning device (air pressure below 40 psi check on pressure build-up. Air pressure above 60 psi deplete air until warning device works. Vacuum below 8 inches Hg, check on build-up. Above 8 inches Hg. Deplete vacuum until device works. Instrument panel (telltale lights, buzzer, gauges) Horn Windshield Wiper and Washer Heater-defroster Mirrors Steering wheel (excess play) Apply trailer brakes in EMERGENCY Turn on all lights including 4-way flasher Starts properly EMERGENCY EQUIPMENT Fire extinguishers Flags, standards, warning lights Spare fuses Spare bulbs Chains in season First-aid kit FRONT Headlights Clearance lights Identification lights Turn signals and 4-way flasher Tires and wheels-lugs and serviceability REAR Tail lights Stop light Turn signals and 4-way flasher Clearance lights Identification lights Reflectors Tires and wheels, lugs and serviceability Rear end protection (bumper) Cargo tie-downs/doors MECHANICAL OPERATION Engine knocks, misses, overheats, etc. Clutch skips, grabs, other Transmission noisy, hard shifting, jumps out of gear, other: Axles – noisy, other: Steering loose, shimmy, hard, other: Air, oil, water, leaks Springs broken, other: Brakes noisy, pulls soft, other: Speedometer, tachometer Tachograph, speed control devices ON COMBINATIONS Hoses, connections Couplings (fifth wheel, tow bar, safety chains, locking devices) OTHER Equipment inspection enroute ( yes no) Cargo securing devices ( yes no) Start time: Mileage: End time: Mileage: Remarks/Other Defects: Defects corrected (initial) Yes No Certified by: Date DOORS