DAILY DRIVER’S INSPECTION & VEHICLE CONDITION REPORT



Daily Driver’s Inspection & Vehicle Condition Report - ROLLOFF

DRIVER’S NAME:___________________ VEHICLE #: TRAILER #: PRE MILES: ____________ DATE: __________

INSTRUCTIONS: Post Miles: ____________

1. Acquire previous days Daily Driver’s Inspection & Vehicle Condition Report from vehicle and read it for potential defects. Turn it in to the bin marked COMPLETED Daily Driver’s Inspection Reports in the front Shop. Do not drive vehicle or use Trailer if there are potential hazards to yourself or others.

You must check the “Out Of Service Box” on the other side of this report AND notify the Load Man immediately.

2. Get a new Daily Driver’s Inspection & Vehicle Condition Report from the bin marked BLANK Daily Driver’s Inspection Reports.

3. Complete the Date, Driver’s Name, Vehicle #, Trailer # (if applicable), Pre Miles and Post Miles information above.

4. Perform the Pre-Trip Inspection for the Vehicle and for the Trailer (if applicable). Use a checkmark to select only those items that are functioning properly. Use the Requests for Trailer Repair section at the bottom of this page for Trailer repair needs. Use the Vehicle Condition Report on page two to select the items that are defective with the vehicle. A comments section is available for details regarding the defect.

5. Leave the Daily Driver’s Inspection & Vehicle Condition Report in the truck for the next driver to review and turn in.

|VEHICLE Pre-Trip Inspection |VEHICLE Post-Trip Inspection |

|Tires, Wheels, & Rims |Instruments & Gauges |Tires, Wheels & Rims |Instruments & Gauges |

|Engine Oil, Fuel, & Coolant |Lights & Reflectors |Engine Oil, Fuel, & Coolant |Lights & Reflectors |

|Service Brakes & All Connections |Emergency Equipment |Service Brakes & All Connections |Emergency Equipment |

|Parking (Hand) Brake(s) |Windshield Wipers |Parking (Hand) Brake(s) |Windshield Wipers |

|Steering Mechanism(s) |Rear Vision Mirrors |Steering Mechanism(s) |Rear Vision Mirrors |

|Horn(s) |License Plate(s) & Registration |Horn(s) |License Plate(s) & Registration |

| |Vehicle Damage | |Vehicle Damage |

|I have performed the above inspection and have noted with a checkmark only those items that are working |I have performed the above inspection and have noted with a checkmark only those items that are working |

|properly. Defects are noted in the Vehicle Condition Report on page two. |properly. Defects are noted in the Vehicle Condition Report on page two |

| | |

|Driver’s Signature Date |Driver’s Signature Date |

|Trailers Pre-Trip Inspection |Trailers POST-Trip Inspection |

|Tires, Wheels & Rims |Trailer Jack |Tires, Wheels & Rims |Trailer Jack |

|Plug Harness |Safety Chains & Binders |Plug Harness |Safety Chains & Binders |

|Lights and Reflectors |Electrical & Air Converters |Lights & Reflectors |Electrical & Air Converters |

|License Plate(s) & Registration |Hitch |License Plate(s) & Registration |Hitch |

|Trailer Damage | |Trailer Damage | |

|I have performed the above inspection and have noted with a checkmark only those items that are working |I have performed the above inspection and have noted with a checkmark only those items that are working |

|properly. Defects are noted in the Vehicle Condition Report on page two. |properly. Defects are noted in the Vehicle Condition Report on page two. |

| | |

|Driver’s Signature Date |Driver’s Signature Date |

| Requests for Trailer Repair: _____________________________________________________ ___________________________________________________________ |

|____________________________________________________ |

|Vehicle Condition Report: If Defects Exist indicate with a checkmark below. |

|Tires, Wheels & Rims |BRAKES |Instruments & Guages cont. |CAB/CHASSIS CONT. |REAR AXLE |

|( Flat |( Service Brakes |( Speedometer |( Mirrors and Cab Glass |( Noisy |

|( Low Air Pressure |( Parking Brakes |( Tachometer |( Heater / Defroster |( Grease Leaks |

|( Marginal Tread |( Air / Hydraulic Leaks |( Windshield Wipers / Washers |( Triangle Reflectors |DRIVE LINE |

|( Loose Lug Nuts |( Pulls to Left / Right |( Horn(s) |( Fire Extinguisher |( Foreign Material |

|( Cracks, Cuts or Damage |( Adjust All Breaks |LIGHTS |( Coupling Devise(s) |( Noisy |

|( Grease Leaks |STEERING |( Headlights |( License Plate(s) |( Vibrations |

|ENGINE |( Loose |( Stop & Tail Lights |( Registration |TRANSMISSION |

|( Coolant Leaks |( Steers Hard |( Turn Signals |( Body Damage |( Noisy |

|( Fuel Leaks |( Pulls to Right |( Marker Lights |SPRINGS |( Jumps Out of Gear |

|( Oil Leaks |( Pulls to Left |( Reflectors |( Broken |( Hard Shifting |

|( Misses |Instruments & Guages |( Dash Lights |( Loose U-Bolts |( Grease Leaks |

|( Overheats |( Air Pressure Gauge / Alarm |CAB/CHASSIS |CLUTCH |ELECTRICAL |

|( Noises |( Amp Meter / Volt Gauge |( Battery Box / Cover |( Noisy |( Will Not Start |

|( Smoking |( Temperature Gauge |( Doors |( Slipping |( Will Not Charge |

|( Low Oil Pressure |( Oil Pressure Gauge |( Seat Belts |( Adjust Clutch |( Will Not Shut Down |

|DRIVER Check Box Request for vehicle repair |

|Out of Service *Notify Load Man Immediately |

|Does Not Affect Safe operation of this vehicle |

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MECHANIC VERIFIES THAT THE DEFECTS NOTED ABOVE HAVE BEEN REPAIRED:

MECHANIC’S SIGNATURE: DATE: [pic]

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*** drain air ***

MICHIGAN MILES: JOB # _____________

ENDING MILEAGE ________________

STARTING MILEAGE _______________

TOTAL MILES ___________________

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