DRIVER’S VEHICLE INSPECTION REPORT
DRIVER’S VEHICLE INSPECTION REPORT
AS REQUIRED BY THE D.O.T. FEDERAL MOTOR CARRIERS SAFETY REGULATIONS
CARRIER:
ADDRESS: CITY: STATE: ZIP
DATE: TIME: am pm
CHECK ANY DEFECTIVE ITEM AND GIVE DETAILS UNDER “REMARKS”
TRACTOR/
TRUCK NO. ODOMETER READING:
Air Compressor Horn Suspension System
Air Lines Lights Starter
Battery Head-Stop Steering
Body Tail-Dash Tachograph
Brake Accessories Turn Indicators Tires
Brakes, Parking Mirrors Tire Chains
Clutch Mufflers Transmission
Coupling Devices Oil Pressure Wheels and Rims
Defrost/Heater Radiator Windows
Drive Line Rear End Windshield Wipers
Engine Reflectors Other
Exhaust Safety Equipment
Fifth Wheel Fire Extinguisher
Frame and Assembly Reflective Triangles
Front Axle Flags-Flares-Fuses
Fuel Tanks Spare Bulbs & Fuses
Spare Seal Beam
TRAILER (S) NO(S).
Brake Connections Hitch Tarpaulin
Brakes Landing Gear Tires
Coupling Devices Lights - All Wheels and Rims
Coupling (King) Pin Roof Other
Doors Suspension System
Remarks:
CONDITION OF THE ABOVE VEHICLE IS SATISFACTORY
DRIVER’S SIGNATURE:_________________________________
ABOVE DEFECTS CORRECTED
ABOVE DEFECTS NEED NOT BE CORRECTED FOR SAFE OPERATION OF VEHICLE
MECHANICS SIGNATURE: _____________________________ DATE: ________________
DRIVER’S SIGNATURE: _______________________________ DATE: ________________
Copyright © 2009 National Safety Compliance, Inc. 1970 Swarthmore Ave. Lakewood, NJ 08701 Rev. 2007
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