Driver's Inspection Report

Check Defects Only. Explain Under Remarks
Completion of this report required by federal law, 49CFR 396.11 & 396.13

Truck or Tractor No: Chevrolet Millage (No Tenths): 350 Date: 16-06-2020
power unit
Body/Doors/Windows Mirrors Lights
Oil Levels Parking Brakes Reflectors
Grease Leaks Emergency Brakes Suspension
Coolant Levels/Leaks Triangles Tires
Gauges/Warning Indicators Fire Extinguisher Wheels/Rims/Lugs
Windshield Wipers/Washers Belts/Hoses Battery
Horn(s) Spare Fuses Exhaust
Heater/Defroster Seat Belts Steering

Remarks:

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Reporting Driver: Date: 17-06-2020 Maintenace Action: Date:20-06-2020
Name: Robert Emp No:4567 Repairs Made: No Repairs Needed:
R.O.#'s: John Doe
Certified By:John Due certified
Location:London
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