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): 214365 Date: 07-04-2020
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
Defects Not Found

Remarks:

Most

Reporting Driver: Date: 06-04-2020 Maintenace Action: Date:08-04-2020
Name: Fg Emp No:23 Repairs Made: No Repairs Needed:
R.O.#'s:
Certified By:Ghy
Location:Hhy
Shop Remarks:Hgf