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: Ford Millage (No Tenths): 2500 Date: 01-04-2020
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

Remarks:

Remarks/Others:

Reporting Driver: Date: 31-03-2020 Maintenace Action: Date:05-04-2020
Name: Robert Emp No:4567 Repairs Made: No Repairs Needed:
R.O.#'s: Some R.O Name
Certified By:Robert certified
Location:London
Shop Remarks:Shop Remarks: