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: Isuzu Millage (No Tenths): 298340 Date: 03-09-2020
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:

Turn signals, Hazards and horn doesn’t work.

Reporting Driver: Date: 02-09-2020 Maintenace Action: Date:01-01-1970
Name: Dwayne Emp No: Repairs Made: No Repairs Needed:
R.O.#'s:
Certified By:Kapahulu Auto repair
Location:3131 Castle street
Shop Remarks:All working. Kapahulu auto repair invoice #44657