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: Car 6 Millage (No Tenths): 525252 Date: 02-04-2020
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:

no prblm

Reporting Driver: Date: 01-04-2020 Maintenace Action: Date:01-04-2020
Name: James Emp No:05 Repairs Made: No Repairs Needed:
R.O.#'s: sh
Certified By:sh
Location:sh
Shop Remarks:asdf