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 4 Millage (No Tenths): 22 Date: 29-11-2023
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: 29-11-2023 Maintenace Action: Date:29-11-2023
Name: l Emp No:20 Repairs Made: No Repairs Needed:
R.O.#'s: 42
Certified By:jk
Location:ty
Shop Remarks:gfgf