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): 45 | Date: 09-12-2023 |
| 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:df |
|||||
| Reporting Driver: | Date: 09-12-2023 | Maintenace Action: | Date:20-12-2023 | ||
| Name: p[ | Emp No:12 | Repairs Made: | No Repairs Needed: | ||
| R.O.#'s: i | |||||
| Certified By:r | |||||
| Location:r | |||||
| Shop Remarks:tt | |||||