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): 55522211111 | Date: 18-05-2020 |
| 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:Not Good |
|||||
| Reporting Driver: | Date: 18-05-2020 | Maintenace Action: | Date:01-01-1970 | ||
| Name: Sandy | Emp No:52 | Repairs Made: | No Repairs Needed: | ||
| R.O.#'s: | |||||
| Certified By: | |||||
| Location: | |||||
| Shop Remarks: | |||||