DRIVER'S VEHICLE INSPECTION REPORT

DRIVER:

PLATE NO. : DATE:

DRIVER: CHECK DEFECTIVE ITEMS:

Brake Connections Emergancy Equipment Mirrors Tires

Brakes, Parking Horn Reflectors Wheels and Rims

Brakes, Service Lights - All Steering Windshield Wipers

Coupling Devices

OTHER ITEMS:
Air Compressor Drive Line Hitch Starter

Air Lines Engine Landing Gear Suspension System

Battery Exhaust Muffler Tachograph

Body Fifth Wheel Oil Pressure Tire Chains

Brake Accessories Frame & Assembly Radiator Transmission

Clutch Front Axle Rear End Windows

Defroster / Heater Fuel Tanks Roof Other

Doors

DRIVER: DESCRIBE ITEMS CHECKED:

CONDITION OF THE ABOVE VEHICLE IS SATISFACTORY

DRIVER'S SIGNATURE: DATE:

ABOVE DEFECTS CORRECTED

ABOVE DEFECTS NEED NOT BE CORRECTED FOR SAFE OPERATION OF VEHICLE

MECHANIC'S SIGNATURE: DATE:

DRIVER'S SIGNATURE: DATE: