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Locations
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About Concrete
Concrete Hold
DRIVERS DAILY VEHICLE INSPECTION REPORT
*
Indicates required field
NAME
*
First
Last
LOCATION
*
TIME
*
DATE
*
SPEEDOMETER READING
*
VEHICLE #
*
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
T182
T183
T125
T7
T15
T24
T25
T31
T36
TR3
TR5
TR8
T34
T125
CHECK ANY DEFECTIVE ITEM AND GIVE DETAILS UNDER "REMARKS."
(CAR OPERATORS NEED ONLY TO INSPECT ITEMS WITH AN ASTERISK "*")
*
AIR COMPRESSOR
AIR LINES
*BATTERY
BODY
BRAKE ACCESSORIES
*BRAKES
CLUTCH
DEFROSTER
DRIVE LINE
*ENGINE
FIFTH WHEEL
FRONT AXLE
*FUEL TANKS
GENERATOR
HEATER
HORN
*LIGHTS
-head
-tail
-stop
-dash
-turn indicators
-emergency flashers
*
*MIRRORS
MUFFLER-EXHAUST SYSTEM
AIL PRESSURE
PLACARDS
*RADIATOR
*REAR END
*REFLECTORS
*SAFETY EQUIPMENT
-fire extinguisher (if applicable)
-reflective triangles (if applicable)
-spare bulbs
-spare fuses
-back-up alarm
-seatbelts
SPRINGS
STARTER
*STEERING
TACHOGRAPH
*WHEELS AND LUGNUTS
TRANSMISSION
*WINDOWS
*WINDSHIELD WIPERS
OTHER
TRAILER #
*
If more than one trailer, type each trailer # out.
(THIS SECTION TO BE FILLED OUT BY TRUCK/TRAILER DRIVERS ONLY.)
*
BRAKE CONNECTIONS
BRAKES
COUPLING CHAINS
COUPLING (KING) PIN
DOORS
HITCH
LANDING GEAR
LIGHTS-ALL
*
PLACARDS
REFLECTORS
ROOF
SPRINGS
TARPAULIN
TIRES
WHEELS AND LUGNUTS
OTHER
REMARKS
*
CONDITION OF ABOVE VEHICLE(S) IS/ARE SATISFACTORY
*
YES
NO
**By entering your full name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
*
Submit
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