Pre Trip Inspection Form: Truck # Odometer Begin - Date: Odometer End - Time

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Pre

Trip Inspection Form


Truck # Odometer Begin _____________
Date: Odometer End ______________
Time

Pass Fail N/A


(Check One)
Check brake lights
Emergency Flashers
Turn Signals
Head Lights
Check all mirrors
Check windshield condition
Check for wheel chocks
Steering wheel loosness, damage
Wiper blades and washer operation
Horn operation
Heater / Defroster operation
Parking brake operation
Seat Belt operation
Check all external lights and reflectors
Check tire rims for damage
Check tires
Check cargo area for loose material
Check lift gate (up/down, stow completely)
Check dumpbed operation, up - down
Check dumpbed pivot points, and end gate
Check windshield fluid
Check all belts for tightness and wear
Check oil level
Check coolant Make sure tanks are not below 1/4 tank
Check power steering fluid
Verify fire extinguisher on truck
Comments:

Drivers Signature Supervisors Signature

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