Driver'S Daily Vehicle Inspection Report Template

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Driver’s Daily Vehicle Inspection Report
As required by the Federal Motor Carrier Safety Regulations for Commercial Drivers
Location:_______________________________________________________________________________
Date:_________________
Time:______________ AM PM
Vehicle #:_______________________
Speedometer Reading:_______________
Check any defective item and give details under “Remarks”.
(Car operators need only to inspect items with an asterisk “*”)
Air Compressor
Horn
*Safety Equipment
Air Lines
*Lights
*Fire Extinguisher (if applicable)
*Battery
*Head
*Reflective Triangles (if applicable)
Body
*Tail
*Spare Bulbs
Brake Accessories
*Stop
*Spare Fuses
*Brakes
*Dash
*Back-up Alarm (if applicable)
Clutch
*Turn Indicators
*Seatbelts
Defroster
*Emergency Flasher
Springs
Drive Line
*Mirrors
Starter
*Engine
Muffler-Exhaust System
*Steering
Fifth Wheel
*Oil Pressure
Tachograph
Front Axle
Placards
*Wheels and Lugnuts
*Fuel Tanks
*Radiator
Transmission
Generator
*Rear End
*Windows
Heater
*Reflectors
*Windshield Wipers
Other __________________________
(This section to be filled out by truck/trailer drivers only.)
Trailer(s) #(s) ____________________________________________________________
Brake Connections
Hitch
Roof
Brakes
Landing Gear
Springs
Coupling Chains
Lights—All
Tarpaulin
Coupling (King) Pin
Placards
Tires
Doors
Reflectors
Wheels and Lugnuts
Other_________________
Remarks:_______________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________
YES
NO
Condition of above vehicle(s) is/are satisfactory
Driver’s Signature: _______________________________________
YES
NO
Above defects corrected
Above defects need not be corrected for safe operation of vehicle
YES
NO
Mechanic’s Signature: ________________________________ Date: _________________
Driver Reviewing Repairs, Signature: ______________________________Date: ______________
Section 7

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