Drivers Vehicle Inspection Report

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Trailer Lights Brake Trailer Coupling DRIVER Safety

 
DRIVER'S VEHICLE INSPECTION REPORT  
As required by the Federal Motor Carrier Safety Regulations for Commercial Drivers  
 
Date: ________________________________   Company Name: _______________________ 
 
Time: _______________________________  Address:______________________________          
 
Truck/Tractor No: ______________________     City:_________________________________  
        Trailer No:  ___________________________       State:_____________________________                  
-       Mileage: _____________________________       Zip:______________________________ 
Air Compressor  
Air Lines  
Alternator  
Battery  
Body  
Brake - Accessories  
Brake - Components  
Brake - Parking  
Brake - Service  
Clutch  
Devices  
Defroster / Heater  
Drive Line  
Engine  
Exhaust  
Fifth Wheel  
Frame and Assembly  
Fuel Tanks  
Gauges  
Generator  
Horn  
Lights - Dash  
Lights - Head  
Lights - Stop  
Lights - Tail  
Lights - Turn  
Lights - Running  
Mirrors  
On-Board Recorder  
Radiator  
Reflectors  
Safety - Fire Extinguisher  
Safety - Flares, Triangles  
Safety - Spare Bulbs, Fuses  
Suspension System  
Starter  
Steering  
Tires  
Tire Chains  
Transmission  
Wheels and Rims  
Windows  
Windshield Wipers  
Other  
Check defective parts and explain remarks. 
Trailer - Brake Connections  
Trailer - Brakes  
Trailer - Coupling - Chains  
Trailer - Coupling - King Pin  
Trailer - Coupling - Hitch  
Trailer - Landing Gear  
Trailer - Lights - All  
Trailer - Tires  
Trailer - Wheels and Rims  
Trailer - Suspension System  
Trailer - Tarpaulin  
Trailer - Doors  
Trailer - Roof  
Trailer - Other  
 
 
 
 
 
 
          Condition of vehicle is satisfactory.   
Remarks:  
Driver Name: ______________________________   
Driver Signature: ___________________________   
Above defects corrected.   
Above defects need not be corrected for safe  
operation of vehicle.   
Mechanic Signature: __________________________  
Date: ______________________________________  
Driver Reviewing Repairs: _____________________ 
  
Repairs Signature: ___________________________ 
Date: ______________________________________