Driver Application
Drivers Inspection Report
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Drivers Inspection Report
Van or Truck No.
*
License Plate Number
Mileage
*
GENERAL CONDITION
Check Where Appropriate
Cab/Doors/Windows
Body/Doors
Oil Leak
Grease Leak
Coolant Leak
Fuel Leak
Unclean
Other
NO DEFECTS
If other, please Identify
IN CAB
Check Where Appropriate
*
Gauges/Warning Indicators
Windshield Wipers/Washers
Horn
Heater/Defroster
Mirrors
Steering
Service Brakes
Parking Brakes
Fire Extinguisher
Seat Belts
Other
NO DEFECTS
If other, please Identify
EXTERIOR
Check Where Appropriate
*
Lights
Reflectors
Suspension
Tires
Wheels/Rims/LugsSuspension
Battery
Exhaust
Other
NO DEFECTS
If other, please Identify
ENGINE COMPARTMENT
Check Where Appropriate
*
Shop Check
Oil Level
Coolant Level
Belts
Other
NO DEFECTS
If other, please Identify
REMARKS
REPORTING DRIVER
First Name
*
Last Name
*
Driver No.
*
Date
*
MAINTENANCE ACTION
Date
Maintenance
Repairs Made
No Repairs Needed
REPAIRS MADE AT
Garage
Location
Verification
Please enter any two digits
*
Example: 12
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