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:_______________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________
Condition of above vehicle(s) is/are satisfactory |
YES |
NO |
|
Driver’s Signature: _______________________________________ |
|
Above defects corrected |
YES |
NO |
|
|
|
Above defects need not be corrected for safe operation of vehicle |
YES |
NO |
Mechanic’s Signature: ________________________________ Date: _________________
Driver Reviewing Repairs, Signature: ______________________________Date: ______________