Checklist – Driver Vehicle Location(Required)AtlantaCharlotteNewberryLas VegasNorth HillsPort ChesterCosta MesaTruck(Required)Pickup Truck – 2 pallets, 1 A-frame – AtlantaTruck(Required)Flatbed 1 A-frames – CharlotteTruck(Required)Pickup Truck – 2 pallets, 1 A-frame – Dallas – NewberryTruck(Required)Flatbed 1 A-frames – Las VegasTruck(Required)Chevy Pickup – North HillsFord Pickup – North HillsFlatbed 3 A-frames – North HillsTruck(Required)Flatbed 1 A-frames – Port ChesterPickup Truck – 1 pallet – Port ChesterTruck(Required)Flatbed 3 A-Frames – Costa MesaDriver Name(Required) First Last Manager Name(Required) First Last Date(Required) Month Day Year Time(Required) Hours : Minutes 24 hours formatOdometer Reading(Required)Truck / TractorCheck if the item is operating correctly (Yes) item and give details under “Remarks” if defective (no)Air Compressor(Required) Yes No N/A Aire Lines(Required) Yes No N/A Battery(Required) Yes No N/A Belts and Hoses(Required) Yes No N/A Body(Required) Yes No N/A Brake Accesories(Required) Yes No N/A Brakes, Parking(Required) Yes No N/A Brakes, Service(Required) Yes No N/A Clutch(Required) Yes No N/A Coupling Devices(Required) Yes No N/A Defroster / Heater(Required) Yes No N/A Drive Line(Required) Yes No N/A Engine(Required) Yes No N/A Exhaust(Required) Yes No N/A Fitfh Wheel(Required) Yes No N/A Fluid Levels(Required) Yes No N/A Frame and Assembly(Required) Yes No N/A A-frame Welds(Required) Yes No N/A Check for unusual rust or cracks that may weaken the structure.Front Axle(Required) Yes No N/A Fuel Tanks(Required) Yes No N/A Horn(Required) Yes No N/A Lights – Head/Stop, Tail/ Dash, Turn, Clearance, Marker(Required) Yes No N/A Mirrors(Required) Yes No N/A Muffler(Required) Yes No N/A Oil Pressure(Required) Yes No N/A Radiator(Required) Yes No N/A Rear End(Required) Yes No N/A Reflector(Required) Yes No N/A Safety Equipment – Fire Extinguisher, Flags, Flares, Fuses, Reflective Triangles, Spare Bulbs and Fuses, Spare Seal Beam(Required) Yes No N/A Starter(Required) Yes No N/A Steering(Required) Yes No N/A Suspension System(Required) Yes No N/A Tire Chains(Required) Yes No N/A Tires(Required) Yes No N/A Transmission(Required) Yes No N/A Trip Recorder(Required) Yes No N/A Wheels and Rims(Required) Yes No N/A Windows(Required) Yes No N/A Windshield Wipers(Required) Yes No N/A TrailerCheck if the item is operating correctly (Yes) item and give details under “Remarks” if defective (no)Brake Connections(Required) Yes No N/A Brakes(Required) Yes No N/A Coupling Devices(Required) Yes No N/A Coupling (King) Pin(Required) Yes No N/A Doors(Required) Yes No N/A Hitch(Required) Yes No N/A Landing Gear(Required) Yes No N/A Lights – All(Required) Yes No N/A Reflectors / Reflective Tape(Required) Yes No N/A Roof(Required) Yes No N/A Suspension System(Required) Yes No N/A Tarpaulin(Required) Yes No N/A Tires(Required) Yes No N/A Wheels and Rims(Required) Yes No N/A Remarks or photosPhotos Drop files here or Select files Max. file size: 50 MB. Remarks and/or notesSummaryCondition of Vehicle is Satisfactory(Required)YesNoNo – Defects OK for safe operationManager Contacted(Required)Date(Required) MM slash DD slash YYYY X/TwitterThis field is for validation purposes and should be left unchanged. Return to Forms