Date
08/12/2025
Time
07:07 AM
Employee First & Last Name
Darin Holtz
Truck Information
Truck #
28
Mirrors
Satisfactory
Windows
Satisfactory
Windshield Washers
Satisfactory
Windshield Wipers
Satisfactory
Horn
Satisfactory
Gauges
Satisfactory
Defroster / Heater
Satisfactory
Clutch
Satisfactory
Extra Fuses
Satisfactory
Fire Extinguisher
Satisfactory
Reflective Triangle
Satisfactory
Fluid Levels
Satisfactory
Radiator
Satisfactory
Starter
Satisfactory
Air Lines
Satisfactory
Steering
Satisfactory
Suspension System / Air Bags
Satisfactory
Transmission
Satisfactory
Wheels, Rims & Tires
Satisfactory
All Lights
Satisfactory
Body, Dents & Scratches
Satisfactory
Reflectors / DOT Tape
Satisfactory
Coupling Devices
Satisfactory
Bed Support
Satisfactory
Fifth Wheel & Jaws / Hitch
Not Applicable
Parking Brake
Satisfactory
Service Brake
Satisfactory
Trailer
None
Hitch
Satisfactory
Was this vehicle properly cleaned on the outside?
Yes
Was this vehicle properly cleaned on the inside?
Yes
Was the trash picked up on the inside? (truck / trailer)
Yes
Does vehicle have the proper inventory of flags, signs, and tie down chains?
Yes
Mileage of Truck
167849
Signature
DRIVER CERTIFIES THIS INSPECTION WAS COMPREHENSIVELY COMPLETED.