Driver Pre Trip Form

Please take a moment to fill out the form.

Driver Name

Truck Number

Tires OK? *

Yes

No

Lights: Headlights, Taillights, Marker Lights, Hazards - Working? (Note Defects Below) *

Yes

No

Refrigeration Unit: Working? (Note Error Codes or Alarms Below) *

Yes

No

Horn: Working? *

Yes

No

Steering Working? *

Yes

No

Parking Brake Working? *

Yes

No

Mirrors Working? *

Yes

No

Windshield & Wipers Working? *

Yes

No

Are Wheels/Rims okay? *

Yes

No

Emergency Equipment Working? *

Yes

No

Please note any defects here:

Thanks for submitting!

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