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Truck

As required by the Federal Motor Carrier Safety Regulations

Carrier—

Address—

Date / Time—

Driver—

Truck unit—

InspectionPre-Trip Inspection

Odometer (mi) * Trailer No(s) (if applicable)

Check the box for any item that has a defect or needs attention. Leave unchecked if OK.

Remarks (optional)

Condition of the above vehicle is satisfactory

Auto-checked when no inspection defects are flagged. Uncheck if you disagree.

Driver signature *

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Mechanic certification — optional, only if a mechanic is present

Above defects corrected Above defects need not be corrected for safe operation of vehicle Mechanic name Mechanic notes Mechanic signature

✓

Thanks, drive safe.