Safety Inspection Checklist
Section 1: General Information
Carrier:
Address:
Date (mm/dd/yyyy):
Time:
Section 2: Vehicle Information
Tractor / Truck Number:
011
014
015
016
017
018
022
024
030
032
033
034
035
036
037
038
039
040
Section 3: Vehicle Components Inspection
Vehicle Components:
Check the boxes that apply:
Air Compressor
Air Lines
Battery
Belts and Hoses
Body
Brakes
Brakes:
Check the boxes that apply:
Accessories
Parking
Service
Lights:
Check the boxes that apply:
Head/Stop
Tail/Dash
Turn Signals
Clearance/Marker
Safety Equipment:
Check the boxes that apply:
Fire Extinguisher
Flags/Flares/Fusees
Reflective Triangles
Spare Bulbs and Fuses
Spare Seal Beam
Section 4: Trailer Inspection
Trailer(s) No. (s):
Trailer Components Inspection:
Check the boxes that apply:
Brake Connections
Brakes
Coupling Devices
King Pin
Doors
Hitch
Landing Gear
Lights
Reflectors
Roof
Suspension
Tarp
Tires
Wheels and Rims
Other
Remarks:
Section 5: Final Assessment
Vehicle Condition:
The condition of my vehicle is satisfactory
The condition of my vehicle requires attention
Send and Assign to Mechanic