Drivers vehicle inspection report form

DOT Vehicle Inspection Form

Driver Name*
Vehicle Number (ie. 124 or R18124)*
Current mileage*
Air Compressor
- Good
- N/A
Air Lines
- Good
- N/A
Battery
- Good
Brakes
- Good
Brakes Accessories
- Good
Defroster / Heater
- Good
Drive Line
- Good
Engine
- Good
Fifth Wheel / Hitch Ball / Receiver Hitch
- Good
Front Axle
- Good
Fuel Tanks / Caps
- Good
Horn
- Good
Lights
- Headlights
- Taillights
- Turn Indicators
- Clearance
Mirrors
- Good
Muffler
- Good
Oil
- Pressure
- Quantity
Radiator
- Good
Rear End
- Good
Reflectors
- Good
Safety Equipment
- Fire Extinguisher
- Flags
- Flares
- Fuses
- Spare Bulbs
Springs/Suspension
- Good
Starter
- Good
Steering
- Good
Tires/Wheels
- Good
Transmission
- Good
Windows/Windshield
- Good
Windshield Wipers/Washer Fluid
- Good
Oil change is due*
Trailer Number
Brake Connections
- Good
Brakes
- Good
Coupling Chains
- Good
Coupling (King) Pin
- Good
Doors/Ramps
- Good
Hitch
- Good
Landing Gear
- Good
Lights - All
- Good
Roof/Bed
- Good
Springs
- Good
Tires
- Good
Wheels
- Good
37. Additional Remarks:
Submitted By
38. Name:*
Phone Number.*
Email:*
Date submitted:*
MM slash DD slash YYYY
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

970.867.9437
info@rivalservices.net
CONNECT
Instagram
LinkedIn

Personnel
Midstream Valve Maintenance
Gate Guard Services
Production Operators
Lease Operators
Porta-Pots/Rentals
About Us
Careers
Contact Us
For Employees

Personnel
Midstream Valve Maintenance
Gate Guard Services
Production Operators
Lease Operators
Porta-Pots/Rentals
About Us
Careers
Contact Us
For Employees

UnitedHealthcare creates and publishes the machine-readable files on behalf of Rival Services Llc. To access the machine-readable files, please click here.

Scroll to Top

DOT Vehicle Inspection Form

Submitted By