Drivers vehicle inspection report form DOT Vehicle Inspection Form(a) CommentsThis field is for validation purposes and should be left unchanged.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 All Fluid Levels 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*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Trailer NumberBrake 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 By38. Name:*Phone Number.*Email:* Date submitted:* CAPTCHA
