Pre-Trip Inspection Driver Name * Email * Date * MM DD YYYY Time * Hour Minute Second AM PM Carrier Name * US DOT Number * Vehicle Type * Single Vehicle Combination Odometer Reading * 1. Engine Compartment Engine Oil Level (Check Dipstick) Pass Fail Coolant Level (Check Reservoir) Pass Fail Power Steering Fluid (Check Level) Pass Fail Windshield Washer Fluid (Check Level) Pass Fail Battery (Secure, No Corrosion, Tight Connections) Pass Fail Alternator & Belts (Condition & Tension) Pass Fail Hoses & Wiring (Secure, No Leaks/Damage) Pass Fail Air Compressor (Mount & No Leaks) Pass Fail Steering Mechanism (No Excessive Play) Pass Fail 2. Front of Vehicle Headlights (Operation & Cleanliness) Pass Fail Turn Signals (Operation & Cleanliness) Pass Fail Clearance Lights (Operation & Cleanliness) Pass Fail Inspection Complete! You will be emailed a copy. Please keep for your records.