FIRST NAME

LAST NAME

YOUR EMAIL - You will be sent a copy of this.

MILEAGE

TRUCK #

DATE

DOCUMENTS/ SAFETY EQUIPMENT - CHECK WHILE INSIDE VEHICLE
ACCIDENT REPORT FORM

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FIRE EXTINGUISERS

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FIRST AID KIT

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GAS CARD

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ORANGE CONE

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SDS BOOK

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INSURANCE CARD

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VEHICLE REGISTRATION

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CARE BAGS

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VEHICLE FUNCTION/ INTERIOR - CHECK WHILE INSIDE VEHICLE
BRAKES

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ENGINE

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HORN

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INSTRUMENT LIGHTS

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SEAT BELTS

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MIRRORS

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PARKING BRAKE

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STEERING

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SUSPENSION

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WINDSHIELD

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WINDSHIELD WIPERS

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AC UNIT

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VEHICLEFUNCTION/ EXTERIOR - CHECK WHILE OUTSIDE VEHICLE
OIL LEVEL

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BATTERY

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BRAKE LIGHTS & BACKUP LIGHTS

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HEADLIGHTS HI/LOW

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TAIL LIGHTS

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TIRE CONDITION

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TIRE PRESSURE

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TURN SIGNALS

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LADDER RACK

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SPARE TIRE

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CONSENT:

I certify that the above is correct and true to the best of my ability. I understand that falsifying company documents can result in disciplinary action up to and including termination of employment.