Driver Pre-Trip Inspection Report
Driver Name
Date
Vehicle Number
Odometer
Inspection Checklist
Item
Condition
Remarks
Brakes
OK
Needs Attention
Lights/Reflectors
OK
Needs Attention
Horn
OK
Needs Attention
Mirrors
OK
Needs Attention
Tires/Wheels
OK
Needs Attention
Fluid Levels
OK
Needs Attention
Windshield/Wipers
OK
Needs Attention
Emergency Equipment
OK
Needs Attention
Notes / Additional Comments
Driver Signature
Date