Concrete Mixer Truck Inspection Form

General Information

Inspection Date Inspector Name Truck Number License Plate Location

Pre-Trip Inspection

Item	Pass	Fail	Remarks
Tires & Wheels
Brakes
Lights & Reflectors
Mirrors & Windshield
Fluid Levels
Mixer Drum
Chute & Hopper
Hydraulic System
Horn & Warning Devices
Controls & Gauges
Cleanliness

Comments / Defects