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⚠️ DOT/FMCSA | CFR 49 Part 396
🚛 Pre-Trip Vehicle Inspection
Daily Vehicle Inspection Report (DVIR)
📋 Vehicle & Driver Information
Driver Name
*
Date
*
Company
*
Select...
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Location
*
Select...
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Vehicle Number
*
License Plate
Vehicle Type
*
Select...
Pickup Truck
Service Truck
Flatbed Truck
Box Truck
Semi Truck
Tanker Truck
Vacuum Truck
Dump Truck
Water Truck
Crew Cab
SUV
Van
Bus
Other
Odometer
⚙️ Engine Compartment
Engine Compartment (Visual)
Select...
OK
Dirty
Issues Found
Oil Level
Select...
OK
Low - Added
Low - Needs Service
Coolant Level
Select...
OK
Low - Added
Low - Needs Service
Power Steering Fluid
Select...
OK
Low - Added
Low - Needs Service
Belts and Hoses
Select...
OK
Worn
Damaged - DNO
Leaks (Oil, Coolant, Fuel)
Select...
No Leaks
Minor Leak
Major Leak - DNO
💡 Lights & Signals
Headlights (High/Low)
Select...
OK
Out - DNO
Turn Signals (Front/Rear)
Select...
OK
Out - DNO
Brake Lights
Select...
OK
Out - DNO
Hazard/4-Way Flashers
Select...
OK
Not Working
Clearance/Marker Lights
Select...
OK
Out
N/A
Reflectors
Select...
OK
Missing/Damaged
🚗 Cab Interior & Controls
Horn
Select...
OK
Not Working - DNO
Windshield
Select...
OK
Chipped
Cracked - DNO
Wipers/Washers
Select...
OK
Worn
Not Working
Mirrors (All)
Select...
OK
Damaged
Missing - DNO
Steering Play
Select...
OK - Normal
Excessive Play - DNO
Brake Pedal
Select...
OK - Firm
Soft/Spongy
Goes to Floor - DNO
Parking Brake
Select...
OK - Holds
Weak
Not Holding - DNO
Clutch (if equipped)
Select...
OK
Slipping
N/A
Gauges/Instruments
Select...
OK
Not Working
Warning Lights/Indicators
Select...
OK - None Active
Warning Active
Seatbelts
Select...
OK
Damaged - DNO
🛡️ Safety Equipment
Fire Extinguisher
Select...
OK - Charged
Needs Recharge
Missing - DNO
Warning Triangles/Flares
Select...
OK - Present
Missing
First Aid Kit
Select...
OK - Stocked
Needs Restock
Missing
🛞 Tires & Wheels
🚨 CRITICAL: Tread depth must be at least 4/32 inch on steer tires, 2/32 inch on other tires per DOT regulations
Tires Condition
Select...
OK
Worn
Damaged - DNO
Tire Pressure
Select...
OK
Low - Inflated
Flat - DNO
Tread Depth
Select...
OK - Adequate
Marginal
Below Minimum - DNO
Wheel Lugs
Select...
OK - Tight
Loose - Tightened
Missing - DNO
Wheels - Cracks/Damage
Select...
OK
Minor Damage
Cracked - DNO
🛑 Brakes & Air System
Air Pressure Build-Up
Select...
OK - Normal
Slow Build
Not Building - DNO
N/A
Air Leaks (Listen)
Select...
No Leaks
Minor Leak
Major Leak - DNO
N/A
Slack Adjusters
Select...
OK - In Spec
Out of Adjustment
N/A
📦 Cargo & Body
Cargo Secure
Select...
OK - Secure
Needs Securing
N/A - No Cargo
Doors/Tailgate Secure
Select...
OK
Not Latching
Body Damage
Select...
None
Minor Damage
Major Damage
⛽ Fuel
Fuel Level
Select...
Full
3/4
1/2
1/4
Low - Needs Fuel
DEF Level (if equipped)
Select...
OK
Low - Added
N/A
✅ Overall Condition & Inspection Result
Overall Vehicle Condition
*
Select...
Good - No Issues
Fair - Minor Issues Noted
Poor - Needs Immediate Attention
Inspection Result
*
✅ Pass - Safe to Operate
❌ Fail - Do Not Operate
Defects Found?
*
Yes
No
Previous Defects Corrected?
Yes
No
N/A
Additional Comments
Submit Inspection
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