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Schmidt Seamless Gutters
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Vehicle Pre-Trip Form
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What Is being Inspected
*
Vehicle
Trailer
Driver Name
*
First
Last
Date Time
*
Date
Time
– Lights Level/Antifreeze
Vehicle Being Inspected
*
— Select Choice —
Red Chevrolet
Scrap Van
Other
Trailer Being Inspected
*
— Select Choice —
1
2
3
4
Trailer number listed on bottom right of rear door.
Odometer No.
*
For red truck say “not available”
Wheels/Tire Wear/Tire Pressure
*
Satisfactory
Unsatisfactory
What's Unsatisfactory about the Wheels/Tire Wear/Tire Pressure
*
Fluids – Windshield/Oil Level/Antifreeze
*
Satisfactory
Unsatisfactory
What's Unsatisfactory About The Fluids?
*
Lights – Head/Tail Lights/Break Lights/Turn Signals
*
Satisfactory
Unsatisfactory
What's Unsatisfactory About The Lights?
*
Vehicle Body – Windshield/Frame/Other
*
Satisfactory
Unsatisfactory
What's Unsatisfactory About The Vehicles Body?
*
Vehicle Brakes
*
Satisfactory
Unsatisfactory
What's Unsatisfactory About The Vehicles Breaks?
*
Any Warning Lights On Dash?
*
Yes
No
What Dash Lights?
*
Any Other Issues?
Submit