First Name* Last Name* Location*SacramentoHaywardConcordEmail* You will receive a copy of this Form.Mileage*Truck#* Date* MM slash DD slash YYYY DOCUMENTS / SAFETY EQUIPMENT - CHECK WHILE INSIDE VEHICLEAccident Report Form* PASS FAIL Fire Extinguishers* PASS FAIL First Aid Kit* PASS FAIL Gas Card* PASS FAIL Orange Cone* PASS FAIL SDS Book* PASS FAIL Insurance Card* PASS FAIL Vehicle Registration* PASS FAIL Care Bags* PASS FAIL VEHICLE FUNCTION/INTERIOR - CHECK WHILE INSIDE VEHICLEBrakes* PASS FAIL Engine* PASS FAIL Horn* PASS FAIL Instrument Lights* PASS FAIL Seat Belts* PASS FAIL Mirrors* PASS FAIL Parking Break* PASS FAIL Steering* PASS FAIL Suspension* PASS FAIL Windshield* PASS FAIL Windshield Wipers* PASS FAIL AC Unit* PASS FAIL VEHICLE FUNCTION/EXTERIOR - CHECK WHILE OUTSIDE VEHICLEOil Level* PASS FAIL Backup Lights* PASS FAIL Brake Lights* PASS FAIL Headlights Hi/Lo* PASS FAIL Tail Lights* PASS FAIL Tire Condition* PASS FAIL Tire Pressure* PASS FAIL Turn Signals* PASS FAIL Ladder Rack* PASS FAIL Spare Tire* PASS FAIL 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.
