Pre-trip inspection checklist and DVIR form
Driver Vehicle Inspection Report☐ Pre-trip ☐ Post-trip
Carrier
Truck / unit #
Trailer #
Odometer
Date
Time
Location
| Item | OK | Defect |
|---|---|---|
| Service brakes including trailer brake connections | ☐ | ☐ |
| Parking brake | ☐ | ☐ |
| Steering mechanism | ☐ | ☐ |
| Lighting devices and reflectors | ☐ | ☐ |
| Tires | ☐ | ☐ |
| Horn | ☐ | ☐ |
| Windshield wipers | ☐ | ☐ |
| Rear vision mirrors | ☐ | ☐ |
| Coupling devices | ☐ | ☐ |
| Wheels and rims | ☐ | ☐ |
| Emergency equipment | ☐ | ☐ |
| Other: ______________________ | ☐ | ☐ |
| Other: ______________________ | ☐ | ☐ |
| Other: ______________________ | ☐ | ☐ |
Defects found (describe each one)
Driver signature
Date
Second driver (team)
Repair certification☐ Defects repaired ☐ Repair unnecessary
Certified by
Date
Next driver's reviewI reviewed this report and the repair certification.
Driver signature
Date
Keep this report, the repair certification and the review for three months (49 CFR 396.11(a)(4)).