Page 71 - 2021 MHA Start-up Guide

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Vehicle ID:____________ Pre-trip Beginning Ending

Date:___________ Inspection Form Odometer ____________ _______________
Time :__________ Hour Meter ___________ _______________
DO NOT include tenths
By law, all CDL vehicles are required to have a pre-trip safety inspection. An effective inspection exposes safety concerns and potential
maintenance Issues. Repairs can be addressed before they become costly, major repairs.
Supervisor and Service Garage should be notified Immediately or any safety concerns.
Vehicle Overview
As you approach the vehicle, notice its general condition. Look for fresh oil, coolant, grease or fuel leaks.
Inspection DAILY: CDL= Entlre checklist·
Pass Fail N/A Pass Fail N/A
(check one) (check one)
Check brake lights Verify three red reflective triangles
Emergency flashers Check steering linkage
Turn signals Check suspension (leaf and coil springs)
Head lights Check u-bolts and hangers
Check all mirrors Check frame for cracks
Check windshield condition Check brake chambers
Check for wheel chocks Check brake hoses
Steering wheel looseness, damage Check brake drums
Wiper blades and washer operation Air brake check
Horn operation Check oil pressure gauge
Heater/ Defroster operation Check lug nuts for tightness
Parking brake operation Check axle seals for leaks
Seat belt operation Check for debris between dual tires
Check all external lights and reflectors Check condition of mud flaps
Check tire rims for damage Check all hoses for leaks
Check tires Check to ensure compartment doors secure
Check cargo area for loose material Check battery box and connections
Check liftgate (up/down, stow completely) Check exhaust system
Check fuel tanks (caps secured) Check fuel gauge
Check Coupling System (5th wheel, hitch) Check dumpbed operation, up - down
Check windshield fluid Check dumpbed pivot points, and end gate
Check all belts for tightness and wear Make sure tanks are not below 1/4 tank
Check oil level Check operation of boom
Check coolant Check voltmeter
Check power steering fluid
Verify fire extinguisher on truck
Safety Concerns/Issues: ____________________________________________________________________________

_________________________________________________________________________________________________
Remarks/Comments: _________________________________________________________________________________
___________________________________________________________________________________________________
• Seat belt use is required Operator Signature:_________________________________
• Cell phone use ls proh ibited while operating Supervisor Signature:_______________________________
• Use of wheel chocks required
Inspection paperwork should remain in the vehicle until end of shift when it is delivered
to the supervisor for forwarding to the Service Garage
MOBILE HEALTHCARE ASSOCIATION 6 9