Truck Assignment Checklist Form
Employee Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Truck #
*
Checklist
*
Working
Repaired
Missing
All interior lights
1
2
3
All cabinets / latches
4
5
6
Cigarette lighter
7
8
9
Clean / New Matress
10
11
12
Passenger Seat
13
14
15
Fire Extinguisher
16
17
18
Elog Functional
19
20
21
Camera Functional
22
23
24
Cab / Sleeper Curtains
25
26
27
Inverter
28
29
30
All outside light
31
32
33
Wiper Blades
34
35
36
Tires
37
38
39
Chains
40
41
42
Safety Triangles
43
44
45
Picture of Interior
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of
Picture of exterior
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Overall Condition of Truck
*
1
2
3
4
5
Additional Notes
Submit
Should be Empty: