Pre-Trip Odometer Log Form
Complete this form before starting your trip to record vehicle mileage and essential trip details.
Driver Full Name
*
First Name
Last Name
Date of Trip
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Identification (License Plate or Vehicle Number)
*
Odometer Reading (Before Trip)
*
Trip Purpose or Destination
*
Fuel Level at Start
*
Full
Three Quarters
Half
Quarter
Empty
Vehicle Inspection Checklist (Select all that apply)
*
Lights functioning
Tires in good condition
Brakes working
Mirrors adjusted
No warning lights on dashboard
Other
Are there any pre-existing damages or issues?
*
No issues found
Yes, specify below
Description of Damages or Issues (if any)
Department or Business Unit
*
Please Select
Operations
Sales
Maintenance
Administration
Other
Submit Log
Should be Empty: