Pre-trip Inspection form - Pennsylvania State University

1 Vehicle ID:Date:OdometerTime:Hour MeterDO NOT include tenthsVehicle OverviewInspectionDAILY: CDL=Entire checklist, WEEKLY: Non-CDL (>10,000 GVW or equipped with liftgate), Bold onlyCheck brake lightsVerify three red reflective trianglesEmergency FlashersCheck steering linkageTurn SignalsCheck suspension (leaf and coil springs )Head LightsCheck u-bolts and hangersCheck all mirrorsCheck frame for cracksCheck windshield condition Check brake chambersCheck for wheel chocksCheck brake hosesSteering wheel loosness, damageCheck brake drumsWiper blades and washer operationAir brake check Horn operationCheck oil pressure gageHeater / Defroster operationCheck lug nuts for tightnessParking brake operationCheck axle seals for leaks Seat Belt operationCheck for debris between dual tiresCheck all external lights and reflectorsCheck condition of mud flapsCheck tire rims for damageCheck all hoses for leaksCheck tiresCheck to ensure compartment doors secureCheck cargo area for loose materialCheck battery box and connectionsCheck lift gate (up/down, stow completely)Check fuel tanks (caps secured )Check Coupling System (5th wheel, hitch)

2 Check exhaust systemCheck windshield fluidCheck fuel gageCheck all belts for tightness and wearCheck dumpbed operation, up - downCheck oil levelCheck dumpbed pivot points, and end gateCheck coolantMake sure tanks are not below 1/4 tankCheck power steering fluidCheck operation of boom Verify fire extinguisher on truckCheck voltmeterSafety Concerns/Issues:Remarks/Comments:*Seat belt use is requiredOperator Signature:Supervisor Signature:Revised 2/2016 Pre-trip Inspection formBeginningEndingBy 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.

3 Supervisor and Service Garage should be notified immediately of any safety you approach the vehicle , notice its general condition. Look for fresh oil, coolant, grease or fuel (check one)(check one) Inspection paperwork should remain in the vehicle until end of shift when it is delivered to the supervisor for forwarding to the Service GaragePassFailN/APassFail*Cell phone use is prohibited while operating University vehicles *Use of wheel chocks required