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Box Truck Checklist
Box Truck Checklist
Pre-use reporting on box truck use.
Name
(Required)
First
Last
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Date
(Required)
Program
(Required)
Youth
Young Adult
Community
Mature Adult
Paddlesport
General VO Support
Vehicle Maintenance
Transporting non-VO personnel?
(Required)
Yes
No
Are all seatbelts working properly?
(Required)
Yes
No
Have you pre-scouted your driving route for low overpasses?
(Required)
Yes
No
The box truck has vertical clearance of 10 feet 8 inches. Overpasses less than 13 feet 6 inches should be labeled with a sign.
Do you have your DOT physical card on your person?
(Required)
Yes
No
Vehicle in Park?
(Required)
Yes
No
Have you checked and recorded the tire pressures?
(Required)
Yes
No
Have you checked the oil level and completed the log in the binder?
(Required)
Yes
No
Are the rear doors are locked and ramp latched?
(Required)
Yes
No
Have you adjusted the rear view mirrors?
(Required)
Yes
No
Fold out and adjust manually. Upper mirrors for viewing behind the vehicle, lower convex mirrors are for blind-spots.
Have you adjusted the seats?
(Required)
Yes
No
Please start the vehicle and turn on hazard lights. Any dashboard warnings?
(Required)
Yes
No
What is the starting odometer reading?
(Required)
What is the fuel status?
(Required)
Above 3/4
Above 1/2
Above 1/4
Above E
Gas Light on
Walk around the vehicle 3 times. Are any damages present?
(Required)
Yes
No
Are all lights functional?
(Required)
Yes
No
Is the registration in the vehicle?
(Required)
Yes
No
Is the insurance in the vehicle?
(Required)
Yes
No
Please describe damage or issue observed. If safe operation is not possible immediately call your supervisor. Stop once per hour and complete 3 laps around the vehicle.
Please complete the following and restart the pre-trip report:
(Required)
I will restart
Ensure you have pre-scouted your trip for low overpasses or challenging roadways. Have your DOT Physical card on your person while driving. Check the tire pressures and oil level and record in the binder log.
Please include photos of any damage
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, gif, Max. file size: 128 MB.
Estimated time of return?
(Required)
Hours
:
Minutes
AM
PM
AM/PM
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