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Daily Pre-Trip Inspection and Mileage Log Mobile App

Motor-vehicle incidents (MVIs) are a leading cause of workplace deaths. The purpose of this form is to provide guidance when developing a pre-trip inspection checklist for workers who drive for work purposes. Although this sample document is primarily designed for workplaces that use company-owned or personal passenger cars and / or light-duty trucks for business purposes, it can be adapted for commercial fleets that operate other vehicle types.

The Daily Pre-Trip Inspection and Mileage Log is a form used to check the condition of a motor vehicle on a daily basis, or prior to any long drive. The mileage log allows for accurate tracking of the mileage of the car for when each inspection is performed. Pre-trip inspection tests include checking drivers seats, head restrains, safety belts, brakes and emergency brakes, the transmission, windows, horns, and more. Major safety checks include pressure of the tires, as well as tread depth, and brake lights, tail lights, wiper blades, and for leaks. The engine is checked aurally, but the engine compartment can be visually inspected in the event there are any unexpected sounds.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Driver Name

  • Ico textbox

    BCDL#

  • Ico dropdown

    Have written working-alone procedures been followed?

  • Ico dropdown

    Trip plan completed?

  • Ico statictext

    Applicable if vehicle was previously used by other driver.

  • Ico multiline

    Comments

  • Ico statictext

    Date(s) of Use:

  • Ico date

    From

  • Ico date

    To

  • Ico dropdown

    This vehicle is a

  • Ico textbox

    License plate #

  • Ico integer

    Odometer Start (kms)

  • Ico integer

    Odometer Finish (kms)

  • Ico dropdown

    Item

  • Ico dropdown

    Condition

  • Ico multiline

    Comments

  • Ico dropdown

    Item

  • Ico dropdown

    Condition

  • Ico multiline

    Comments

  • Ico dropdown

    Item

  • Ico statictext

    Vehicle / location- Conduct circle check.

  • Ico dropdown

    Condition

  • Ico multiline

    Comments

  • Ico textbox

    Other vehicle deficiencies/ issues

  • Ico multiline

    Actions/ required repairs

  • Ico textbox

    Comments

  • Ico statictext

    The information contained in this sample document is for educational purposes only.

  • Ico date

    Date

  • ...and More!

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