Docstoc

trip sheet Free Office Form Template

Document Sample
trip sheet Free Office Form Template Powered By Docstoc
					TRIP SHEET
VEHICLE NO. TYPE OUT MILEAGE DATE SHIFT IN DESTINATION TIME MILEAGE DO NOT OPERATE VEHICLE UNTIL VEHICLE INSPECTION REPORT IS COMPLETED ON REVERSE TOTAL MILES CONDITION OF VEHICLE

DRIVER

TIME

TOTAL MILES: Page 1 of 2

PAGE

OF

PAGES

l
Form U-1069 Feb 89 (Replaces Form D-16) VEHICLE NO. TYPE

VEHICLE INSPECTION REPORT
INSPECT AND EXPLAIN BRIEFLY ALL DISCREPANCIES
VEHICLE RECEIVED FROM

TIME

DATE

SHIFT

MECHANICAL
OIL

1st

2nd

3rd
TIRES

BODY

1st

2nd

3rd

GLASS
WINDSHIELD

1st

2nd

3rd

ACCESSORIES
RADIO

1st

2nd

3rd

WATER

SPARE

VENTS

FIRE EXTINGUISHER

BATTERY

JACK

DOORS

(CHECK RECHARGE DATE)

GASOLINE

PAINT

MISC. GLASS

FIRST AID BOX

BRAKES

HUBCAPS

(CHECK CONTENTS AND REPORT SHORTAGE)

LIGHTS

HIGH

DENTS OR SCRATCHES REMARKS: REMARKS:

LOW REMARKS:

SIGNAL

WIPERS GASOLINE ADDED OIL ADDED REMARKS: GAL.

QT.

INSPECTED BY: FIRST

TIME

SECOND

TIME

SUPERVISOR

THIRD

TIME

Page 2 of 2


				
DOCUMENT INFO
Categories:
Stats:
views:21650
posted:5/1/2008
language:English
pages:2