Pre-Start Checklist Truck

Enter your email address here to receive a copy of this form:

example@example.com

Name of person completing the check:*

First NameLast Name

Enter the access code here:

Date

DateHourMinutesAM/PM Option

Plant No. of the vehicle here: *

Enter the kilometer reading here:*

Ok DoneNeeds attentionNot applicable

Ok DoneNeeds attention

Ok DoneNeeds attentionNot applicable

YesNeeds attentionNot applicable

OK doneNeeds attentionNot applicable

OK doneNeeds attention

OK doneNeeds attentionNot applicable

OK doneNeeds attention

If you need to take a photo of any issues you have found, using your phone or tablet. Click on the "Take Photo" box below, select photo or camera, take the photo, click OK and the photo will be loaded into your document.

Take Photo

Rows	Very Satisfied	Satisfied	Somewhat Satisfied	Not Satisfied
General condition
Overall cleanliness of the vehicle.
No major issues to report

Are there any other concerns with the equipment that were not previously noted?..

Type into this box any concern.

If you have found any issues that need attention, do not use the equipment before checking with your supervisor!

I can confirm that there are no issues and the vehicle is safe to use!

Signature

BERT'S Pre-Start Checklist Truck