Driver Observation Truck Number(Required) Trailer Numbers(Required) Driver(Required) Completed By:(Required) Untitled Survey Field(Required)Compliant/ ObservedNon-Compliant/ NoProper PPE in UseFire Extinguisher/ Trianlges AvailableValid Insurance AND Vehicle RegistrationDVIR CompletedTire Depth - above 4/32 (pen point)No Visible Leaks or Damage3 Points of Contact Rule ObservedGOAL - Get Out And LookDriver Aware of SurroundingsMirrorsGuages and Instruments WorkingNo Warning Lights DisplayedFuel and DEF levelsFifth Wheel height good and greasedCommentsPlease comment on any Non-Compliant or NO responses. Δ