Daily vehicle inspection & HOS (combined)
ELD-exempt / paper recordkeeping — Dot Hours of Service
Date
Driver name
Carrier / USDOT
Truck / unit #
Odometer
Pre-trip inspection
For each item: circle OK or mark defect; detail defects and corrective action below. Use your carrier's required inspection list if different.
- 1. Service brakes, including trailer brake connections OK / defect
- 2. Parking (hand) brake OK / defect
- 3. Steering mechanism OK / defect
- 4. Lights, signals, reflectors OK / defect
- 5. Tires, wheels, rims OK / defect
- 6. Windshield wipers OK / defect
- 7. Rear-vision mirrors OK / defect
- 8. Coupling devices / fifth wheel OK / defect
- 9. Emergency equipment OK / defect
- 10. Other (describe in notes) OK / defect
Defects found?
Safe to operate?
Defect notes / corrective action:
Driver signature (pre-trip)
Time
Hours of service (same day)
Status: OFF · SB · D · ON (same meaning as grid log). Use additional sheets if needed.
| Start | End | Duty | Location | Remarks | Hrs |
|---|---|---|---|---|---|
HOS certification
I certify the HOS entries above are true and correct for this date to the best of my knowledge.
Driver signature
Date