Tractor Monthly Maintenance Report.

This is a Federal Law, D.O.T. requirement, not merely a company policy. This report MUST be completed and submitted to our office no later than the 15th of the following month.
Support Driver Hotline - 773-523-5730

    * Date

    Driver info

    * First Name

    * Last Name

    * Email Address

    * Phone Number

    * Address

    This is a combination Repair Record, Lubrication and Grease Record, and Time Repair & Replacement Record. It must be completed each month in which maintenance is performed. List all repairs, lubrications, and/or replacements completed during the month. This also includes major items such as lights, reflectors, etc. All records must be listed for all power units. The Repair or Replacement Record lists all tire and brake repairs, replacements, etc.

    * Unit

    * Make

    * Model

    * Serial #

    * Number of Tires

    * Tire Size

    * Tire Ply

    Did you have any repairs done that month?

    Repair Section

    List all repairs made. List all parts or equipment installed.

    * Date

    * Odometer

    * Repairs, Replacement or Equipment Installed

    Date

    Odometer

    Repairs, Replacement or Equipment Installed

    Tire Section

    List all repairs, replacement, location, and notes.

    Date

    Odometer

    * Tire Position(s)

    Tire Repair(s)

    Date

    Odometer

    Check List

    Tire Repair(s)

    Lubrication Record

    *Date

    *Odometer

    * Preventive Maintenance (check all that apply):

    Brakes Adjustment Records

    * Date

    * Odometer

    * Adjustments

    Date

    Single Line Text

    Odometer

    Adjustments

    Receipt of the repair (.pdf,.jpg,.jpeg,.png, max: 5mb)

    * Date of Signature

    * Signature

    By Checking This Box, I Consent To My Physical Signature And Certify That The Information Is True And Correct.

    Check

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