DVIR Form CARRIER: Kings Hill Contracting, Inc. Address: 21 DiMartino Court, Walden, New York 12586 Daily Vehicle Inspection Form Date(Required) MM slash DD slash YYYY Time(Required) Hours : Minutes AM PM AM/PM Truck/Tractor #(Required)No 3 – 2012 Peterbuilt 367 Triaxle DumpOdometer Reading(Required)Please enter a number from 0 to 999999.Truck/Tractor Air Compressor Air Lines Battery Belts and Hoses Body Brake Accessories Brakes, Parking Brakes, Service Clutch Coupling Devices Defroster/Heater Drive Line Engine Exhaust Fifth Wheel Fluid Levels Frame and Assembly Front Axle Fuel Tanks Horn Lights Mirrors Muffler Oil Pressure Radiator Rear End Reflectors Safety Equipment Starter Steering Suspension System Tire Chains Tires Transmission Trip Recorder Wheels and Rims Windows Windshield Wipers Other Check only items that need to be addressed. Trailer Number Trailer Brake Connections Brakes Coupling Devices Coupling (King) Pin Doors Hitch Landing Gear Lights – All Reflectors/Reflective Tape Roof Suspension System Tarpaulin Tires Wheels and Rims Other Check only items that need to be addressed. Upload Images of Issues Drop files here or Select files Accepted file types: jpg, jpeg, gif, tiff, png, pdf, Max. file size: 256 MB, Max. files: 6. CONDITION OF THE ABOVE VEHICLE IS SATISFACTORY CONDITION OF THE ABOVE VEHICLE IS SATISFACTORY Driver's Name as Signature Defects ABOVE DEFECTS CORRECTED ABOVE DEFECTS NEED NOT CORRECTED FOR SAFE OPERATION OF VEHICLE Mechanics Name as Signature Date MM slash DD slash YYYY Driver's Name as Signature Date MM slash DD slash YYYY