POV INSPECTION CHECKLIST NAME:VEH. MAKE / MODEL

For GSA or commercial vehicles, enter Vehicle Identification Number (VIN) or Company-assigned number(s) for vehicle (and trailer, if applicable). All items (11.a. through 11.n.) will be checked on all incoming military, government-owned, or commercial empty equipment prior to loading.

POV INSPECTION CHECKLIST At least a two week period should be allowed to ensure timely repairs.

This form applies to all vehicles which must be marked or placarded in accordance with Title 49 CFR. 1. BILL OF LADING/TRANSPORTATION CONTROL NUMBER. b. 2. CARRIER/GOVERNMENT ORGANIZATION. 3. DATE/TIME OF INSPECTION. 4. LOCATION OF INSPECTION. 5. OPERATOR(S) NAME(S) 6. OPERATOR(S) LICENSE NUMBER(S) 7. MEDICAL EXAMINER'S CERTIFICATE* 8.

Use only Unleaded Regular gasoline in vehicles. Use only 10W30 standard motor oil. The use of higher grade fuels or synthetic oil is UNAUTHORIZED. Only Exterior car Washes are …

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UNIT REP PRINT and SIGNATURE: ___________________________________________________________________DATE:_____________ QASAS Form 1 (16 Feb 21)