Tractor Maintenance Report

This is a Federal Law, D.O.T. requirment, not merely a company policy.

Date

Name

First Last

Address

Street Address City State ZIP Code

This is a combination Repair Record, Lubrication and Grease Record, and Tire Repair & Replacement Record. It must be completed each month in which the maintenance is preformed

Repair Record: Any and all repairs completed during the month must be listed. All replacement parts must be listed. This also includes minor items such as lights, reflectors, etc.

Lubrication & Grease Record: Each lubrication must be listed and all grease jobs. (Trans., Diff. etc)

Tire Repair or Replacement Record: List all tire and tube repairs, replacements, tire switching, rotations, etc.

Company Unit #

Number of Tires

Make

Tire Size

Model

Tire Ply

Serial #

REPAIR SECTION: List all repairs made. List all parts or equipment installed.

Date, Repairs, Replacement or Equipment Installed

LUBRICATION RECORD

Date, Mileage, Lub., Oil, Filter, Transmission, Diff., Ck Front Wheel

TIRE SECTION. List all repairs, replacements, rotations, etc.

Date, Description

Signature