Attachment 2a. EANC FORM 114.pdf
PDF 108 KB Posted
- Attached to
- OCIE/Medical Supply Delivery Services
- Solicitation number
- W91QVN-22-R-0096
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 2e. DD FORM 1384 (TCMD).pdf | ||
| Attachment 2c. EATC Form 36.pdf | ||
| Attachment 2d. USFK form 79-3EK.pdf | ||
| Attachment 2g. CDRA FORM DA 1423-1.pdf | ||
| Attachment 1 ELIN LIST.xlsx | XLSX spreadsheet | |
| W91QVN22R0096 Solicitation.pdf | ||
| Attachment 2b DD 626.pdf |
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Text version
CONTRACTOR LOCATION:
CONTRACT NUMBER DATE/TIME
VECHICLE# (LICENSE PLATE): CARGO:
OPERATOR'S NAME: CONSIGNOR:
INSPECTOR'S NAME: CONSIGNEE:
INSPECTOR'S TELEPHONE: INSPECTOR’S UNIT
Circle (PASS) or (FAIL) for each inspected area.
If the area does not apply, write “N/A” in the remarks block
EXPLAIN DISCREPANCIES IN REMARKS SECTION
ITEMS STANDARD STAUS REMARKS
LIGHTS (FRONT/REAR) Operational, not broken Pass Fail
BRAKE LIGHTS Operational, not broken Pass Fail
TURN SIGNALS Operational, not broken Pass Fail
REAR VIEW MIRROR Not Broken, not Loose Pass Fail
STEERING ASSEMBLY Steering not restricted Pass Fail
WINDSHIELD WIPER Operational, with fluid Pass Fail
METERING DEVICES Operational Pass Fail
HORN Operational Pass Fail
OIL PRESSURE Not in red Pass Fail
FUEL LEVEL Over half tank Pass Fail
FIRE EXTINGUISHER Accessible &full Pass Fail
BRAKES (HAND/FOOT) Operational Pass Fail
TIRE CONDITION
Front tires 1/4 in (6.35mm) Rear tires 3/16 in (4.762mm) Pass Fail
TIRE PRESSURE Inflated to standard Pass Fail
MUFFLER Attached & Secure Pass Fail
FLATBED CONDITION No holes larger than 4in Pass Fail
GROUNDING DEVICE Driver Knowledge Pass Fail
FUEL METERING DEVICE Operational Pass Fail
WHEELS CHOCKED
Chalks available, used during (un)loading Pass Fail
CONDITION OF CARGO
COMPARTMENT
Clean, clear of debris
Pass Fail
REFRIGERATION DEVICE Operational Pass Fail
SERVICABLE DOOR LATCH Operational Pass Fail
LOCKING DOOR Operational Pass Fail
COVERS ON CARGO Not torn Pass Fail
CARGO PROPERLY
TIED DOWN
IAW Manuel and US Rep guidance Pass Fail
MARKING OF TRUCKS IAW Manuel Pass Fail
CARGO DOCUMENTATION Signed, Correct Cargo Pass Fail
DRIVER'S IDENTIFCATION
Driver’s license, Insurance Card Pass Fail
SIGNATURE OF INSPECTOR
EANC FORM 114
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