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JASKO - Equipment Condition and Property Issue

Equipment Condition and Property Issue Form — EMP-FRM-016

JASKO ENTERPRISES, INC. · FORM EMP-FRM-016 · REV. 0 · EFFECTIVE NOVEMBER 1, 2026

Document equipment condition and all property issued to the driver. Photograph existing damage. This form does not replace a required vehicle inspection or DVIR.

READINESS

  • ☐ Registration current
  • ☐ Insurance document current
  • ☐ Annual inspection current
  • ☐ PM status current
  • ☐ No unresolved out of service defect
  • ☐ ELD linked to tractor
  • ☐ Fuel card activated
  • ☐ Toll transponder activated
  • ☐ Permit book complete
  • ☐ IFTA credentials present
  • ☐ Reefer monitoring verified when applicable
  • ☐ Existing damage photographed

PROPERTY ISSUED

  • ☐ Tractor keys
  • ☐ Key fob
  • ☐ Fuel card
  • ☐ Tablet
  • ☐ Tablet charger
  • ☐ Toll transponder
  • ☐ Permit book
  • ☐ Registration and insurance documents
  • ☐ Load locks
  • ☐ Straps
  • ☐ Padlocks
  • ☐ Tire chains
  • ☐ Safety equipment
  • ☐ PPE
  • ☐ Accident packet
  • ☐ Paper logs
  • ☐ Other property

DRIVER ACKNOWLEDGMENT

I acknowledge receipt of the property and condition stated above. I will safeguard JASKO property, report loss or damage promptly, and return property as required. This acknowledgment does not authorize a deduction unless a separate lawful authorization applies.

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JASKO Enterprises, Inc. — 1122 N. 189th Ave, Buckeye, AZ 85326