Title Page

  • Make and year of vehicle

  • Odometer

  • Vin#

  • Truck/Van #

  • Conducted on

  • Location
  • Person inspecting the vehicle

Vehicle inspection item

  • Seat belt in good condition and working properly?

  • Brakes including parking brake function properly?

  • Heater/defroster function properly?

  • Steering wheel function properly?

  • Horn functions properly?

  • Tires are in good condition?

  • Exhaust system in good condition?

  • Windshield wipers function properly?

Lights

  • Headlights function properly?

  • Indicators function properly?

  • Brake lights function properly?

  • Tail lights function properly?

  • Reverse lights function properly?

  • Flashers function properly?

  • Instrument panel lights up correctly?

Glass

  • Windshield is in good condition?

  • Mirrors are in good condition and function properly?

Safety equipment

  • First aid kit fully stocked including an eye wash station?

  • Ladders have all of the proper markings and are properly secured not using bungee cords?

  • Fire extinguisher in place and inspected on a monthly basis?

  • Road side kit ( reflective triangle/flares/flag) available?

  • Accident kit available?

  • Driver's alert sticker in place?

Housekeeping

  • Parts/tools/supplies/tanks organized?

  • Parts/tools/supplies/tanks secure?

Overall condition of the vehicle

  • Is the outside of the vehicle clean?

  • Is the inside of the vehicle well organized and clean?

  • Add signature

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