322-221 Vehicle Inspection Report

• Driver's Name

• Inspected by

• Inspection Date

  Date
• Location
  Address

• INSTRUCTIONS
  ---------------------
  1. Please answer the questions provided below.
  2. Add photos and notes by clicking on the paperclip icon.
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date.
  4. Complete audit by providing digital signature.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Vehicle & Driver's Information

• Driver's License

• Driver's License Expiration Date

• Vehicle Number

• Vehicle Make

• Vehicle Model

• Vehicle Color

• Vehicle Year

• VIN Number

• Plate Number

• Current Mileage

• Fuel Level

Vehicle Credentials

• Insurance Card

  Pass

  Fail

  N/A

• Registration

  Pass

  Fail

  N/A

• Inspection

  Pass

  Fail

  N/A

• Front/rear license plates

  Pass

  Fail

  N/A

• List all "Other" vehicle credentials by clicking on the "Add Item" Button.

Item

• Please Specify

• Does the above vehicle credential(s) meet the requirement?

  Pass

  Fail

  N/A

Vehicle Interior

• Door panels

  Pass

  Fail

  N/A

• Driver/Passenger compartment

  Pass

  Fail

  N/A

• Trunk

  Pass

  Fail

  N/A

• Windows

  Pass

  Fail

  N/A

• Rear View Mirror

  Pass

  Fail

  N/A

• Seat Belts

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Carpets

  Pass

  Fail

  N/A

• Seats

  Pass

  Fail

  N/A

• Dashboard

  Pass

  Fail

  N/A

• Damages (describe and add picture)

  Pass

  Fail

  N/A

Vehicle Exterior

• Windshield

  Pass

  Fail

  N/A

• Windshield wipers

  Pass

  Fail

  N/A

• Tires

  Pass

  Fail

  N/A

• Body

  Pass

  Fail

  N/A

• Lettering

  Pass

  Fail

  N/A

• Door Handles

  Pass

  Fail

  N/A

• Damages (describe and add picture)

  Pass

  Fail

  N/A

Vehicle Exterior Lighting/Lenses

• Lenses

  Pass

  Fail

  N/A

• Headlights

  Pass

  Fail

  N/A

• Emergency Flashers

  Pass

  Fail

  N/A

• Tail/Parking lights

  Pass

  Fail

  N/A

• Reverse lights

  Pass

  Fail

  N/A

• Brave Lights

  Pass

  Fail

  N/A

• Directional Lights

  Pass

  Fail

  N/A

• Damages (describe and add picture)

  Pass

  Fail

  N/A

Fluids & Miscellaneous

• Oil

  Pass

  Fail

  N/A

• Coolant/Radiator

  Pass

  Fail

  N/A

• Transmission

  Pass

  Fail

  N/A

• Brakes

  Pass

  Fail

  N/A

• Engine

  Pass

  Fail

  N/A

• List all "Other" fluids and miscellaneous by clicking on the "Add Item" Button.

Item

• Please Specify

• Does the above fluids and miscellaneous meet the requirement?

  Pass

  Fail

  N/A

Safety Equipment

• Spare Tire and jack

  Pass

  Fail

  N/A

• Flashlight/First Aid kit

  Pass

  Fail

  N/A

• Emergency Contact List

  Pass

  Fail

  N/A

• Fire Extinguisher

  Pass

  Fail

  N/A

• List all "Other" safety equipment by clicking on the "Add Item" Button.

Item

• Please Specify

• Does the above safety equipment meet the requirement?

  Pass

  Fail

  N/A

• Please take a picture of all 4 sides (front, rear, passenger side, driver side)

  Media

• Sample Photo

  

Completion

• Auditor's Full Name and Signature

  Sign