Brock Daily Vehicle Inspection

• Thank you for inspecting your vehicle!

• This form must be completed and returned to your supervisor every time you take control of a company vehicle. It should be filled at the beginning of shift each day when a driver vehicle changes and at least weekly when the vehicle has continuously been in your care. You will be held responsible if your negligence in performing these important safety checks results in damage to a company vehicle or fines from a law enforcement agency and that negligence may result in the termination of your employment.

• Conducted on

  Date
• Location
  Address

• Driver name

• Current vehicle mileage

• Vehicle plate number

• Oil level

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Antifreeze level

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Washer fluid level

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Windshield wipers

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Headlights & signal lights

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Brake lights

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Backup lights

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Clearance lights

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Mirrors

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Horn & backup horn

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Winter kit (seasonal)

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Spare tire

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Jack & wrench

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Tire pressure

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Insurance card

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Vehicle registration

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• License plate

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Vehicle cleanliness

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

• Incident investigation package

  Acceptable

  Unacceptable

  N/A

• Comments

• Action taken

Pictures

• Front of Vehicle Exterior

  Media

• Driver’s Side Exterior

  Media

• Rear of Vehicle Exterior

  Media

• Passenger Side Exterior

  Media

• Passenger Side Interior Front

  Media

• Passenger Side Interior Rear

  Media

• Driver’s Side Interior Rear

  Media

• Driver’s Side Interior Front

  Media