Title Page

  • Vehicle identification number

  • Conducted on

  • Prepared by

Documentation

  • Current Registration

  • Current Insurance

  • Current plate

  • Pre-trip mileage

  • Post-trip mileage

Vehicle lighting operation

  • Head lamp hi/ low operation

  • Fail location?

  • Marker light operation

  • Fail location?

  • Turn signal operation

  • Fail location?

  • Clearance light operation

  • Fail location?

  • License plate light operation

  • Interior cab lamp operation

  • Cargo lamp operation

Vehicle Braking

  • Front braking operation

  • Symptoms

  • Rear braking operation

  • Symptoms

  • Parking brake operation

Vehicle tread/tire condition

  • Tire tread depth/condition

  • Fail location?

  • Front tire inflation

  • Fail location?

  • Rear tire inflation

  • Fail location?

Windshield/Wipers condition

  • Windshield clear/undamaged

  • Fail location/type?

  • Windshield wiper condition/operation

  • Fail location?

Engine fluid condition

  • Engine oil full/condition

  • Low/Burnt/Discolored

  • Transmission fluid full/condition

  • Low/Burnt/Discolored

  • Engine coolant full/condition

  • Low/Burnt/Discolored

  • Other fluids full/condition

  • Type/Low/Burnt/Discolored

Safety equipment

  • Fire extinguisher present/charged

  • Description

  • Road triangles/flares present

  • Missing/damaged

Additional information/malfunction

  • Description

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.