Title Page

Basic Information

  • Today's Date

  • FFO

  • Driver Name

  • Driver's License Number

  • Supervisor

  • Vehicle Number

  • Odometer Reading

Tires

  • Current Tire Condition

  • Spare Tire

Under Hood Inspection

  • Brake Fluid Level

  • Windshield Washer Fluid

  • Hoses

  • Remove Debris From Radiator Core

  • Coolant Level

  • Power Steering Fluid

  • Transmission Fluid

  • Belts

  • Engine Oil

  • Oil Change Mileage and Date

Lights

  • Headlights

  • High Beam

  • Low Beam

  • Hazard Lights

  • Instrument Lights

  • Brake Lights

  • Tail Lights

  • Beacon

  • Turn Signals

  • Check Engine Light

  • Oil Pressure

  • Emergency Brake Light

  • Engine Temperature

Safety Features

  • Windshield Wipers

  • Windshield/Windows

  • Seat Belts

  • Mirrors

  • Horn

  • Back Up Alarm

  • First Aid Kit

  • Cones

  • Fire Extinguisher

  • Foreign Voltage Detector

  • AR Sticker

Aerial Lift Vehicle

  • ONAN Oil Level

  • Hydraulic Fluid Level

  • Hydraulic Leaks Exterior/Interior

  • Upper Boom Control Operational

  • Lower Boom Control Operational

  • Boom Inspection Date

Documentation

  • Vehicle Registration and Inspection Sticker (Attach Photo)

  • Accident Reporting Form

  • Insurance Card

  • Vehicle Registration Form

Personal Protective Equipment

  • Hard Hat

  • Safety Glasses

  • Hand Protection

  • Foot Protection

  • Climbing Belt

Comments

  • Driver Comments

  • Driver Signature

  • Supervisor Signature

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.