Conview Circle Check

Vehicle number

• Today's Date

  Date

• Your Name

• Location of Inspection
  Address

VEHICLE DESCRIPTION

• Odometer reading

• Take a picture of the vehicle

  Media

EXTERIOR LIGHTING (Take photo's of any damage)

• The high and low beams are operational.

  Pass

  Fail

  N/A

• The left and right tail lights are operational.

  Pass

  Fail

  N/A

• The left and right front turn signals are operational.

  Pass

  Fail

  N/A

• The left and right rear turn signals are operational.

  Pass

  Fail

  N/A

• The left and right break lights are operational.

  Pass

  Fail

  N/A

• The left and right back-up lights are operational.

  Pass

  Fail

  N/A

EXTERIOR BODY AND GLASS (Take photo's of any noted damage)

• The windshield is free of cracks and chips

  Pass

  Fail

  N/A

• The front hood, grill and bumper are free of damage.

  Pass

  Fail

  N/A

• The mirrors are adjustable and free of damage.

  Pass

  Fail

  N/A

• The body is free of damage.

  Pass

  Fail

  N/A

• The vehicle is clean and free of road grime and dirt.

  Pass

  Fail

  N/A

TIRES

• The front driver tire is in a good condition with no visible signs of damage.

  Pass

  Fail

  N/A

• The rear driver tire is in a good condition with no visible signs of damage.

  Pass

  Fail

  N/A

• The rear passenger tire is in a good condition with no visible signs of damage.

  Pass

  Fail

  N/A

• The front passenger tire is in a good condition with no visible signs of damage.

  Pass

  Fail

  N/A

• The spare tire is in a good condition with no visible signs of damage.

  Pass

  Fail

  N/A

• All the wheels/mags are free of damage.

  Pass

  Fail

  N/A

INTERIOR

• Fire extinguisher

  Yes

  No

  N/A

• First aid kit available

  Yes

  No

  N/A

• The seat belts are in good condition and operational .

  Yes

  No

  N/A

• The windshield wipers are functioning and in a good condition.

  Yes

  No

  N/A

• The windshield washer fluid level is acceptable and the washer is operational.

  Yes

  No

  N/A

• The heater and defroster are operational.

  Yes

  No

  N/A

• The airconditioning is operational.

  Yes

  No

  N/A

• The dashboard lights are operational.

  Yes

  No

  N/A

• All the gauges are operational and show within the acceptable ranges.

  Yes

  No

  N/A

• The interior compartment lights are operational.

  Yes

  No

  N/A

• The interior is clean and free of loose objects.

  Yes

  No

  N/A

• The seats are in good and clean condition.

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• The vehicle is serviced according to the manufacturers schedule.

  Yes

  No

  N/A

• Tag, inspection, and insurance card up to date.

  Yes

  No

  N/A

• What is the next service date?

  Date

• What is the next service KM's?

• Is this vehicle ok to operate safely?

  Yes

  No

  N/A

• Do you need to submit a service request?

  Yes

  No

  N/A

• Did you notify supervisor of any issues that prevent safe operation of the vehicle?

  Yes

  No

  N/A

SIGNATURES

• Signature of driver

  Sign

• Date and time of approval

  Date

• Approver's signature

  Sign