CSUSA Vehicle Safety Inspection Checklist

• Make and year of vehicle

• Odometer

• Vin#

• Truck/Van #

• Conducted on

  Date
• Location
  Address

• Person inspecting the vehicle

Vehicle inspection item

• Seat belt in good condition and working properly?

  Yes

  No

  N/A

• Brakes including parking brake function properly?

  Yes

  No

  N/A

• Oil change performed within the normal parameters? How many miles since last oil change?

  Yes

  No

  N/A

• Heater/defroster function properly?

  Yes

  No

  N/A

• Steering wheel function properly?

  Yes

  No

  N/A

• Horn functions properly?

  Yes

  No

  N/A

• Tires are in good condition? When were the tires last rotated?

  Yes

  No

  N/A

• Exhaust system in good condition?

  Yes

  No

  N/A

• Windshield wipers function properly?

  Yes

  No

  N/A

Lights

• Headlights function properly?

  Yes

  No

  N/A

• Indicators function properly?

  Yes

  No

  N/A

• Brake lights function properly?

  Yes

  No

  N/A

• Tail lights function properly?

  Yes

  No

  N/A

• Reverse lights function properly?

  Yes

  No

  N/A

• Flashers function properly?

  Yes

  No

  N/A

• Instrument panel lights up correctly?

  Yes

  No

  N/A

Glass

• Windshield is in good condition?

  Yes

  No

  N/A

• Mirrors are in good condition and function properly?

  Yes

  No

  N/A

Safety equipment

• First aid kit fully stocked including an eye wash station?

  Yes

  No

  N/A

• Ladders have all of the proper markings and are properly secured not using bungee cords?

  Yes

  No

  N/A

• Fire extinguisher in place and inspected on a monthly basis?

  Yes

  No

  N/A

• Road side kit ( reflective triangle/flares/flag) available?

  Yes

  No

  N/A

• Accident kit available?

  Yes

  No

  N/A

• Driver's alert sticker in place?

  Yes

  No

  N/A

Housekeeping

• Parts/tools/supplies/tanks organized?

  Yes

  No

  N/A

• Parts/tools/supplies/tanks secure?

  Yes

  No

  N/A

Overall condition of the vehicle

• Is the outside of the vehicle clean?

  Yes

  No

  N/A

• Is the inside of the vehicle well organized and clean?

  Yes

  No

  N/A

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