don Monthly vehicle inspection

• Vehicle

  Select Dodge pickup Ford F-150 #1 Ford F-150 #2 Ford F-150 #3 Ford F-250 2012 Ford Escape

  • Dodge pickup
  • Ford F-150 #1
  • Ford F-150 #2
  • Ford F-150 #3
  • Ford F-250 2012
  • Ford Escape

• Conducted on

  Date

• Inspectors

  Select Les Mark Daniel Quentin Justin Don Ron Jennifer

  • Les
  • Mark
  • Daniel
  • Quentin
  • Justin
  • Don
  • Ron
  • Jennifer

Items

• Odometer reading

• Body

  Safe

  At Risk

  N/A

• Windshield

  Safe

  At Risk

  N/A

• Windshield wipers

  Safe

  At Risk

  N/A

• Headlights

  Safe

  At Risk

  N/A

• Tail lights

  Safe

  At Risk

  N/A

• Brake lights

  Safe

  At Risk

  N/A

• Tenure signals/Hazard flashers

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Tenure signals/Hazard flashers

  Safe

  At Risk

  N/A

• Seals belts

  Safe

  At Risk

  N/A

• Air bag (check owners manual for status information)

  Safe

  At Risk

  N/A

• Parking brake

  Safe

  At Risk

  N/A

• Back up sensors

  Safe

  At Risk

  N/A

• Engine: oil level

  Safe

  At Risk

  N/A

• Engine: cooling system

  Safe

  At Risk

  N/A

• Tires (wear and pressure, including spare)

  Safe

  At Risk

  N/A

• Misc. engine fluid levels (power steering, transmission, windshield washers )

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Clutch

  Safe

  At Risk

  N/A

• Accident information form

  Yes

  No

  N/A

• *Safety kit*

  Yes

  No

  N/A

• Mirrors

  Safe

  At Risk

  N/A

• Valid license and registration

  Safe

  At Risk

  N/A

• Remarks

• *recommendations for vehicle safety kit: small first aid kit, reflector set, reflective vest, jumper cables, blanket, winter clothing, fire extinguisher, flashlight, ice scraper, tire gauge, tire tread depth gauge, leather work gloves, safety glasses, screwdriver, and pliers