Electric Car Inspection - EZ-1

• Operator

• Date and Time of Inspection

  Date

• Shift

  Select

• Take a picture of the Electric car

  Media

• Is this inspection for the EZ-1?

  Yes

  No

  N/A

Check List Inspection

• Brakes

  Compliant

  Non-Compliant

  N/A

• Back Up Alarm

  Compliant

  Non-Compliant

  N/A

• Waring Light

  Compliant

  Non-Compliant

  N/A

• Headlights

  Compliant

  Non-Compliant

  N/A

• Visual Check - Any visual damage?

  Compliant

  Non-Compliant

  N/A

• Fire Extinguisher

  Compliant

  Non-Compliant

  N/A

• Cleanliness

  Compliant

  Non-Compliant

  N/A

• Tires

  Compliant

  Non-Compliant

  N/A

• Batteries

  Compliant

  Non-Compliant

  N/A

• Horn

  Compliant

  Non-Compliant

  N/A

Completion

• Comments

• Please sign to indicate that you have completed the pre-start check and that you will tag the vehicle out and report it if not safe to operate

  Sign