Envirotrol - Vehicle Inspection - Service

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

VEHICLE DETAILS

• DRIVER NAME

• Inspection Due Date

  Date

• Vehicle#

• Odometer

PLEASE INSPECT THE FOLLOWING ITEMS

• LADDERS ON LADDER RACK SECURED

  YES

  NO

• REFRIGERANT TANKS SECURED

  YES

  NO

• RADIATOR TANK LEVEL

  GOOD

  LOW

• TIRE PRESSURE (INCLUDING SPARE)

  GOOD

  LOW

• TIRE TREAD CONDITION (INCLUDING SPARE)

  GOOD

  LOW

• BRAKE FLUID LEVEL

  GOOD

  LOW

• BELT CONDITION

  GOOD

  MINOR CRACKS/WEAR

  MAJOR CRACKS/WEAR

• OIL LEVEL

  GOOD

  LOW

• TRANSMISSION FLUID LEVEL

  GOOD

  LOW

• POWER STEERING FLUID LEVEL

  GOOD

  N/A

  LOW

• WINDSHIELD CONDITION

  GOOD

  MINOR CRACKS/DAMAGE

  MAJOR CRACKS/DAMAGE

• ALL LIGHTS (HEADLIGHTS, TAIL LIGHTS, HAZARDS, DASH LIGHTS, TURN SIGNALS)

  Select GOOD SOME LIGHTS NEED REPLACING (PLEASE SPECIFY IN NOTES)

  • GOOD
  • SOME LIGHTS NEED REPLACING (PLEASE SPECIFY IN NOTES)

• WIPER BLADE CONDITION

  GOOD

  SLIGHT WEAR

  MAJOR WEAR

• HORN

  GOOD

  NON-FUNCTIONAL

PLEASE MAKE SURE YOU HAVE THE FOLLOWING

• JACK

• LUG WRENCH

• SPARE TIRE

• FIRST AID KIT

• FIRE EXTINGUISHER

• IS FIRE EXTINGUISHER PRESSURE IN THE GREEN?

  YES

  NO

• LOCK OUT / TAG OUT KIT

• ACCIDENT KIT

NOTES

• PLEASE ENTER ANY NOTES HERE

DRIVER'S SIGNATURE

• I understand the ability to drive a company vehicle is a privilege that comes with significant responsibilities. I understand and recognize that I have a personal obligation to follow the rules as well as those outlined in other policies relating to vehicle safety, operation, and maintenance. My life and job depend on safe driving. Because I care, I will not put my life of the lives of others at risk by ignoring or failing to follow these Fleet Safety Rules.

  Sign

• Driver Sign Here

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