ETS Vehicle Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Drivers Name

• Vehicle #

• Year

• Make

• Model

• Odometer Reading

EXTERIOR LIGHTS

• High and low beams

  Yes

  No

  N/A

• Left and right tail lights

  Yes

  No

  N/A

• Left and right front turn signals

  Yes

  No

  N/A

• Left and right rear turn signals

  Yes

  No

  N/A

• Left and right brake lights

  Yes

  No

  N/A

• License plate lights

  Yes

  No

  N/A

• Reverse lights

  Yes

  No

  N/A

• Windshield free of cracks & chips

  Yes

  No

  N/A

• Front hood,grill,and bumper free of damage

  Yes

  No

  N/A

• Right side free of damage

  Yes

  No

  N/A

• Rear free of damage

  Yes

  No

  N/A

• Left side free of damage

  Yes

  No

  N/A

TIRES

• Front driver tire in good condition with no visible signs of wear or cracking side wall

  Yes

  No

  N/A

• Rear driver tire in good condition with no visible signs of wear or cracking side wall

  Yes

  No

  N/A

• Rear Passenger tire in good condition with no visible signs of wear or cracking side wall

  Yes

  No

  N/A

• Front passenger tire in good condition with no visible signs of wear or cracking side wall

  Yes

  No

  N/A

• Spare tire in good condition with no visible signs of wear or cracking side wall

  Yes

  No

  N/A

INTERIOR

• Driver seat belt operational

  Yes

  No

  N/A

• Passenger seat belt operational

  Yes

  No

  N/A

• Windshield wipers functioning properly

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Heater and defroster

  Yes

  No

  N/A

• A/C operational

  Yes

  No

  N/A

• Dashboard lights

  Yes

  No

  N/A

• All gauges operating and show within appropriate ranges

  Yes

  No

  N/A

• Radio

  Yes

  No

  N/A

ENGINE

• Oil level adequate(within min/max level)

  Yes

  No

  N/A

• Coolant level

  Yes

  No

  N/A

• Brake fluid level

  Yes

  No

  N/A

• Battery in good visible condition

  Yes

  No

  N/A

REQUIRED DOCUMENTS

• Valid vehicle registration

  Yes

  No

  N/A

• Valid Insurance<br>

  Yes

  No

  N/A

• Vehicle Accident Form<br>

  Yes

  No

  N/A

• Employee Accident Package<br>

  Yes

  No

  N/A

• Driver Signature

  Sign