Title Page
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Site conducted
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Asset Vehicle being used
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Conducted on
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Prepared by
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Location
LS - Fleet Pre-Use Inspection
Exterior
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Signs of leaks under vehicle
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Tires properly inflated
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Windows and mirrors clean
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Doors open/close properly
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Front bumper/Hood/Windshield
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Drivers side
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Passenger Side
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Rear Bumper/Tailgate
Under Hood
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Oil Level
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Coolant
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Brake Fluid
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Transmission Fluid
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Power Steering Fluid
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Corrosion on Battery
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Windshield washer fluid
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Hoses (cracked, leaking or dripping)
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Belts (not frayed or cracked)
Interior
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Clean interior
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Floor free of hazards
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Seatbelts in good condition
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Mirrors adjustable
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Emergency brake
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Brakes
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Heater and Defrost
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A/C
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Adequate fuel (never under 1/4)
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Any warning lights
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Doors lock
Lights and Signals
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Driver side indicator (front and rear)
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Passenger indicator (front and rear)
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Headlights (high/low)
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Brake lights
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Back up lights/alarms
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Windshield wipes (driver & passenger, no smearing or streaks)
Safety Equipment
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Road side kit (reflective triangles/flares)
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First Aid Kit
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Fire Extinguisher
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Biohazard kit
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Vehicle Use Package with accident information
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Insurance/Registration
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Seatbelt Cutter
Communication
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Hands-free communication device working
Vehicle Use Agreement
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I have reviewed the vehicle use policy. I understand that it is my responsibility to operate a company vehicle safely and follow the requirements of the company vehicle safety policy. I also understand that the company will periodically review my motor vehicle record (MVR) and assess my eligibility to drive a motor vehicle on company business. I have read and understand the Vehicle Use Policy. I agree to abide by the provisions of this policy. I understand that violations of this policy will result in disciplinary action, up to and including loss of use of company vehicles, suspension and/or termination of employment.
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Vehicle User Name and Signature
