Information

  • Vehicle number

  • Conducted on

  • Prepared by

VEHICLE DESCRIPTION

  • Driver / Vehicle Number

  • Odometer reading

  • Take a picture of the vehicle

EXTERIOR LIGHTING (Take photo's of any damage)

  • The high and low beams are operational.

  • The left and right tail lights are operational.

  • The left and right front turn signals are operational.

  • The left and right rear turn signals are operational.

  • The left and right break lights are operational.

  • The left and right back-up lights are operational.

EXTERIOR BODY AND GLASS (Take photo's of any noted damage)

  • The windshield is free of cracks and chips

  • The front hood, grill and bumper are free of damage.

  • The mirrors are adjustable and free of damage.

  • The body is free of damage.

  • The vehicle is clean and free of road grime and dirt.

TIRES

  • The front driver tire is in a good condition with no visible signs of damage.

  • The rear driver tire is in a good condition with no visible signs of damage.

  • The rear passenger tire is in a good condition with no visible signs of damage.

  • The front passenger tire is in a good condition with no visible signs of damage.

  • The spare tire is in a good condition with no visible signs of damage.

  • All the wheels/mags are free of damage.

INTERIOR

  • Fire extinguisher

  • First aid kit available

  • The seat belts are in good condition and operational .

  • The windshield wipers are functioning and in a good condition.

  • The windshield washer fluid level is acceptable and the washer is operational.

  • The heater and defroster are operational.

  • The airconditioning is operational.

  • The dashboard lights are operational.

  • All the gauges are operational and show within the acceptable ranges.

  • The interior compartment lights are operational.

  • The interior is clean and free of loose objects.

  • The seats are in good and clean condition.

REQUIRED DOCUMENTATION

  • The vehicle is serviced according to the manufacturers schedule.

  • Tag, inspection, and insurance card up to date.

  • Note the date of the last service.

  • Note the odometer reading at the last service.

SIGNATURES

  • Signature of driver / responsible person

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.