Fleet Vehicle Monthly Inspection (Export)

• Inspection Completed by

• Fleet Vehicle Asset

• Primary Driver

• Site conducted

  Select
• Location
  Address

• Conducted on

  Date

Vehicle Information

• Vehicle Registration Expiration Date

• Current Odometer/Mileage

Tires (any damage must me photographed)

• Tire tread

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Rims

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Wheel/Lug Nuts

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Tire Pressure

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Spare Tire

  Good

  Needs Repair

  Needs Immediate Action

  N/A

Lights/Signals (any damage must be photographed)

• Turn Signals (front/back/left/right)

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Hazard Lights

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Tail Lights

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Brake Lights

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Head Lights (low & high)

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Reverse Lights

  Good

  Needs Repair

  Needs Immediate Action

  N/A

Engine

• Last Oil Change Date

  Date

• Mileage for next oil change

• Oil Level

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Brake Fluid Level

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Power Steering Fluid

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Transmission Fluid

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Washer Fluid

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Battery

  Good

  Needs Repair

  Needs Immediate Action

  N/A

Inside Cabin (Any Needs Repair Must Be Photographed)

• Interior Cabin Cleanliness

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Fuel Level (minimum is 1/4 tank)

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Turn and Hazard Signals

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Horn

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Doors (locks and windows working)

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Windshield

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Wipers

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Seat belts in good repair and working

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Jack/Tire Wrench

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Fire Extinguisher

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• First Aid Kit

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Inside of cab picture from divers side

  Media

Outside of Vehicle (Any Needs Repair Must be Photographed)

• Front/Hood

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Drivers Side

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Passenger Side

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Rear (tailgate in good working condition)

  Good

  Needs Repair

  Needs Immediate Action

  N/A

• Front and Rear License Plate with current tabs

  Current

  Expires in 60 days

  Expired

Paperwork

• Copy of Current Insurance Card

  Current

  Expires in 60 days

  Expired

• Copy of Registration

  Current

  Expires in 60 days

  Expired

• Copy of U.S. Vehicle Use Policy

  Good

  Needs Repair

  Needs Immediate Action

  N/A

Company Vehicle Policy Acknowledgement

• 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.

• Name and Signature

  Sign