Information
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Conducted on:
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Auditor:
Identification
Identification
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Equipment Number:
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Odometer reading:
Documentation in vehicle
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Vehicle Registration, Insurance, Do Not Operate Tag
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Accident Report Form and Instructions
Interior
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Window Operation
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Door Locks
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Seatbelts
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Mirrors properly adjusted
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No Warning Lights turned on
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Roadside Emergency Kit, Triangles, First-Aid Kit
Engine Compartment
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Windshield washer fluid
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Engine oil level
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Coolant level
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Brake Fluid level
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Transmission Fluid Level
Exterior
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Windows and windshield in good condition
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Windshield wipers working
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Headlights functional
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Tail Lights, Brake Lights & Turn Signals
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Emergency brake in good condition
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Power brakes in good condition
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Tires in good condition
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Bald tires
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Not inflated properly
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Damaged tires
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Horn working
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Back-Up Alarm
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No grease or oil leaks
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No fuel leaks
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Fire Extinguisher in good condition and inspected in the last year?
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Additional comments/observation
Observation
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Add observations/comments here.
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Add media
Signatures
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I hereby certify that all information is accurate, and that after an actual inspection was conducted this vehicle is safe for use.
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Auditor's Printed Name & Signature
