• Take Photos of any damage or physical condition

  • Milage or hours

  • Description of Equipment or Vehicle

  • Unit Number or Plate Number

  • Driver / or Operator Name:

  • Signature:

  • Headlights working?

  • Tail Lights / or Back up Alarm (spotter if rear is obscured)

  • Tires including spare

  • Windshield and wipers good?

  • Heater and Defroster working?

  • Seatbelt

  • Exterior (list damage below)

  • Note any exterior damage:

  • Take Pictures and Upload them here

  • Cleanliness good.

  • Note any issues or maintenance items:

UNDER THE HOOD

  • Transmission Fluid

  • Describe problem.

  • Radiator / Anti-freeze

  • Describe problem.

  • Oil Level

  • Describe problem.

  • Power Steering / Brake Fluids

  • Describe problem.

  • Window Washer Fluid

  • Describe problem.

EQUIPMENT

  • Fully Charge

  • Fall Protection in place or provided

  • Controls Operational

  • Comments or Notes:

  • Is operator authorized to operate:

  • Fire protection - available and checked

  • Does this vehicle have AED- checked

  • Other items- List:

  • Name:

  • Signature

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