• Equipment Number:11-001

  • Odometer reading:

Documentation in vehicle

  • Vehicle Registration, Insurance, Do Not Operate Tag

  • Accident Report Form and Instructions


  • Window Operation

  • Door Locks

  • Seatbelts

  • Mirrors properly adjusted

  • No Warning Lights turned on

  • Roadside Emergency Kit, Triangles, First-Aid Kit

Engine Compartment

  • Windshield washer fluid

  • Engine oil level

  • Coolant level

  • Brake Fluid level

  • Transmission Fluid Level


  • Windows and windshield in good condition

  • Windshield wipers working

  • Headlights functional

  • Tail Lights, Brake Lights & Turn Signals

  • Emergency brake in good condition

  • Power brakes in good condition

  • Tires in good condition

  • Bald tires

  • Not inflated properly

  • Damaged tires

  • Horn working

  • Back-Up Alarm

  • No grease or oil leaks

  • No fuel leaks

  • Fire Extinguisher in good condition and inspected in the last year?

  • Additional comments/observation

  • Observation
  • Add observations/comments here.

  • Add media


  • I hereby certify that all information is accurate, and that after an actual inspection was conducted this vehicle is safe for use.

  • Auditor's Printed Name & Signature

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