Maximus

• Unit #

• Make/Model/ Year

• Condition

  Good

  Fair

  Poor

  N/A

• Mileage

undefined

• Yes

  No

  N/A

• L.P.

• VIN

• Inspection Date

  Date

• Service Ready

  Compliant

  Non-Compliant

  N/A

• Safety (F.Extinguisher,F.A.Kit,Etc.

  Compliant

  Non-Compliant

  N/A

• Prepared by

• Location
  Address

• Leaks

  Yes

  No

  N/A

• Where is Leak

• Service Required

  Yes

  No

  N/A

• Windshield

• Mirrors all in place and visible

  Yes

  No

  N/A

• Tires

  Good

  Fair

  Poor

  N/A

• Oil Level

  Pass

  Fail

  N/A

• Explain why failed

• Oil Pressure

  Pass

  Fail

  N/A

• Transmission Fluid

  Pass

  Fail

  N/A

• Explain trans fluid fail

• Water Level/Radiator

  Pass

  Fail

  N/A

• Explain Fail on Water Level

• Brake Fuid

  Pass

  Fail

  N/A

• Explain Fail on Brake Fluid

• Belts/Hoses

  Pass

  Fail

  N/A

Lighting

• Headlights/Taillights

  Compliant

  Non-Compliant

  N/A

• Turn Indicators

  Pass

  Fail

  N/A

• Clearance Markers

  Pass

  Fail

  N/A

All Other

• Heater/Defroster

  Good

  Fair

  Poor

  N/A

• A/C

  Good

  Fair

  Poor

  N/A

• Steering

  Good

  Fair

  Poor

  N/A

• Explain Steering issues

• Exhaust

  Compliant

  Non-Compliant

  N/A

• Other issues not listed

Signature

• Person Conducting Inspection

  Sign

undefined

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A