Melancthon Daily Vehicle Check

• Melancthon Wind O&M Daily Vehicle Check Sheet

• Document No.

• Conducted on

  Date

• Inspecter:

  Select Chris Chad Clayton Dan George Heath Jason Kevin Mike Paul Tyler Bill Joe Shawn Lorena

  • Chris
  • Chad
  • Clayton
  • Dan
  • George
  • Heath
  • Jason
  • Kevin
  • Mike
  • Paul
  • Tyler
  • Bill
  • Joe
  • Shawn
  • Lorena

• Check if Inspection done in Melancthon O&M Yard
• Location
  Address

• Truck Plate #:

  Select AF84870 AH38556 AA85401 500 1YH Av76660 AV76661 823 7RT 326 6WZ 326 5WZ

  • AF84870
  • AH38556
  • AA85401
  • 500 1YH
  • Av76660
  • AV76661
  • 823 7RT
  • 326 6WZ
  • 326 5WZ

Sample Vehicle Inspection - General Details

• Registration expiry date: Dec 2018

• Mileage

• Occupant Doors Open

  Safe

  At Risk

  N/A

• Occupant Doors Close

  Safe

  At Risk

  N/A

• Instrument Cluster Gauges Functional

  Safe

  At Risk

  N/A

• All lights Functional

  Yes

  No

• Indicate lights not working

  Select DS Headlight DS Front Signal DS Rear Signal DS Brake PS Headlight PS Front Signal PS Rear Signal PS Brake Running Lights Reverse Lights

  • DS Headlight
  • DS Front Signal
  • DS Rear Signal
  • DS Brake
  • PS Headlight
  • PS Front Signal
  • PS Rear Signal
  • PS Brake
  • Running Lights
  • Reverse Lights

• Cargo Securement

  Safe

  At Risk

  N/A

• Coupling Device

  Safe

  At Risk

  N/A

• Accelerator Pedal Operates

  Safe

  At Risk

  N/A

• Brake Pedal Operates

  Safe

  At Risk

  N/A

• Driver Seat Remains in Position

  Safe

  At Risk

  N/A

• Seat Belts Functional

  Safe

  At Risk

  N/A

• Fire Extinguisher

  Safe

  At Risk

  N/A

• 1st Aid Kit

  Safe

  At Risk

  N/A

• Spill Kit

  Safe

  At Risk

  N/A

• Exhaust (Leak)

  Safe

  At Risk

  N/A

• Body General Condition

  Safe

  At Risk

  N/A

• Frame General Condition

  Safe

  At Risk

  N/A

• Fuel Tank (Leak)

  Safe

  At Risk

  N/A

• Fuel Cap

  Safe

  At Risk

  N/A

• Windshield Condition

  Safe

  At Risk

  N/A

• Window Condition

  Safe

  At Risk

  N/A

• Side Mirrors

  Safe

  At Risk

  N/A

• Defrost Capability

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Brake Fluid Level

  Safe

  At Risk

  N/A

• Backup Alarm Functional

  Safe

  At Risk

  N/A

• General Vehicle Condition

  Safe

  At Risk

  N/A

• Are you pulling a trailer?

  Yes

  No

• Plate #

  Select Gearbox K1739S Dump K1616S Landscape H4411B Light K1668S Splice K7037L Landscape F6103E Landscape F6104E Excavator K1615S Oil L2402M

  • Gearbox K1739S
  • Dump K1616S
  • Landscape H4411B
  • Light K1668S
  • Splice K7037L
  • Landscape F6103E
  • Landscape F6104E
  • Excavator K1615S
  • Oil L2402M

• All Lights functional

  Yes

  No

  N/A

• Frame General Condition

  Safe

  At Risk

  N/A

• Tire Condition/Inflation

  Safe

  At Risk

  N/A

• Hitch Condition

  Safe

  At Risk

  N/A

• Safety Chains Condition

  Safe

  At Risk

  N/A

• Loads Secured

  Safe

  At Risk

  N/A

• Did the Trailer pass the inspection overall?

  Yes

  No

• Quick summary of major issues

Sample Summary and Signoff

• Did the vehicle pass the inspection overall?

  Yes

  No

• Quick summary of major issues

• Name and signature of inspector

  Sign