Milford Vehicle Inspection

• Document No.

• Audit Title

• Truck Unit Number

• Conducted on

  Date

• Prepared by

• Location
  Address

DRIVER/VEHICLE INFORMATION

• Driver Name:

• Driver Phone Number:

• Vehicle Unit #:

• Vehicle Mileage:

• Next Service due at (Miles)

EXTERIOR

• Windshield

  Checked and OK

  Needs Attention

  N/A

• Windshield Wipers

  Checked and OK

  Needs Attention

  N/A

• Windows (Passenger side and Driver side)

  Checked and OK

  Needs Attention

  N/A

• Mirrors

  Checked and OK

  Needs Attention

  N/A

• No leaks under vehicle

  Checked and OK

  Needs Attention

  N/A

• Tire Pressure and Tread

  Checked and OK

  Needs Attention

  N/A

• Spare tire and tools

  Checked and OK

  Needs Attention

  N/A

• Head lights (hi/lo beams, signal and hazards)

  Checked and OK

  Needs Attention

  N/A

• Tail Lights (Brake, backup, signal and hazards)

  Checked and OK

  Needs Attention

  N/A

• Decals (Company Logos/Unit#'s)

  Checked and OK

  Needs Attention

  N/A

• Is truck bed and toolbox organized and free of trash?

  Checked and OK

  Needs Attention

  N/A

• Indicate areas of damage (front)

  Drawing

• Indicate area of damage (driver side)

  Drawing

• Indicate area of damage (rear)

  Drawing

• Indicate area of damage (passenger side)

  Drawing

Interior

• Is vehicle cab interior clean and organized?

  Checked and OK

  Needs Attention

  N/A

• Ignition

  Checked and OK

  Needs Attention

  N/A

• Horn

  Checked and OK

  Needs Attention

  N/A

• Seat Belts

  Checked and OK

  Needs Attention

  N/A

• Parking Brake

  Checked and OK

  Needs Attention

  N/A

• Steering Wheel

  Checked and OK

  Needs Attention

  N/A

• A/C and Heater work properly

  Checked and OK

  Needs Attention

  N/A

• Dashboard Notifications (Check Engine/Service)

  Checked and OK

  Needs Attention

  N/A

• Fire Extinguisher on board & charged, properly sealed & pin

  Checked and OK

  Needs Attention

  N/A

• First Aid Kit on board & full

  Checked and OK

  Needs Attention

  N/A

• Any unusual sounds, smells, vibrations or anything that does not feel right as you are driving vehicle?

  No

  Yes

Under Hood

• Leaks/Loose Items

  Checked and OK

  Needs Attention

  N/A

• Fan Belt

  Checked and OK

  Needs Attention

  N/A

• Battery Terminals

  Checked and OK

  Needs Attention

  N/A

• Engine Oil Level

  Checked and OK

  Needs Attention

  N/A

• Coolant Level

  Checked and OK

  Needs Attention

  N/A

• Power Steering Level

  Checked and OK

  Needs Attention

  N/A

• Transmission Fluid Level (only Dodge trucks)

  Checked and OK

  Needs Attention

  N/A

• Washer Fluid Level

  Checked and OK

  Needs Attention

  N/A

Required Documentation

• Valid Vehicle Registration located in Donlen packet

  Yes

  No

  N/A

• Valid Vehicle Insurance Card located in Donlen packet

  Yes

  No

  N/A

• Fuel Card located in Donlen packet

  Yes

  No

  N/A

• Maintenance Coupon Book located in Donlen packet

  Yes

  No

  N/A

• Is vehicle past due on scheduled PM?

  No

  Yes

Signatures

• Auditor Signature

  Sign

• Driver Signature (if different from auditor)

  Sign