Monthly Manager Vehicle Inspection

• Department Number

• Truck Number

• Current Vehicle Mileage

• Conducted on

  Date
• Location
  Address

• Current Driver

• Completed by:

Vehicle Exterior (Add additional notes and photos as needed)

• ADD ONE PHOTO OF EACH SIDE OF THE VEHICLE. (4) PHOTOS IN TOTAL.

  Media

• Is the exterior of the vehicle clean? (If not add notes and photos)

  Yes

  No

  N/A

• Is there damage to the exterior of the vehicle? (If yes add notes and photos)

  Yes

  No

  N/A

• Windshield - If visible chips or cracks are present, check no and add notes and photos.

  Yes

  No

  N/A

• Are all Decals, Logos, Truck and DOT numbers in good condition?

  Yes

  No

  N/A

• Are all tires in good and safe condition? If not please add notes and photos for all tires that need to be replaced.

  Safe

  At Risk

  N/A

Vehicle Interior (Add additional notes and photos as needed)

• ADD ONE PHOTO OF PASSENGER SIDE AND ONE OF THE DRIVER SIDE OF THE VEHICLE. (2) PHOTOS IN TOTAL .

  Media

• Is the vehicle interior clean and tidy? (If not add notes and photos)

  Yes

  No

  N/A

• Is the interior of the vehicle free of damage? (If not, identified damaged areas in notes and add photos)

  Yes

  No

  N/A

Vehicle Documents and Safety Accessories

• Is there a copy of the current registration?

  Yes

  No

  N/A

• Is there a copy of the current and valid Insurance Card?

  Yes

  No

  N/A

• Does the driver have a valid DOT Diver Med Cert in his possession?

  Yes

  No

  N/A

• Safety Triangles

• First Aid kit

• Flares

• Spare Fuses

• Is there a fire extinguisher mounted with a current tag visible?

  Yes

  No

  N/A

Other

• Details of any additional vehicle issues that need to be addressed.

• Signature o the manager performing the inspection.

  Sign