Monthly Vehicle (Carrier) Inspection

Information

• Document Name :

• 306 Tiffin Street Barrie, Ontario Canada L4N 9W6

• Conducted on:

  Date

• Prepared by:

Vehicle Information

• Vehicle Number

• Plate Number

• Vehicle Mileage

• Previous L.O.F (Last Oil Filter) Mileage

• NOTE: ALL DEFECTS MUST BE LISTED.
  
  NOTE: ALL MECHANICAL REPAIRS TO BE RECORDED IN LOGBOOK AND SIGNED OFF.
  
  NOTE: RECORD INSPECTION / DEFECTS IN VEHICLE LOG BOOK.
  
  NOTE: VEHICLE OPERATOR WILL ARRANGE FOR ALL DEFECTS TO BE RECTIFIED.
  

Engine Compartment

• Crankcase Oil Level

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Coolant Level

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Transmission Fluid Level

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Windshield Washer Level

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Battery Connections-Clean

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Fan/Alternator Belts

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Conditions Of Hoses

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

Body

• All Running Lights & Signals

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• 4 Way Flashers

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Trailer Hitch & Plug

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• 360 Light

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Tires Visual & Pressure

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Spare Tire

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Unit #/ Hydro One Plugs Visible

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

In Cab

• Run Engine - Check All Gauges

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Interior Dome Lights

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Review/Update Of Log Book

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Windows - Cracks/Chips - Clean

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Horn

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Housekeeping

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Traffic Manual (Book 7)

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Vehicle Owners Manual

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

Auxiliary Equiptment

• Fuel Containers

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Traffic Cones TC-51B

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Advanced Rigging kit

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Tool Box

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Winch

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

Signs

• Traffic Control Person - TC 21

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Stop & Slow Paddle - TC-22

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Yield Ahead Sign WB-1A

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Road Work TC-2A or B

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Arrow Sign TC-4

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Yield To Oncoming Traffic - RB91

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

General

• First Aid Kit - Inspection Tag/Label

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Fire Ext. - Inspection Tag/ Label

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Emergency Blanket

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Spill Kit

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Safety Incident Report

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Spills Incident Report

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Vehicle Accident Package

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• C of A (TDGR)

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• T &WE Inspect Due Date (Blue)

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• M.T.O Inspection Date (Yellow)

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Di-electric Test Date

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Emissions Test Date

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Acoustic Test Date

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Boom Inspect Date (Blue)

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Rubber Glove Test Date

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Vehicle Registration/Plate Sticker

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Vehicle Insurance Slip

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Employee Package

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• WHIMS Labels

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• Traffic Vest

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

• P.P.E

  Item Checked O.K

  Repairs/Adj Made

  Repairs Needed

  Not Applicable

Signatures

• Operators's Signature:

  Sign

• Supervisors Signature:

  Sign