Monthly Vehicle Inspection Report 1.1

• Vehicle Inspection Report

• Document No.

• Conducted on

  Date

• Prepared by

• First Aid Kit in truck is current without expired contents?

  Yes

  No

  N/A

• Spare Tire properly inflated?

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

• Fire Extinguisher Charged

  Yes

  No

  N/A

• Fire Extinguisher tagged and inspected within the past thirty days?

  Yes

  No

  N/A

• Fire Extinguisher in good condition

  Yes

  No

  N/A

• Tools for changing wheel are on truck?<br>

  Yes

  No

  N/A

• Office Location

• Vehicle make:

• License plate no:

• License plate expiry:

• Current Miles on Vehicle

Front end of vehicle

• Headlights (high/low beam) operational

  Yes

  No

  N/A

• Hazard Lights operational

  Yes

  No

  N/A

• Turning signals (left & right) operational

  Yes

  No

  N/A

• Wiper Blades operational

  Yes

  No

  N/A

• Front grill free of debris operational

  Yes

  No

  N/A

Rear end of vehicle

• Tail lights operational

  Yes

  No

  N/A

• Brake lights operational

  Yes

  No

  N/A

• Turning signals (left & right) operational

  Yes

  No

  N/A

• Reversing lights operational

  Yes

  No

  N/A

• Number plate light operational

  Yes

  No

  N/A

Maintenance check

• Next Service is due when?

  Date

• Current engine oil level?

  Safe

  At Risk

  N/A

• Engine coolant reservoir coolant level is between COLD and HOT as appropriate?

  Safe

  At Risk

  N/A

• Brake fluid level

  Safe

  At Risk

  N/A

• Windscreen washer fluid level

  Safe

  At Risk

  N/A

• Battery terminal condition

  Safe

  At Risk

  N/A

• Parking Brake Functional?

  Safe

  At Risk

  N/A

Tires

• Do the tires appear to have correct air pressure?

  Yes

  No

  N/A

• Are all 4 tires a matched set that is correct size and type for this vehicle according to manufacturer's recommendations?

  Yes

  No

  N/A

• Do any of the tires appear damaged, missing tread, cuts on sidewall, or show uneven wear pattern?

  Yes

  No

  N/A

Vehicle Interior Condition

• Floor materials clean with no rips, tears, holes or large amounts of debris? Garbage cleaned out?

  Safe

  At Risk

  N/A

• Seats free from stains, rips, tears or other defects?

  Yes

  No

  N/A

• Interior lighting functional

  Yes

  No

  N/A

• Heater/Air Conditioning functioning properly?

  Yes

  No

  N/A

Exterior Condition

• Washed recently?

  Safe

  At Risk

  N/A

• Is paint scratched?

  Yes

  No

  N/A

• Are there any dents or damage?

  Yes

  No

  N/A

Glass & Mirrors

• Is the windshield free from cracks, rock chips or webbing, and pitting?

  Yes

  No

  N/A

• Wipers in good condition?

  Yes

  No

  N/A

• Side windows intact, close properly, free from scratches?

  Yes

  No

  N/A

• Side mirrors intact and free from damage?

  Yes

  No

  N/A

• Rear windows (if applicable) intact, free from scratches/breaks?

  Yes

  No

  N/A

Signature of Inspector

• Add signature

  Sign