Monthly Vehicle Inspection

• Site currently working on

  Select

• Conducted on

  Date

• Prepared by

Body

• Any damage to vehicle body

  Yes

  No

  N/A

• Any excessive mud/dirt on exterior of the vehicle

  Yes

  No

  N/A

• Please provide photo of vehicle exterior

  Media

• All fluid levels satisfactory

  Yes

  No

  N/A

• Brakes in good shape/functioning properly

  Yes

  No

  N/A

• Mirrors in good shape/no damage/functioning properly

  Yes

  No

  N/A

Tires

• Tires and Rims in good shape/no damage

  Yes

  No

  N/A

• Front Right tire pressure

• Front Left tire pressure

• Rear Right tire pressure

• Rear Left tire pressure

• Tread Depth at acceptable range on all tires

  Yes

  No

  N/A

Windows/Lights

• Windshield free of cracks

  Yes

  No

  N/A

• Wipers in good working condition

  Yes

  No

  N/A

• Headlights satisfactory/functioning properly

  Yes

  No

  N/A

• Tail lights satisfactory/functioning properly

  Yes

  No

  N/A

• Brake lights satisfactory/functioning properly

  Yes

  No

  N/A

• Blinkers satisfactory/functioning properly

  Yes

  No

  N/A

Safety

• First Aid kit Satisfactory

  Yes

  No

  N/A

• Please provide photo of First Aid kit

  Media

• Fire Extinguisher present and up to date

  Yes

  No

  N/A

• Fire Extinguisher gauge in green

  Yes

  No

  N/A

• Please provide photo of Fire Extinguisher

  Media

• Horn functioning properly

  Yes

  No

  N/A

Vehicle Information

• Type of Inspection

  Initial (first assigned)

  Monthly

  Exchange (turning in due to)

• Vehicle Number

• Vehicle make and model

• Odometer reading

• Insurance card present and current

  Yes

  No

  N/A

• Registration present and current

  Yes

  No

  N/A

• Date of state inspection (if applicable)

• Please provide photo of vehicle interior

  Media

• Please provide photo of truck bed (if applicable)

  Media