Information

  • Document No.

  • Vehicle Number

  • Conducted on

  • Inspected By

  • Location

VEHICLE INSPECTION

  • Vehicle Number

  • Engine/PTO Hours

  • Inspected By

  • Date and Time of Inspection

DOCUMENTATION

  • Valid drivers license

  • Daily DOT inspection completed

PPE

  • Safety Glasses/Face Protection in good condition

  • Head Protection/Hard Hat in good condition

LIGHTS OPERATIONAL

  • Beacon/Strobe

  • Head Lights

  • Brake Lights

FLUID LEVELS ADEQUATE

  • Oil

  • Power Steering

  • Anti-Freeze

  • Brake Fluid

  • Transmission Fluid

  • Hydraulic Fluid

  • Windshield Washer Fluid<br>

  • Battery Fluid

VEHICLE HANDLING

  • Braking

  • Steering

EQUIPMENT SERVICEABLE

  • Tires-Left Front

  • Tires-Right Front

  • Tires-Inside Right Rear

  • Tires-Inside Left Rear

  • Wipers

  • Battery/Batteries

  • Fuel Tank

  • Mirrors

  • Cleaned and Positioned

REQUESTS

  • Date maintenance was requested

  • Request submitted to

  • Date repairs were completed

  • Repairs were made by

ADDITIONAL COMMENTS

  • Comments

  • Inspectors Signature

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