Newcomb and Company Monthly Vehicle Inspection Checklist

• This checklist is to be prepared on or about the first working day of each month. This checklist is to be submitted to your Manager.

• Date

  Date

• Driver Name

• Vehicle Mileage

• Truck/ Van number

INSPECTION

• Back-up alarm in working order

  OK

  Needs Attention

  N-A

• Batteries, check water levels if possible.

  OK

  Needs Attention

  N-A

• Belts/Hoses - Frayed, torn, leaking

  OK

  Needs Attention

  N-A

• Engine oil - check dipstick carefully

  Safe

  At Risk

  N/A

• Engine Operation - Report noises, malfunction

  OK

  Needs Attention

  N-A

• Gauges/Instruments - All functioning

  OK

  Needs Attention

  N-A

• Horn - Test before leaving lot

  OK

  Needs Attention

  N-A

• Ladder Racks -Secure and functioning

  OK

  Needs Attention

  N-A

• Ladder - Secure, feet present, functioning

  OK

  Needs Attention

  N-A

• Leaks/General Problems - Walk around vehicle and look

  OK

  Needs Attention

  N-A

• Lights/Signals - All functioning

  OK

  Needs Attention

  N-A

• Radiator - Check water level and overflow

  OK

  Needs Attention

  N-A

• Safety Devices and Labels - All present and not torn

  OK

  Needs Attention

  N-A

• Seat Belts - Check before leaving lot

  OK

  Needs Attention

  N-A

• State Inspection Sticker/License Plates - Current

  OK

  Needs Attention

  N-A

• Steering - Jerks, pulls, wanders

  OK

  Needs Attention

  N-A

• Storage Racks/Cage/ROP's - secure

  OK

  Needs Attention

  N-A

• Tire Pressure/Wear - Check for cuts, nails, etc.

  OK

  Needs Attention

  N-A

• Transmission Fluid - Check Level

  OK

  Needs Attention

  N-A

• Unusual Noises - Report anything you hear

  OK

  Needs Attention

  N-A

• Vehicle Cleanliness - Windows, Interior, Exterior

  OK

  Needs Attention

  N-A

• Vehicle Decals - All present and not torn

  OK

  Needs Attention

  N-A

• Vehicle Interior/Rear - Clean, tanks secure, clutter free

  OK

  Needs Attention

  N-A

• Vehicle Interior Front - Clean, no paper or clutter on dash

  OK

  Needs Attention

  N-A

• Vehicle PPE - all present and working properly

  OK

  Needs Attention

  N-A

• Vehicle Tools - All present and working properly

  OK

  Needs Attention

  N-A

• Violations - any received in the last 30 days

  OK

  Needs Attention

  N-A

• Wheel Lugs/Hubcaps - Loose, broken, missing

  OK

  Needs Attention

  N-A

• Windshield - Cracks, chips, holes

  OK

  Needs Attention

  N-A

• Windshield Wipers - Motor, arms, blades, controls

  OK

  Needs Attention

  N-A

• Tap pen to the right and sign name.

  Sign