Nucor Harris Rebar Fleet Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Primary Driver

• Location
  Address

Vehicle Information

• Vehicle Registration Expiration Date

  Date

• Vehicle Make & Model

• VIN Number

• Odometer/Mileage

Tires (Any damage must be photographed)

• Tire tread

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Rims

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Wheel Nuts

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Tire Pressure

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Spare Tire

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

Lights/Signals (Any damage must be photographed)

• Turn Signals (Front/Back/Left/Right)

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Hazard Lights

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Tail Lights

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Brake Lights

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Head Lights

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Reverse Lights

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Horn

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

Engine

• Last Oil Change Sticker or Documentation

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Oil Level

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Brake Fluid Level

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Power Steering Fluid

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Transmission Fluid

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Washer Fluid

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Battery

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

Inside Cabin

• Interior cabin cleanliness

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Fuel Level at least 1/4 tank

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Turn and Hazard Signals

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Doors (locks and windows working)

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Windshield

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Wiper and Washer

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Seat belts in good repair and working order

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Jack/Tire Wrench

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Fire Extinguisher

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

Outside of Vehicle

• Front/Hood

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Driver Side

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Passenger Side

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Rear (verify tailgate in good working order)

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

• Front and Rear License Plate with current tabs sticker

  Ok

  Needs Repair

  Needs Immediate Action

  N/A

Paperwork

• Copy of Insurance Card

  Yes

  No

• Copy of Registration

  Yes

  No

• Copy of U.S. Vehicle Use Policy

  Yes

  No

  N/A

Company Vehicle Policy Acknowledgement

• I have reviewed Harris Rebar’s Vehicle Use Policy.
  I understand that it is my responsibility to operate company vehicles safely and follow the requirements of the company vehicle safety policy. I also under-stand that the company will periodically review my motor vehicle record (MVR) and assess my eligibility to drive a motor vehicle on company business.
  I have read and understand the Vehicle Use Policy. I agree to abide by the pro-visions of this policy. I understand that violation of this policy will result in disciplinary action, up to and including loss of use of company vehicle, suspen-sion and/or termination of employment.

• Add signature

  Sign

• Select date

  Date