Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Vehicle Type

  • Vehicle number or last 4 digits of VIN

  • Current Mileage

Vehicle Specifics

  • Any vehicle damage?

  • List damages

  • Photograph damages

  • Parking Brake Function

  • Vehicle Insurance and Registration Current and Available

  • Foot Pedal Brake Function

  • Steering Function

  • Are all of the vehicle's lights (headlights, taillights, turn signals) in proper working order?

  • Vehicle Glass- cracks or chips?

  • Vehicle Horn

  • Wipers and Washer Fluid?

  • Seatbelt and Seat Condition

  • Vehicle Fluid Leaks

  • Overall Tire Condition

  • Vehicle Engine Lights / Warnings

  • Is Vehicle Clean Inside and Outside?

  • I understand as the operator that all safety critical items must be in safe working condition prior to putting the vehicle in motion.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.