Information

  • Conducted on

  • Prepared by

  • Location
  • Driver Name:

VEHICLE DESCRIPTION

  • Vehicle Make and Number:

  • Picture of vehicle (not mandatory)

EXTERIOR LIGHTING

  • Are all lights operational?

GLASS AND MIRRORS

  • The windshield is free of cracks, chips, breaks or scratches?

  • Mirrors (DS, PS, and rearview) are adjustable and free of damage?

  • Door windows are free of cracks and chips?

  • The rear window is free of cracks and chips?

EXTERIOR BODY AND GLASS (Take photo's of any noted damage)

  • The hood, grill and bumper are free of damage?

  • The fenders are free of damage?

  • The door(s) are free of damage?

  • The rear fenders/bed are free of damage?

  • The rear of the vehicle and bumper are free of damage?

  • Decals are free of damage and not faded?

  • The vehicle is clean and free of road grime and dirt?

  • The tires are in a good condition with no visible signs of damage?

INTERIOR

  • The seat belts are in good condition and operational?

  • Seats are in a good and clean condition?

  • Floor mat/rug are in a good and clean condition?

  • The interior cabin is clean and free of loose objects?

  • All the gauges are operational and show within the acceptable ranges?

  • The interior compartment lights are operational?

  • Dashboard warning lights illuminate for per-check then go off?

  • Interior doors are in good condition?

  • The interior of truck bed is clean, organized, products labeled and secured for stop?

MECHANICAL

  • The windshield wipers are functioning and in a good condition? (check to see that washer is operational)

  • The horn is oprerational?

  • Steering is good and does not pull to side?

  • Are the AC, defroster and heater operational?

List any other items that need to be addressed or corrected

  • Enter/list items here

SIGNATURES

  • Inspector:

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.