Road Safety Inc. Monthly Truck Inspection

Truck Number

• Driver Name:

• Odometer Reading at time of Inspection

TRUCK SAFETY INSPECTION

• Does the horn work?

  Yes

  No

  N/A

• Check Heater / Defroster / Air Conditioner

  Yes

  No

  N/A

• Check windshield wipers and windshield integrity (cracks/chips)

  Good

  Fair

  Poor

  N/A

• Check fire extinguisher in compliance?

  Compliant

  Non-Compliant

  N/A

• Check headlights

  Pass

  Fail

  N/A

• First Aid Kit?

  Compliant

  Non-Compliant

  N/A

• What is Missing?

• Check turn signals/Hazard lights

  Pass

  Fail

  N/A

• Check tail lights/ brake lights

  Pass

  Fail

  N/A

• Are all flashing lights working?

  Yes

  No

  N/A

• Does the Traffic Advisory bar work correctly?

  Yes

  No

  N/A

• Check tires for wear and pressure

  Good

  Fair

  Poor

  N/A

• Check engine compartment for any leaks or loose items

  Pass

  Fail

  N/A

• Check battery terminals for corrosion

  Pass

  Fail

  N/A

• Check engine oil level

  Pass

  Fail

  N/A

• When is Next Oil Change due per Sticker on Windshield?

• Check for any leaks under the vehicle

  Pass

  Fail

  N/A

• Check windshield washer fluid level

  Pass

  Fail

  N/A

• Check mirrors for damage

  Good

  Fair

  Poor

  N/A

• Inspect interior for cleanliness and take a picture

  Good

  Fair

  Poor

  N/A

• Visually inspect the exterior for cleanliness and damage. Take a picture of each side of the vehicle.

  Good

  Fair

  Poor

  N/A

• Is there any check engine or warning lights on?

  Yes

  No

  N/A

• What Light?

EQUIPMENT INSPECTION

• Is equipment organized?

  Good

  Fair

  Poor

  N/A

• Is all equipment servicable?

  Good

  Fair

  Poor

  N/A

• What needs to be replaced?

• Was it Replaced?

  Yes

  No

  N/A

• Is there any missing Equipment?

  Yes

  No

  N/A

• Is there there an excess of equipment?

  Yes

  No

  N/A

• Check for a shovel

  Compliant

  Non-Compliant

  N/A

• Check for water pack

  Compliant

  Non-Compliant

  N/A

• Are flagger light batteries charged?

  Yes

  No

  N/A

• Do the flagger lights work?

  Yes

  No

  N/A

• Are the STOP/SLOW paddles serviceable?

  Good

  Fair

  Poor

  N/A

• Do all radios work?

  Yes

  No

  N/A

• Is the Vehicle Binder present and in good condition?

  Yes

  No

  N/A

• Registration and Insurance current and present?

  Yes

  No

  N/A

• Are all vehicle decals present and in good condition?

  Good

  Fair

  Poor

  N/A

• Signature of Person Conducting Inspection

  Sign