Title Page

  • Prepared by

  • Branch

  • VIN (Last 5#s) Year/Make/Model - Choose below
  • Mileage

  • License Plate Number

Documentation

  • Inspection Sticker Valid?

  • Inspection Sticker Expiration Date

  • Registration Card In Vehicle?

  • Registration Expiration Date

  • Accident Packet

  • Gas Card In Vehicle?

  • Network Maintenance Info In Vehicle?

  • Insurance Card in Vehicle

Tire Pressure/Tire Wear

  • Right Front

  • Left Front

  • Right Rear

  • Left Rear

  • Is spare tire accessible?

  • Spare

  • Tread Depth OK?

  • Tread Wear Even?

  • Leaks?

Oil

  • Oil Level

  • Added Oil

  • How much?

  • Last Oil Change Mileage - If more than 5000 miles since last oil change you must have them schedule asap

Horn/Wipers/Mirrors/Lights/Camera

  • Horn/Reverse Sound

  • Wipers & Wiper Blades

  • Mirrors

  • Headlamps/Running Lamps/Reverse Light

  • Brake Lights

  • Backup Camera

  • Interior lights / Dashboard Lights

Ladder Rack

  • Rack Functional & Free of Damage?

  • Notes

  • Ladder Functional & Free of Damage?

  • Notes

Body and Appearance

  • Exterior Free of Body Damage?

  • Noted on previous reports?

  • Exterior clean?

  • Interior Clean & Organized?

Material Labeling, Spillage & Storage

  • Are all materials labeled properly?

  • Is there any spillage?

  • Are Insect Baits stored away from Chemical & sealed?

  • Notes

  • Are all materials & equipment stored & secured properly?

  • Notes

Vehicle Safety Equipment & PPE

  • First Aid Kit?

  • Fire Extinguisher?

  • PPE Stored Properly?

Safety Road Test / Mechanical

  • Brakes

  • Wheel Balance and Alignment

  • Emergency Brake

  • Seat Belt

  • Steering / Play in Wheel

  • Notes

  • Seat adjusments working properly?

Vehicle Inspection Overall

  • Overall Vehicle Condition

Maintenance

  • Oil change up to date?

  • Tires rotated at last oil change?

Long Term Check-ups Due (As per Owner's Manual)

  • Notes:

Gas Card Usage

  • Card being used properly?

  • Is gas card being used too frequently compared to the miles driven? ie; multiple fill ups

Material Usage Validation

  • Run a material usage report from previous month & review

  • Are materials given out matching what's being used in PestPac?

  • Are materials being used correctly?

  • Are materials unaccounted for?

  • Are there excess materials / chemicals on vehicle that were not given by manager?

Signatures

  • Driver Signature

  • Manager Signature

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.