SIEA Fleet Vehicle Inspection

• Inspector Name

• Select date

  Date
• Add location
  Address

Vehicle information

• Vehicle number

• License plate number & expiration date

• Driver assigned

• Vehicle milage

Exterior

• Vehicle paint

  Poor

  Fair

  Good

  New

• Tire Condition

  Poor

  Fair

  Good

  New

• Glass

  Poor

  Fair

  Good

  New

• Spare tire present and inflated

  Yes

  No

  N/A

• Vehicle body free from damage

  Yes

  No

  N/A

• All cargo secure and bed clear of trash

  Yes

  No

  N/A

• Overall Condition of the Exterior of Vehicle

  Poor

  Fair

  Good

  New

Interior

• Accident Form, Insurance, DOT inspection, and Registration readily available

  Yes

  No

  N/A

• First Aid Kit and BBP kit available and within expiration date

  Yes

  No

  N/A

• 36 inch cones

  Yes

  No

  N/A

• Wheel chocks

  Yes

  No

  N/A

• Out rigger pads

  Yes

  No

  N/A

• Fire extinguishers

  Yes

  No

  N/A

• Overall cleanliness

  Poor

  Fair

  Good

  New

• Floor

  Clean

  Trash

  Excessive Dirt

  Clutter

• Seats

  Poor

  Fair

  Good

  New

• Dash

  Poor

  Fair

  Good

  New

  Dirty

• Interior photo

  Media

• Inspected by

  Sign