Information

  • Conducted on

  • Prepared by

  • Location
  • Vehicle Number (or ID)

  • Odometer Reading

  • Next Service?

  • Date

  • Name of Inspector

General Vehicle Operating Equipment Checklist

  • Spare tire - Correct Size? If stored under the vehicle does the lowering mechanism work?<br>

  • Jack and Tire Iron - must be in correct storage location

  • Jumper Cables - Available and in usable condition?

  • Flashlight w/ working batteries

  • Level 1 First Aid Kit (Stocked)<br>

  • (24) 14 cm x 19 cm wound cleaning towelettes
    (60) hand cleansing towelettes
    (100) sterile adhesive dressings (BandAids)
    (12) 10 cm x 10 cm sterile gauze dressings
    (4) 10 cm x 16.5 cm sterile pressure dressings with crepe ties
    (2) 7.5 cm x 4.5 m crepe roller bandages
    (1) 2.5 cm x 4.5 m adhesive tape
    (4) 20 cm x 25 cm sterile abdominal dressings
    (6) cotton triangular bandages, minimum length of base 1.25 m
    (16) safety pins
    (1) 14 cm stainless steel bandage scissors or universal scissors
    (1) 11.5 cm stainless steel sliver forceps
    (12) cotton tip applicators
    (1) pocket mask with oxygen inlet + secondary face shield
    (6) pairs of medical gloves (preferably non-latex)
    first aid records, pen & pencil

  • Emergency Blankets (3)

  • Tow Strap and/or Logger's Chain - Appropriate Rigging to attach 2 vehicles

  • Fire Extinguisher (if required) - Charged

  • Vehicle Log Book - complete and up to date?

  • Per-Trip Inspection Card

  • Radio Frequency List

  • Radio - Radio Test

  • Spill Kit (stocked)

  • (12) White Spill pads
    (1) Yellow Hazardous materials bag
    (1) pair oil resistant gloves

  • Spare fluids (optional)

  • Tool Kit (optional)

Seasonal Safety Equipment & Tools Checklist

Summer

  • Backpack Water Can - full?

  • Pulaski

  • Shovel - Condition

Winter

  • Tire Chains

  • Window Scraper?

  • Sandbags

  • Shovel?

Assessment of Vehicle Condition

  • Tire Tread - Summer =>5/32 Winter =>8/32

  • Wheel & Lug Nuts Secure - visual and kick the tire

  • Brake Pedal & Pressure

  • Emergency Brake Working - test engage pedal and put truck in gear (does it move?)

  • Head & Tail Lights

  • Turn Signal & Brake Lights

  • Battery & Electrical - Connections/Corrosion

  • Windshield Condition - Cracks in the Drivers vision (Estimate 4" from top/bottom - vehicles may vary)

  • Horn

  • Driver's Floor Mat in place and secure (ie. gas pedal cannot get stuck)

  • Seat Belts - Fraying, good movement in and out or retraction box

  • Windshield Wipers

  • Mirrors

  • Washer Fluid - topped up

  • Oil Level

  • Radiator/Coolant Level

  • Brake Fluid

  • Automatic Transmission Fluid (if applicable)

  • Any Fluid Leaks Observed?

General Comments

  • Additional Comments

Summary Declaration of Vehicle Condition

  • This vehicle is

  • 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.