Spay Station Pre Trip Inspection

• Site conducted

  Select

• Starting Location

• Conducted on (Date and Time)

  Date

• Mileage

• Inspected by (Full Name)

Check behind cab with cold engine

• Hoses and Belts

  OK

  At Risk

  N/A

• Oil Level

  OK

  At Risk

  N/A

• Wires

  OK

  At Risk

  N/A

• Coolant Level

  OK

  At Risk

  N/A

• Trans Fluid Level

  OK

  At Risk

  N/A

• Power Steering Level

  OK

  At Risk

  N/A

WALK AROUND

• Turn key to auxiliary, wait for glow light to go out and start vehicle

  OK

  At Risk

  N/A

• Check service manual if any warnings lights are lit. Make a note in inspection. Submit report to supervisor.

  OK

  At Risk

  N/A

• Turn on headlights and hazards, exit vehicle start inspection drivers side front to rear

  OK

  At Risk

  N/A

• Tires 4/32 of an inch on steer tires and 2/32 on duals. Check inflation on inside dual

  OK

  At Risk

  N/A

• Wheels no rust, Lugs tight

  OK

  At Risk

  N/A

• Glass and Mirrors

  OK

  At Risk

  N/A

• Exhaust System

  OK

  At Risk

  N/A

• Fluid Leaks

  OK

  At Risk

  N/A

INTERIOR

• Fire Extinguisher secure and charged

  OK

  At Risk

  N/A

• Fuses and Reflectors

  OK

  At Risk

  N/A

• First Aid Kit Complete

  OK

  At Risk

  N/A

• Mirror and Seat Adjustment

  OK

  At Risk

  N/A

• Seat Belt and Seat Condition

  OK

  At Risk

  N/A

START ENGINE

• Oil Pressure

  OK

  At Risk

  N/A

• Warning Buzzers/ Brakes /Emerg

  OK

  At Risk

  N/A

• Amp Gauge

  OK

  At Risk

  N/A

• Temp Gauge

  OK

  At Risk

  N/A

• Fuel Gauge not less than half full

  OK

  At Risk

  N/A

• W/ S Wipers and Washers clear visibility no streaks

  OK

  At Risk

  N/A

• Headlights-Dimmer-Hi/ Lo

  OK

  At Risk

  N/A

• Tail Lights

  OK

  At Risk

  N/A

• Brake Lights ( when on partner with tech to check)

  OK

  At Risk

  N/A

• Directional Lights

  OK

  At Risk

  N/A

• Hazard Lights

  OK

  At Risk

  N/A

• Clearance Lamps

  OK

  At Risk

  N/A

• Dash Lights

  OK

  At Risk

  N/A

• Park Brake

  OK

  At Risk

  N/A

• Service Brake Check

  OK

  At Risk

  N/A

• Heaters/ Defrosters

  OK

  At Risk

  N/A

• Horn

  OK

  At Risk

  N/A

• Cleanliness

• Please note the added amount (if applicable) for the following items:

• Fuel Added (gals)

  Good

  Fair

  Poor

  N/A

• Oil Added (qts)

  OK

  At Risk

  N/A

• Coolant Added (qts)

  OK

  At Risk

  N/A

• P/ S Fluid Added (pts)

  OK

  At Risk

  N/A

• Trans Fluid Added (pts)

  OK

  At Risk

  N/A

• W/ S Washer Fluid Added

  OK

  At Risk

  N/A

Completion

• Person in Charge (Full Name and Signature)

  Sign

• Site Location

  OK

  At Risk

  N/A

• Parking Brake Set

  OK

  At Risk

  N/A

• Generator Kill Switch ON

  OK

  At Risk

  N/A

• Unlock Clinic Door

  OK

  At Risk

  N/A

• Turn on Generator Switch

  OK

  At Risk

  N/A

• Clinic Lights ON

  OK

  At Risk

  N/A