Information

  • Conducted on

  • Prepared by

Truck

  • 2006 Dodge Sprinter 3500

  • Driver

  • Odometer

  • Next service date

  • Fuel Level

physical

  • Vehicle serviced according to schedule

  • Engine sounds and runs in good working condition

  • Door latches connect, latch and lock properly

  • Windshield

  • Coolant level okay

  • Oil level okay

  • Any Apparent Leaks

  • Turn signals operational

  • Break lights operational

  • Head Lights

  • Tail Lights

  • Reversing Lights

  • Reverse siren/indicator

  • Flashing Lights

  • Vehicle body in good condition

  • Tires in good condition

  • Cab clean & organized

  • Storage cube clean & organized

Documentation

  • Vehicle operators manual

  • Insurance and registration

  • Hands free Bluetooth device

  • OH&S manual & quick reference

  • Safety binder

Other Safety Items

  • Fire extinguisher charged and inspected

  • First aid kit stocked and up to date

  • Emergency kit complete

  • Hydraulic jack and relevant tools accessible

List any other action items that need to be corrected

  • Enter/list issues here.

Signatures

  • Employee

  • Manager

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.