Information
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Conducted on
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Prepared by
Vehicle
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Description of Vehicle
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Driver
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Odometer
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Next service date
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Fuel Level
- 1/4
- 1/2
- 3/4
- full
physical
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Vehicle serviced according to schedule
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Engine sounds and runs in good working condition
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Door latches connect, latch and lock properly
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Windshield
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Coolant level okay
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Oil level okay
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Any Apparent Leaks
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Turn signals operational
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Brake lights operational
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Head Lights
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Tail Lights
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Reversing Lights
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Reverse siren/indicator
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Flashing Lights
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Vehicle body in good condition
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Tires in good condition
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Cab clean & organized
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Storage cube clean & organized
Documentation
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Vehicle operators manual
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Insurance and registration
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Hands free Bluetooth device
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OH&S manual & quick reference
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Safety binder
Other Safety Items
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Fire extinguisher charged and inspected
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First aid kit stocked and up to date
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Emergency kit complete
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Hydraulic jack and relevant tools accessible
List any other action items that need to be corrected
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Enter/list issues here.
Signatures
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Employee
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Safety Coordinator