The Weitz Company Vehicle Check Out Inspection

• Select date

  Date

CHECK OUT INFORMATION

• Driver name

• Cost Code

  Select Supply Chain 5101520.8405 National 1151020.8675 Iowa 1101020.8405 Kansas City 1451020.8675 CSG Admin 1000545.8405 IT 1000545.8405 Overhead 0521020.8405 Industrial 0511020.8405 Other Vehicle Maintenance

  • Supply Chain 5101520.8405
  • National 1151020.8675
  • Iowa 1101020.8405
  • Kansas City 1451020.8675
  • CSG Admin 1000545.8405
  • IT 1000545.8405
  • Overhead 0521020.8405
  • Industrial 0511020.8405
  • Other
  • Vehicle Maintenance

• Other Cost Code

• Vehicle

  Select 2013 Burgundy Ford Fusion Plate AJH293 2013 Ford Fusion Plate AQV729 2013 White Ford Edge Plate BUE123

  • 2013 Burgundy Ford Fusion Plate AJH293
  • 2013 Ford Fusion Plate AQV729
  • 2013 White Ford Edge Plate BUE123

• Starting Odometer reading

• Fuel Level

  Select 1/8 1/4 1/2 5/8 3/4 7/8 full

  • 1/8
  • 1/4
  • 1/2
  • 5/8
  • 3/4
  • 7/8
  • full

• I have read and agree to the terms of "The Weitz Company Pool Car Usage Policy"

  Yes

  No

• I have read and agree to the terms of The Weitz Company "Vehicle Safe Driver Policy"

  Yes

  No

EXTERIOR LIGHTING

• Please note any defects

EXTERIOR BODY AND GLASS

• Please note any defects

TIRES

• Please note any defects

ENGINE

• Are there any warning lights active on the dash panel?

  Yes

  No

• Please note any defects

INTERIOR

• Are the windshield wipers functioning, free from damage and in good condition?

  Yes

  No

• Is the interior clean, free from dirt, foul smell and free from loose objects?

  Yes

  No

• Please not any defects

• Is the vehicle serviced according to the manufacturer's schedule?

  Yes

  No

• Are the Registration and Insurance card current and always available?

  Yes

  No

COMMENTS/RECOMMENDATIONS

• COMMENTS

• RECOMMENDATIONS