TRANE - NWHI -VEHICLE CHECKLIST

• This vehicle inspection is for the month of?

• Conducted on

  Date

• FULL NAME

• EMPLOYEE ID

• LICENSE PLATE # & STATE

• MILEAGE

EXTERIOR

• WINDSHIELD & GLASS (unobstructed, no cracks, chips, clean)

  Safe

  At Risk

  N/A

• LIGHTS (headlights, brake lights, signals, parking, etc.)

  Safe

  At Risk

  N/A

• KEY FOB(S) (operational, not broken, 1 with user, 1 with coordinator)

  Yes

  No

  N/A

• BELTS AND HOSES (do not appear cracked, worn or squeal)

  OK

  NEEDS REPAIR

• AIR FILTER (relative clean, no holes, in one piece)

  OK

  NEEDS REPAIR

• BATTERY (connections tight, terminals clean, secure)

  Safe

  At Risk

  N/A

• LEAKS, FUEL, COOLANT AND OIL (noticeable under car)

  No Leaks

  Needs Repair

• ENGINE FLUID LEVELS (oil, brake, transmission, coolant, windshield cleaner)

  NORMAL

  LOW

• LICENSE PLATE (clean, secured, unobstructed) Front & Rear

  Front OK

  Rear OK

  Both OK

  Needs Repair

• REGISTRATION & INSPECTIONS (up-to-date, valid, unobstructed)

  Up-To-Date

  Needs Renewed next Month

  Out-of-Date

• TIRES (wear & pressure, including spare, no bubbles or cuts)

  Safe

  At Risk

  N/A

INTERIOR

• OVERALL CONDITION

  VERY GOOD

  GOOD

  OK

  POOR

• GENERAL CLEANLINESS (stains, dirt, crumbs, hair, etc.)

  CLEAN

  DIRTY

• DISTRACTIONS (phone, computer, hand-held, mp3, gps, etc.)

  NONE

  DISTRACTIONS

• INTERIOR LIGHTS WORKING (dome, door, trunk, etc.)

  Yes

  No

  N/A

• HEATER/DEFROSTER & A/C OPERATIONAL

  Yes

  No

  N/A

• RADIO/CD PLAYER OPERAITONS

  Yes

  No

  N/A

• SEATBEATS FUNCTIONAL

  Safe

  At Risk

  N/A

• GAUGES, WARNING LIGHTS, CONTROLS & HORN OPERATIONAL

  Yes

  No

  N/A

• EMERGENCY BRAKES OPERATIONAL

  Safe

  At Risk

  N/A

• STEERING WHEEL (centered, straight, and does not drift)

  Yes

  No

  N/A

• MIRRORS (side view, rearview, no cracks, positioned correctly)

  Safe

  At Risk

  N/A

• BRAKES (resistance normal, squealing, grinding, pulling)

  Safe

  At Risk

  N/A

• DOCUMENTATION (valid insurance, fuel card, maintenance cars, registration, safety inspection)

  ALL CURRENT

  MISSING ITEM

• BACKUP CAMERA OEPRATIONAL

  Yes

  No

  N/A