Transportation Weekly Vehicle inspection

• Inspection Location
  Address

• Vehicle Inspected

• Vehicle Mileage

• Conducted on

  Date

• Prepared by

• Signature

  Sign

Engine Compartment

• Oil Level

  Good

  Fair

  Poor

  N/A

• Transmission Fluid Level

  Good

  Fair

  Poor

  N/A

• Brake Fluid Level

  Good

  Fair

  Poor

  N/A

• Windshield Washer Fluid Level

  Good

  Fair

  Poor

  N/A

• Radiator/Overflow

  Pass

  Fail

  N/A

• Battery

  Good

  Fair

  Poor

  N/A

• Belts

  Good

  Fair

  Poor

  N/A

Exterior

• Windows

  Good

  Fair

  Poor

  N/A

• Mirrors

  Good

  Fair

  Poor

  N/A

• Wipers/Arms

  Good

  Fair

  Poor

  N/A

• Leaks

  Good

  Fair

  Poor

  N/A

• Body - Clean Or Dirty?

  Good

  Fair

  Poor

  N/A

• Body - Dents or Scratches?

  Yes

  No

  N/A

Tires - Tread Condition

• Driver Front

  Good

  Fair

  Poor

  N/A

• Driver Rear

  Good

  Fair

  Poor

  N/A

• Passenger Front

  Good

  Fair

  Poor

  N/A

• Passenger Rear

  Good

  Fair

  Poor

  N/A

Lights / Exterior

• Headlights - High/Low

  Pass

  Fail

  N/A

• Parking or Clearance Lights - Left/Right

  Pass

  Fail

  N/A

• Directional Signals (Front) - Left/Right

  Pass

  Fail

  N/A

• Directional Signals (Rear) - Left/Right

  Pass

  Fail

  N/A

• Brakes - Left/Right

  Pass

  Fail

  N/A

• Back Up - Left/Right

  Pass

  Fail

  N/A

• Emergency Flashers (Front) - Left/Right

  Pass

  Fail

  N/A

• Emergency Flashers (Rear) - Left/Right

  Pass

  Fail

  N/A

Lights/Interior

• Lights - Dome/Panel

  Pass

  Fail

  N/A

• Horn

  Pass

  Fail

  N/A

• Rearview Mirror

  Yes

  No

  N/A

• Jack/Lug Wrench

  Yes

  No

  N/A

• Triangles

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Medical Kit

  Yes

  No

  N/A

• Cleanliness

  Good

  Fair

  Poor

  N/A

• Emergency Kits and Windows

  Good

  Fair

  Poor

  N/A

OTHER

• Front Tag

  Yes

  No

  N/A

• Rear Tag

  Yes

  No

  N/A

• Credit Card

  Yes

  No

  N/A

• Spare Tire Present

  Yes

  No

  N/A