UCPS Vehicle Pre-Trip Inspection

• Vehicle #

• Make/Model

• Conducted on

  Date

• Prepared by

• Tap the screen on any question to display the Add Notes field when additional notations need to be made.

Engine Compartment

• Fluid levels - oil and coolant

  Pass

  Fail

  N/A

• Belts and hoses

  Pass

  Fail

  N/A

Exterior

• Tires - wear and pressure

  Pass

  Fail

  N/A

• Windshield and side mirrors free of cracks or other damage

  Pass

  Fail

  N/A

• Inspection and license plate stickers current

  Yes

  No

  N/A

• Check ground under vehicle for fluid leaks

  Yes

  No

  N/A

• General cleanliness - trucks should be free of mud, etc., before being parked at the end of one's shift or before exiting the vehicle for the day. New body damage should be noted.

  Pass

  Fail

  N/A

Behind the Wheel

• Horn

  Pass

  Fail

  N/A

• Windshield wipers

  Pass

  Fail

  N/A

• Head lights, tail lights, turn signals, flashers, warning lights (if applicable)

  Pass

  Fail

  N/A

• Defroster, heater, AC - seasonally applicable

  Pass

  Fail

  N/A

• Seat belts

  Pass

  Fail

  N/A

• Gauges, dash warning lights, fuel level (must be refueled at the end of each day so the vehicle is set to leave the following morning).

  Yes

  No

  N/A

• Test emergency brake

  Pass

  Fail

  N/A

• Rearview mirrors

  Yes

  No

  N/A

• General cleanliness of interior - trash, dirt, mud, etc. should be removed from the truck before begin parked at the end of one's work shift or before exiting the vehicle for the day.

  Yes

  No

  N/A

General

• First aid kit stocked and items with expiration dates are not out of date

  Pass

  Fail

  N/A

• Fire extinguisher is readily available and is not out of date

  Yes

  No

  N/A

• Insurance card and registration is readily available

  Yes

  No

  N/A