Vehicle Condition Report: Shuttle Van

Vehicle Condition Report - Shuttle Van

• Division

  AAW

  ITS

  CGI

  ACS

• Facility Name

• Location
  Address

• Conducted on

  Date

• Prepared By: (Person Operating Vehicle - Full Name)

• Vehicle #

• Mileage

Walk-Around Inspection

• Any visible body damage?

  OK

  Defect

  N/A

• Any visible damage on entry steps

  OK

  Defect

  N/A

• Any visible damage to chassis guard?

  OK

  Defect

  N/A

• Any visible cracks on any wheels/rims?

  OK

  Defect

  N/A

• Any visible cracks on any windows?

  OK

  Defect

  N/A

• Are all tires in good condition? (tread, PSI, cuts)

  OK

  Defect

  N/A

• Any leaks and/or loose connections?

  OK

  Defect

  N/A

Engine Check

• Oil levels (fill as needed)

  OK

  Defect

  N/A

• Coolant level (fill as needed)

  OK

  Defect

  N/A

• Fuel Level (fill as needed)

  Full

  3/4

  1/2

  1/4

  Empty

Warning Systems Check

• Back-up alarm

  OK

  Defect

  N/A

• Beacon Light

  OK

  Defect

  N/A

• Running lights, flashers, and turn indicators

  OK

  Defect

  N/A

Operations Check

• Horn

  OK

  Defect

  N/A

• Service brake

  OK

  Defect

  N/A

• Steering wheel

  OK

  Defect

  N/A

• Parking brake

  OK

  Defect

  N/A

Accessories/Misc. Check

• Heater/Defroster

  OK

  Defect

  N/A

• Wipers

  OK

  Defect

  N/A

• Dash Cluster

  OK

  Defect

  N/A

• Extinguisher charged and labeled with inspection dates

  OK

  Defect

  N/A

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