Vehicle Equipment Checklist

• Document No.

• Vehicle Equipment Checklist

• Truck Number:

• Milage:

• Fuel Card number:

• Car Wash Card number:

• Conducted on

  Date

• Prepared by

• Location
  Address

Required Equipment:

• Fire Extinguisher:

  Yes

  No

  N/A

• First Aid/ Blood Born Pathogen Kit/ Hand Sanitizer:

  Yes

  No

  N/A

• Tire Chains:

  Yes

  No

  N/A

• Tow Rope:

  Yes

  No

  N/A

• Ice Scraper:

  Yes

  No

  N/A

• Duct Tape:

  Yes

  No

  N/A

• Thermal Blanket:

  Yes

  No

  N/A

• Fix-A-Flat:

  Yes

  No

  N/A

• Safety Flag:

  Yes

  No

  N/A

• Tire Gauge:

  Yes

  No

  N/A

• Safety Triangles:

  Yes

  No

  N/A

• Shovel:

  Yes

  No

  N/A

• Jack and Lug Wrench:

  Yes

  No

  N/A

• Extra Fuses with Tester:

  Yes

  No

  N/A

• 1/2" Nylon Rope:

  Yes

  No

  N/A

• Flashlight:

  Yes

  No

  N/A

• 2 1/4" receiver with 2" ball:

  Yes

  No

  N/A

• 2 1/4" receiver with 2 5/16" ball

  Yes

  No

  N/A

• Jumper Cables:

  Yes

  No

  N/A

• Lockout Key in Tool Box:

  Yes

  No

  N/A

Condition of Vehicle:

• Tires (Tread/Pressure/Spare):

  Good

  Problem

• Lights (All Work)?

  Good

  Problem

• Windshield/Glass (Cracks?):

  Good

  Problem

• Current DOT Annual (Date expired?):

  Good

  Problem

• Oil Level:

  Good

  Problem

• Body Damage:

  Good

  Problem

• Washer Fluid:

  Good

  Problem

• Other Problems:

  Yes

  No

  N/A