Vehicle Inspection

• Conducted on:

  Date

• License Plate Number:

  BYX 9752 (Blue)

  CCX 3364 (New Green)

  BMK 7980 (Red)

  BTY 0702 (Black)

  CCX 6692 (White)

Mechanical / Electrical

• Brakes (Pedal Pressure)

  Safe

  At Risk

  N/A

• Emergency Brake

  Safe

  At Risk

  N/A

• Brake Lights

  Safe

  At Risk

  N/A

• Tail Lights

  Safe

  At Risk

  N/A

• Back Up Lights

  Safe

  At Risk

  N/A

• Turn Signals

  Safe

  At Risk

  N/A

• Hazard Lights

  Safe

  At Risk

  N/A

• Headlights (High & Low Beam)

  Safe

  At Risk

  N/A

• Tires (Inflation and Tread)

  Safe

  At Risk

  N/A

• Windshield Wipers

  Safe

  At Risk

  N/A

• Seat Belts

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• First Aid Kit

  Meets Standard

  Needs Improvement

  Not Applicable

• Jumper Cables

  Yes

  No

  N/A

• Additional comments or observations

  No

  Yes

  N/A

• Additional comments/observation

Observation

• Add observations/comments here.

Fluid Levels

• Check oil level when filling vehicle with gas

• Oil Level

  Safe

  At Risk

  N/A

• I hereby certify that all information is accurate and that an actual inspection was conducted as per company policy.

• Inspector's Printed Name & Signature

  Sign