Surveying Rig Inspection

• Plate Number:

• Conducted on:

  Date

• Driver:

• Odometer Reading:

• ATV Model:

Documentation

• Accident Report Form

  Meets Standard

  Needs Improvement

  not applicable

Safety Items

• First Aid Kit Stocked

  Yes

  No

  N/A

• Roadside Emergency Kit neatly stocked in the vehicle's trunk

  Yes

  No

  N/A

• Amber light

  Yes

  No

  N/A

• Crew Chief Vest

  Yes

  No

  N/A

Interior

• Air Conditioner/Heater

  Meets Standard

  Needs Improvement

  not applicable

• Window Operation

  Meets Standard

  Needs Improvement

  not applicable

• Radio Operation

  Yes

  No

  N/A

• Door Locks

  Meets Standard

  Needs Improvement

  not applicable

• Seatbelts

  Meets Standard

  Needs Improvement

  not applicable

• Jack properly stowed

  Yes

  No

  N/A

• Tire tool kit properly stowed

  Yes

  No

  N/A

• Interior Lights

  Meets Standard

  Needs Improvement

  not applicable

• Power outlets working

  Yes

  No

  N/A

• Power inverter

  Yes

  No

  N/A

• Phone charger

  Yes

  No

  N/A

• Warning Lights

  Yes

  No

  N/A

• Check engine?

  Yes

  No

  N/A

• ABS?

  Yes

  No

  N/A

• SRS/Airbag?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Engine Compartment

• Windshield washer fluid level

  Meets Standard

  Needs Improvement

  not applicable

• Engine oil level

  Meets Standard

  Needs Improvement

  not applicable

• Power Steering fluid level

  Yes

  No

  N/A

• Coolant level

  Meets Standard

  Needs Improvement

  not applicable

• Brake Fluid level

  Meets Standard

  Needs Improvement

  not applicable

• Battery working

  Meets Standard

  Needs Improvement

  not applicable

• Transmission Fluid Level

  Meets Standard

  Needs Improvement

  not applicable

• Fluid leaks

  Yes

  No

  N/A

Exterior

• Windows and windshield in good condition

  Meets Standard

  Needs Improvement

  not applicable

• Windshield wipers in good shape

  Meets Standard

  Needs Improvement

  not applicable

• Headlights operational

  Meets Standard

  Needs Improvement

  not applicable

• Tail Lights & Brake Lights operational

  Meets Standard

  Needs Improvement

  not applicable

• Emergency brake operational

  Safe

  At Risk

  N/A

• Power brakes in good condition

  Safe

  At Risk

  N/A

• Body

  Meets Standard

  Needs Improvement

  not applicable

• Tires in good condition

  Safe

  At Risk

  N/A

• Bald

  Good

  Fair

  Poor

  N/A

• Flat

  Good

  Fair

  Poor

  N/A

• Cupped

  Yes

  No

  N/A

• Horn working

  Meets Standard

  Needs Improvement

  not applicable

• Spare tire properly inflated

  Yes

  No

  N/A

• Fluid leaks

  Yes

  No

  N/A

• Exhaust system in good condition

  Meets Standard

  Needs Improvement

  not applicable

• Wheels fitted securely

  Meets Standard

  Needs Improvement

  not applicable

• Turn signals operational

  Meets Standard

  Needs Improvement

  not applicable

Trailer & ATV

• Trailer Tires

  Safe

  At Risk

  N/A

• Bald

• Flat

• Trailer Bearings

  Safe

  At Risk

  N/A

• Trailer Coupler

  Meets Standard

  Needs Improvement

  not applicable

• Trailer Jack

  Meets Standard

  Needs Improvement

  not applicable

• Trailer Lights & Wiring

  Meets Standard

  Needs Improvement

  not applicable

• Trailer deck boards

  Meets Standard

  Needs Improvement

  not applicable

• Trailer Fenders

  Meets Standard

  Needs Improvement

  not applicable

• Trailer tilt pin

  Yes

  No

  N/A

• ATV security cable

  Yes

  No

  N/A

• ATV Tires

  Safe

  At Risk

  N/A

• Bald

• Flat

• Has Hole, Installed Plug

• ATV Brakes

  Safe

  At Risk

  N/A

• ATV Winch

  Pass

  Fail

  N/A

• ATV Oil Level

  Yes

  No

  N/A

• ATV Coolant level

  Pass

  Fail

  N/A

• ATV air filter

  Pass

  Fail

  N/A

• ATV Axle Boots

  Pass

  Fail

  N/A

• 4 ATV rubber hubcaps

  Yes

  No

  N/A

• 4 ATV valve stem caps

  Yes

  No

  N/A

• Fluid Leaks

  Yes

  No

  N/A

• Body panel or retainer clip damage/missing?

  Yes

  No

  N/A

• ional comments/observation

Observation

• Add observations/comments here.

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

• Auditor's Printed Name & Signature

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