Vehicle Inspection

• Document No.

• Vehicle Number

• Conducted on

  Date

• Inspected By

• Location
  Address

VEHICLE INSPECTION

• Vehicle Number

• Year

• Make

• Model

• Odometer Reading

• Engine/PTO Hours

• GVWR

• Inspected By

• Date and Time of Inspection

  Date

DOCUMENTATION

• Valid drivers license

  Yes

  No

  N/A

• Daily DOT inspection completed

  Yes

  No

  N/A

• Insurance and proof of registration easily accessible and current<br>

  Yes

  No

  N/A

PPE

• Safety Glasses/Face Protection in good condition

  Yes

  No

  N/A

• Hand Protection/Gloves in good condition

  Yes

  No

  N/A

• Head Protection/Hard Hat in good condition

  Yes

  No

  N/A

• Hearing Protectionin good condition

  Yes

  No

  N/A

LIGHTS OPERATIONAL

• Beacon/Strobe

  Yes

  No

  N/A

• 4 Way Flashers

  Yes

  No

  N/A

• Head Lights

  Yes

  No

  N/A

• Brake Lights

  Yes

  No

  N/A

• Tail/Lisc. Lights

  Yes

  No

  N/A

• Directional Lights

  Yes

  No

  N/A

• Clearance Lights

  Yes

  No

  N/A

• Spot Lights

  Yes

  No

  N/A

• Dash/Dome Lights

  Yes

  No

  N/A

• Other Lights

FLUID LEVELS ADEQUATE

• Oil

  Yes

  No

  N/A

• Power Steering

  Yes

  No

  N/A

• Anti-Freeze

  Yes

  No

  N/A

• Brake Fluid

  Yes

  No

  N/A

• Transmission Fluid

  Yes

  No

  N/A

• Hydraulic Fluid

  Yes

  No

  N/A

• Windshield Washer Fluid<br>

  Yes

  No

  N/A

• Battery Fluid

  Yes

  No

  N/A

VEHICLE HANDLING

• Braking

  Yes

  No

  N/A

• Steering

  Yes

  No

  N/A

• Shifting

  Yes

  No

  N/A

• Towing

  Yes

  No

  N/A

• Parking

  Yes

  No

  N/A

EQUIPMENT SERVICEABLE

• Tires-Left Front

  Yes

  No

  N/A

• Tires-Right Front

  Yes

  No

  N/A

• Tires-Inside Right Rear

  Yes

  No

  N/A

• Tires-Inside Left Rear

  Yes

  No

  N/A

• Tires-Outside Right Rear

  Yes

  No

  N/A

• Tires-Outside Left Rear

  Yes

  No

  N/A

• Shocks

  Yes

  No

  N/A

• Springs

  Yes

  No

  N/A

• Exhaust

  Yes

  No

  N/A

• Wipers

  Yes

  No

  N/A

• Battery/Batteries

  Yes

  No

  N/A

• Fuel Tank

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Chocks

  Yes

  No

  N/A

• PTO Pump

  Yes

  No

  N/A

• Tire Chains

  Yes

  No

  N/A

• Trailer Chains and Hooks

  Yes

  No

  N/A

• Winch

  Yes

  No

  N/A

DECALS

• Cleaned and Positioned

  Yes

  No

  N/A

REQUESTS

• Date maintenance was requested

  Date

• Request submitted to

• Date repairs were completed

  Date

• Repairs were made by

ADDITIONAL COMMENTS

• Comments

• Inspectors Signature

  Sign