Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Which Vehicle? (Last 4 digits of the VIN or Description Everyone Uses ie "Blue Bus")

  • Please check “YES” or “NO” beside each category below and provide details in the comment section as needed. Please note that the vehicle shall not be used to transport passengers when any unsafe issues are noted. Notify the supervisor to report unsafe conditions.

Vehicle #:

  • Visual Check – Walk around the vehicle. Is there any damage?

  • Visual Check – Are tires under inflated?

  • Are there fluid leaks under vehicle?

  • Are headlights working? Brights too?

  • Are the brake lights working?

  • Are turn signal lights working?

  • Are hazard lights working?

INTERIOR

  • Are any seat belts inoperable?

  • First aid kit in vehicle? Stocked properly?

  • Bodily fluid spill kit in vehicle?

  • Fire extinguisher in vehicle?

STAFF & SUPERVISION

  • Will there be a staff member in the vehicle devoted to supervision and behavior management - separate than the person driving?

  • Does the vehicle driver understand that cell phone use while driving is not permitted?

FORMS & PAPERWORK

  • Is mileage log in vehicle? Up to date?

  • Are accident report forms in vehicle?

  • Is emergency contact & roadside assistance information in vehicle?

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.