Title Page

  • Inspection Date

  • Prepared by

  • Location of Inspection

  • Which Vehicle?

  • Kilometer Reading

  • Fuel level

  • DEF level

  • Please answer 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 Julie or Crystal to report unsafe conditions or repairs needed.

VEHICLE

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

  • Visual Check – Tires

  • Are there fluid leaks under vehicle?

  • Headlights / High Beams

  • Brake lights

  • Turn signal and hazard lights

  • Beacon light

  • Back-up alarm

  • Horn

  • Fire extinguisher?

  • Glass and wipers

  • Cleanliness of Vehicle

  • CB Radio

LOCK BOX SUPPLIES

  • First aid kit? Stocked properly?

  • Spill kit?

  • Safety kit? (jumper cables/flags/etc)

  • Brush/scraper and shovel (winter)

  • Extra washer fluid

  • Extra DEF (diesel trucks only)

SAFETY REMINDERS

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

  • Does the vehicle driver understand that speed limits need to be adhered to and is GPS monitored?

FORMS & PAPERWORK

  • Is the information booklet with gas card in the console

  • Are accident report forms 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.