Vehicle Pre-Trip Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Number of miles on vehicle?

• 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?

  Yes.

  No.

• Visual Check – Are tires under inflated?

  Yes.

  No.

• Are there fluid leaks under vehicle?

  Yes.

  No.

• Is there sufficient tread on the tyres?

  Yes

  No

  N/a

• Are headlights working?

  Yes

  No

  N/a

• Are the brake lights working?

  Yes

  No

  N/a

• Are turn signal lights working?

  Yes

  No

  N/a

• Are hazard lights working?

  Yes

  No

  N/a

• Are the window wipers in good repair and do they work effectively?

  Yes

  No

  N/a

• Is washer fluid sufficient for the journey?

  Yes

  No

  N/a

• Is vehicle add blue sufficient for the journey?

  Yes

  No

  N/a

• Is there a spare wheel and/or inflation kit available?

  Yes

  No

  N/a

INTERIOR

• Are any seat belts inoperable?

  Yes.

  No.

• First aid kit in vehicle? Stocked properly?

  Yes

  No

  N/a

• Fire extinguisher in vehicle?

  Yes

  No

  N/a

• Is the vehicle clear of dashboard warning lights?

  Yes

  No

  N/a

• Are blue tooth kits installed?

  Yes

  No

  N/a

STAFF & SUPERVISION

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

  Yes

  No

  N/a

FORMS & PAPERWORK

• Are accident report forms in vehicle?

  Yes

  No

  N/a

• Signature

  Sign