Vehicle Quarterly Inspection Form - Technician

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

VEHICLE

Vehicle Condition (Visual Check & Conversation)

• Clean Exterior - Presentable, no major mud or dirt

  Yes

  No

  N/A

• Clean Interior - Orderly and easily accessible

  Yes

  No

  N/A

• Body/Bumper Damage - Visible damage which can be seen from 5' and over

  Yes

  No

  N/A

• Decal/Wrap Condition - All decals are properly affixed and placed/Wrap in good overall condition with few to no tears

  Yes

  No

  N/A

• Doors & Locks - All doors and locks function properly

  Yes

  No

  N/A

• Mirrors - Exterior mirrors are intact and functional

  Yes

  No

  N/A

• Rims & Tires - Rims are not bent and tires have an acceptable tread depth. Please note % of tread remaining.

  Yes

  No

  N/A

• Last Oil Change Date

  Date

• Brakes - Brakes function as normal, no grinding or loud squeeling

  Yes

  No

  N/A

• Emergency Brake - Functional, release works

  Yes

  No

  N/A

• Fluids - Brake, power steering, coolant, transmission all withing optimal levels

  Yes

  No

  N/A

• Horn - Functional

  Yes

  No

  N/A

• Dash Cluster - Speedometer, oil pressure, dash lights, etc all working

  Yes

  No

  N/A

• Heater - Functional

  Yes

  No

  N/A

• Air Conditioning - Functional

  Yes

  No

  N/A

Lights (Visual Check)

• Headlights - High & Low beams funstional

  Yes

  No

  N/A

• Daytime Running Lights - Functional

  Yes

  No

  N/A

• Tail Lights - Functional

  Yes

  No

  N/A

• Reverse Lights - Functional

  Yes

  No

  N/A

• Signal Lights - Functional

  Yes

  No

  N/A

• Hazard Lights - Functional

  Yes

  No

  N/A

• Beacon - Functional

  Yes

  No

  N/A

• Aux. Lighting - Directional Bars, etc - Functional

  Yes

  No

  N/A

Glass & Windshield

• Windshield - No cracks within driver field of vision, no leaks or air from edges

  Yes

  No

  N/A

• Glass Other - Windows open and close, other glass on vehicle intact and free from damage

  Yes

  No

  N/A

• Windshield Washer Pump - Functioning

  Yes

  No

  N/A

• Windshield Wipers - Blades in good condition, arms and motors functioning

  Yes

  No

  N/A

Vehicle Accessories / Tools (Visual Check & Verification)

• Ladder Racks - Attached to the vehicle properly, holding ladders securely and support arms in correct location

  Yes

  No

  N/A

• Vehicle Registration / Ownership - Documents in vehicle, visually verified and current

  Yes

  No

  N/A

• Vehicle Insurance - Documents in vehicle, visually verified and current

  Yes

  No

  N/A

• License Plates - On good condition, able to read, current year sticker affixed, plate matches registration/ownership

  Yes

  No

  N/A

Vehicle Condition (Verified by External Expert During Annual Maintenance Check)

• Engine - Not burning oil, no abnormal knocking or pinging, no loud squealing noises from under the hood

  Yes

  No

  N/A

• Starter - Not slipping or sounds of grinding

  Yes

  No

  N/A

• Steering - Alignment ok, smooth operation

  Yes

  No

  N/A

• Fan Belts - Good condition, no cracks or fraying

  Yes

  No

  N/A

• Fluids - Brake, power steering, coolant, transmission all within optimal levels

  Yes

  No

  N/A

• Battery - Holding charge and no starting problems

  Yes

  No

  N/A

• Brakes - Brakes function as normal, no grinding or loud squealing

  Yes

  No

  N/A

• Emergency Brake - Functional, release works

  Yes

  No

  N/A

• Gear Shift - Gear selection working properly. Not able to shift unless brake is applied and vehicle running

  Yes

  No

  N/A

• Rims & Tires - Rims are not bent and tires have an acceptable tread depth. Please note % of tread remaining in notes

  Yes

  No

  N/A

• Technician Signature

  Sign

• Supervisor / Inspector Signature

  Sign