VEHICLE/TRAILER INSPECTION

• EMPLOYEE COMPLETING INSPECTION

• VEHICLE NUMBER

• VEHICLE LICENSE PLATE

• VEHICLE ASSIGNED TO

• TAKE A PICTURE OF VEHICLE

  Media

• CURRENT ODOMETER READING

• ODOMETER READING AT NEXT OIL CHANGE

• DATE OF REGISTRATION EXPIRATION (MONTH/YEAR)

• CURRENT TIME AND DATE

  Date

FLUID LEVELS

• IS BRAKE FLUID LEVEL SUFFICIENT?

  Yes

  No

  N/A

• IS WASHER FLUID LEVEL SUFFICIENT?yes

  Yes

  No

  N/A

• IS POWER STEERING FLUID LEVEL SUFFICIENT?

  Yes

  No

  N/A

• IS OIL LEVEL SUFFICIENT?

  Yes

  No

  N/A

• IS COOLANT LEVEL SUFFICIENT?

  Yes

  No

  N/A

• IS VEHICLE FREE OF FLUID LEAKS?

  Yes

  No

  N/A

TIRES

• IS TIRE TREAD SUFFICIENT?

  Yes

  No

  N/A

• IS WEAR ON TIRES EVEN?

  Yes

  No

  N/A

• ARE ALL TIRES PROPERLY INFLATED?

  Yes

  No

  N/A

• ARE ALL SPARE TIRES IN SUFFICIENT WORKING CONDITION AND PROPERLY INFLATED?

  Yes

  No

  N/A

LIGHTING

• ARE INTERIOR LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE FOUR WAY FLASHERS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE HEADLIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE TURN SIGNALS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE TAIL LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE REVERSE LIGHTS IN SUFFICIENT WORKING CONDITION

  Yes

  No

  N/A

• ARE SIDE LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE BRAKE LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE PARKING LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE INSTRUMENT PANEL LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE INSTRUMENT GAUGES IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

GENERAL EQUIPMENT

• IS THE WINDSHIELD FREE OF CRACKS?

  Yes

  No

  N/A

• ARE THE MIRRORS FREE OF CRACKS?

  Yes

  No

  N/A

• IS THE DEFROSTER IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE WIPERS AND WIPER BLADES IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE ALL BELTS AND HOSES IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• IS THE PARKING BRAKE IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE FOOT BRAKES IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• IS THE BACK UP HORN IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• IS THE JACK AND LUG NUTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE ALL SHOCKS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE BATTERY TERMINALS FREE OF CORROSION AND IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• DO ALL OF THE VEHICLE LOCKS OPERATE?

  Yes

  No

  N/A

SAFETY

• IS THE VEHICLE EQUIPPED WITH SAFETY TRIANGLES?

  Yes

  No

  N/A

• SLIDE TO THE QUANTITY OF SAFETY TRIANGLES

• IS VEHICLE EQUIPPED WITH SAFETY CONES?

  Yes

  No

  N/A

• SLIDE TO THE QUANTITY OF SAFETY CONES

• IS VEHICLE EQUIPPED WITH SAFETY FLAGS?

  Yes

  No

  N/A

• SLIDE TO QUANTITY OF SAFETY FLAGS

• IS VEHICLE EQUIPPED WITH WHEEL CHOCKS?

  Yes

  No

  N/A

• SLIDE TO QUANTITY OF WHEEL CHOCKS

• IS VEHICLE EQUIPPED WITH SAFETY SIGNS?

  Yes

  No

  N/A

• SLIDE TO QUANTITY OF SAFETY SIGNS

• IS ALL SAFETY EQUIPMENT IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

TRAILER INSPECTION

• TRAILER NUMBER

• ARE TRAILER BRAKES IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE TRAILER BRAKE CONNECTIONS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE TRAILER SHOCKS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE TRAILER LIGHTS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• IS THE HITCH COUPLING IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• IS THE TRAILER HITCH IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

• ARE THE HITCH PINS AND CHAINS IN SUFFICIENT WORKING CONDITION?

  Yes

  No

  N/A

REVIEW AND SIGNATURES

• HAVE YOU REVIEWED THIS INSPECTION AND ANSWERED ALL ITEMS HONESTLY AND TO THE BEST OF YOUR ABILITY?

  YES

  NO

• ENTER YOUR SIGNATURE

  Sign

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A