Information

  • EMPLOYEE COMPLETING INSPECTION

  • VEHICLE NUMBER

  • VEHICLE LICENSE PLATE

  • VEHICLE ASSIGNED TO

  • TAKE A PICTURE OF VEHICLE

  • CURRENT ODOMETER READING

  • ODOMETER READING AT NEXT OIL CHANGE

  • DATE OF REGISTRATION EXPIRATION (MONTH/YEAR)

  • CURRENT TIME AND DATE

INSPECTION ITEMS

FLUID LEVELS

  • IS BRAKE FLUID LEVEL SUFFICIENT?

  • IS WASHER FLUID LEVEL SUFFICIENT?yes

  • IS POWER STEERING FLUID LEVEL SUFFICIENT?

  • IS OIL LEVEL SUFFICIENT?

  • IS COOLANT LEVEL SUFFICIENT?

  • IS VEHICLE FREE OF FLUID LEAKS?

TIRES

  • IS TIRE TREAD SUFFICIENT?

  • IS WEAR ON TIRES EVEN?

  • ARE ALL TIRES PROPERLY INFLATED?

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

LIGHTING

  • ARE INTERIOR LIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE FOUR WAY FLASHERS IN SUFFICIENT WORKING CONDITION?

  • ARE HEADLIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE TURN SIGNALS IN SUFFICIENT WORKING CONDITION?

  • ARE TAIL LIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE REVERSE LIGHTS IN SUFFICIENT WORKING CONDITION

  • ARE SIDE LIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE BRAKE LIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE PARKING LIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE THE INSTRUMENT PANEL LIGHTS IN SUFFICIENT WORKING CONDITION?

  • ARE THE INSTRUMENT GAUGES IN SUFFICIENT WORKING CONDITION?

GENERAL EQUIPMENT

  • IS THE WINDSHIELD FREE OF CRACKS?

  • ARE THE MIRRORS FREE OF CRACKS?

  • IS THE DEFROSTER IN SUFFICIENT WORKING CONDITION?

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

  • ARE ALL BELTS AND HOSES IN SUFFICIENT WORKING CONDITION?

  • IS THE PARKING BRAKE IN SUFFICIENT WORKING CONDITION?

  • ARE THE FOOT BRAKES IN SUFFICIENT WORKING CONDITION?

  • IS THE BACK UP HORN IN SUFFICIENT WORKING CONDITION?

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

  • ARE ALL SHOCKS IN SUFFICIENT WORKING CONDITION?

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

  • DO ALL OF THE VEHICLE LOCKS OPERATE?

SAFETY

  • IS THE VEHICLE EQUIPPED WITH SAFETY TRIANGLES?

  • SLIDE TO THE QUANTITY OF SAFETY TRIANGLES

  • IS VEHICLE EQUIPPED WITH SAFETY CONES?

  • SLIDE TO THE QUANTITY OF SAFETY CONES

  • IS VEHICLE EQUIPPED WITH SAFETY FLAGS?

  • SLIDE TO QUANTITY OF SAFETY FLAGS

  • IS VEHICLE EQUIPPED WITH WHEEL CHOCKS?

  • SLIDE TO QUANTITY OF WHEEL CHOCKS

  • IS VEHICLE EQUIPPED WITH SAFETY SIGNS?

  • SLIDE TO QUANTITY OF SAFETY SIGNS

  • IS ALL SAFETY EQUIPMENT IN SUFFICIENT WORKING CONDITION?

TRAILER INSPECTION

  • TRAILER NUMBER

  • ARE TRAILER BRAKES IN SUFFICIENT WORKING CONDITION?

  • ARE THE TRAILER BRAKE CONNECTIONS IN SUFFICIENT WORKING CONDITION?

  • ARE TRAILER SHOCKS IN SUFFICIENT WORKING CONDITION?

  • ARE TRAILER LIGHTS IN SUFFICIENT WORKING CONDITION?

  • IS THE HITCH COUPLING IN SUFFICIENT WORKING CONDITION?

  • IS THE TRAILER HITCH IN SUFFICIENT WORKING CONDITION?

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

REVIEW AND SIGNATURES

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

  • ENTER YOUR SIGNATURE

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