VI - Wilmington - Terex

• Document No.:

• Conducted on:

  Date

• Driver:

Identification

• Unit No:

Mileage

• Add media

  Media

Documentation

• Owner's Manual

  Meets Standard

  Needs Improvement

  not applicable

• Accident Report Form

  Meets Standard

  Needs Improvement

  not applicable

Interior

• Air Conditioner

  Meets Standard

  Needs Improvement

  not applicable

• Window Operation

  Meets Standard

  Needs Improvement

  not applicable

• Windshield

  Meets Standard

  Needs Improvement

  not applicable

• Door Locks

  Meets Standard

  Needs Improvement

  not applicable

• Alarm System

  Meets Standard

  Needs Improvement

  not applicable

• Seatbelts

  Meets Standard

  Needs Improvement

  not applicable

• Interior Lights

  Meets Standard

  Needs Improvement

  not applicable

• Mirrors properly adjusted

  Meets Standard

  Needs Improvement

  not applicable

• No Warning Lights on dash

  Meets Standard

  Needs Improvement

  not applicable

• Roadside Emergency Kit neatly stocked inside the vehicle

  Meets Standard

  Needs Improvement

  not applicable

• Fire extinguisher/first aid kit neatly stocked in the vehicle and up to date

  Meets Standard

  Needs Improvement

  not applicable

• Spill kit present and properly stocked

  Meets Standard

  Needs Improvement

  not applicable

Engine Compartment

• Windshield washer fluid

  Meets Standard

  Needs Improvement

  not applicable

• Engine oil level

  Meets Standard

  Needs Improvement

  not applicable

• Coolant level

  Meets Standard

  Needs Improvement

  not applicable

• Battery condition (Good)

  Meets Standard

  Needs Improvement

  not applicable

• Brake Fluid level

  Meets Standard

  Needs Improvement

  not applicable

• Transmission Fluid Level

  Meets Standard

  Needs Improvement

  not applicable

• Belt condition

  Meets Standard

  Needs Improvement

  not applicable

Exterior

• Windows and windshield in good condition

  Meets Standard

  Needs Improvement

  not applicable

• Windshield wipers working

  Meets Standard

  Needs Improvement

  not applicable

• Headlights functional

  Meets Standard

  Needs Improvement

  not applicable

• Tail Lights & Brake Lights

  Meets Standard

  Needs Improvement

  not applicable

• Emergency brake in good condition

  Meets Standard

  Needs Improvement

  not applicable

• Tires in good condition

  Meets Standard

  Needs Improvement

  not applicable

• Bald tires

• Not inflated properly

• Damaged tires

• Horn working

  Meets Standard

  Needs Improvement

  not applicable

• No fuel leaks

  Meets Standard

  Needs Improvement

  not applicable

• Mirrors properly adjusted

  Meets Standard

  Needs Improvement

  not applicable

• Exhaust system in good condition

  Meets Standard

  Needs Improvement

  not applicable

• Turn signals functional

  Meets Standard

  Needs Improvement

  not applicable

• Additional comments/observation

Observation

• Add observations/comments here.

• I hereby certify that all information is accurate and that an actual inspection was conducted.

• Auditor's Printed Name & Signature

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