VIR Checklist 1.0

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre Trip Inspection

• Enter Date

  Date

• Driver Name

  Select Auston Smyth Darrell Tanner Sergio Cortes Jose Cejudo Juan Contreras Edwin Luna Jamie Garelli Chris Gormley

  • Auston Smyth
  • Darrell Tanner
  • Sergio Cortes
  • Jose Cejudo
  • Juan Contreras
  • Edwin Luna
  • Jamie Garelli
  • Chris Gormley

• Vehicle

  Select Dodge Ford 1 Ford 2 Ford 3

  • Dodge
  • Ford 1
  • Ford 2
  • Ford 3

• Starting Mileage

Exterior of Vehicle

• Transmission(5:Good | 1:Poor)

• Engine(5:Good | 1:Poor)

• Brakes(5:Good | 1:Poor

• Tire Tread(5:Good | 1:Poor)

• Take photo of tire tread

  Media

• Take photo of front of vehicle

  Media

• Take photo of right side of vehicle

  Media

• Take photo of back of vehicle

  Media

• Take photo of left side of vehicle

  Media

Interior of Vehicle

Supplies

• Number of blankets

• Number of furniture dollies

• Number of straps

• Rolls of tape

• Number of rolls of shrink wrap

Tools/Equipment

• Take picture of open tool box

  Media

• Take picture of Body straps & forearm straps

  Media

• Take picture of ramp & appliance dolly

  Media

• Number of rubber bands

• Phone charger

Post Trip Inspection

• Ending Mileage

• Enter Date

  Date

• Driver Signature

  Sign