Weekly Surveying Rig Inspection

• Truck Number:

• Conducted on:

  Date

• Driver:

• Odometer Reading:

• ATV Model:

Engine Compartment

• Windshield washer fluid level

  Full

  Needs Refilled

  not applicable

• Engine oil level

  Full

  Needs Refilled

  not applicable

• Power Steering fluid level

  Full

  Needs Refilled

  not applicable

• Coolant level

  Full

  Needs Refilled

  not applicable

• Brake Fluid level

  Full

  Needs Refilled

  not applicable

• Battery working

  Yes

  No

  N/A

• Transmission Fluid Level

  Full

  Needs Refilled

  not applicable

• Fluid leaks

  Yes

  No

  N/A

Exterior

• Windows and windshield in good condition

  Yes

  No

  N/A

• Windshield wipers in good shape

  Yes

  No

  N/A

• Headlights operational

  Yes

  No

  N/A

• Tail Lights & Brake Lights operational

  Yes

  No

  N/A

• Power brakes in good condition

  Safe

  At Risk

  N/A

• Tires in good condition

  Safe

  At Risk

  N/A

• Bald

  Good

  Fair

  Poor

  N/A

• Flat

  Good

  Fair

  Poor

  N/A

• Cupped

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Spare tire properly inflated

  Yes

  No

  N/A

• Exhaust system in good condition

  Yes

  No

  N/A

• Turn signals operational

  Yes

  No

  N/A

Trailer & ATV

• Trailer Tires

  Safe

  At Risk

  N/A

• Bald

• Flat

• Trailer Bearings

  Safe

  At Risk

  N/A

• Trailer Coupler

  Good

  Fair

  Poor

  N/A

• Trailer Jack

  Good

  Fair

  Poor

  N/A

• Trailer Fenders

  Good

  Fair

  Poor

  N/A

• Trailer tilt pin

  Yes

  No

  N/A

• ATV security cable

  Yes

  No

  N/A

• ATV Tires

  Safe

  At Risk

  N/A

• Bald

• Flat

• Has Hole, Installed Plug

• ATV Brakes

  Safe

  At Risk

  N/A

• ATV Oil Level

  Full

  Needs Refilled

  not applicable

• ATV Coolant level

  Full

  Needs Refilled

  not applicable

• ATV air filter

  Pass

  Fail

  N/A

• ATV Axle Boots

  Pass

  Fail

  N/A

• Fluid Leaks

  Yes

  No

  N/A

• ional 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

  Sign