Weekly Vehicle and Ladder Inspection Checklist

• SF00314

• VEHICLE WEEKLY MAINTENANCE CHECKLIST

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date and Time inspection began

  Date

VEHICLE DESCRIPTION

• R4579

• GH128KL
  State: TX
  Expiry: 09/2013
  Make: Ford
  Model: F150
  Year: 2011
  VIN: Kmfwbx7rlcu418231
  Etag:

• Odometer Reading

• Overall photo of vehicle

  Media

MAINTENANCE

• Is the engine oil within the max and min level markers on the dipstick? (if below, report)

  Yes

  No

  N/A

• Is the engine coolant level within the max and min markers on the expansion tank? (if below, fill to max)

  Yes

  No

  N/A

• Is the windscreen washer fluid within the max and min markers? (if below, fill to max)

  Yes

  No

  N/A

• Is the brake fluid level within the min and max mark? (if below, fill with suitable oil)

  Yes

  No

  N/A

• Is the handbrake operating sufficiently to hold the weight of the vehicle?

  Yes

  No

  N/A

• Is the power steering fluid level within the min and max markers?

  Yes

  No

  N/A

• Are all hoses and cables in good visual order with no leaks or tears?

  Yes

  No

  N/A

LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Back-Up Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

• Are all interior lights functional?

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• All doors function properly

  Yes

  No

  N/A

• Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle Free of Damage

  Yes

  No

  N/A

• License Plate / Tag is current and not expired / Note expiration date and verify to registration

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

Tires

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Repair

  Safe

  At Risk

  N/A

• Driver Seat Belt Operational with Shoulder Harness

  Safe

  At Risk

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Safe

  At Risk

  N/A

• Passenger Seats in Good Repair

  Safe

  At Risk

  N/A

SAFETY EQUIPMENT

• Securely mounted First Aid Kit (Ensure Completely Stocked)

  Safe

  At Risk

  N/A

• Highway safety triangles available

  Yes

  No

  N/A

• Is Fire Extinguisher Accessible

  Safe

  At Risk

  N/A

REQUIRED DOCUMENTATION

• Valid Vehicle Registration is located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Take picture of registration

  Media

• Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  Yes

  No

  N/A

• Take picture of insurance card

  Media

• Is Vehicle Serviced According to the Manufacturers Schedule?

  Yes

  No

  N/A

• Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)

  Date

Ladder Inspection

• How many ladders are on van?

• Are all ladders clean and free grease or slippery material?

  Yes

  No

  N/A

• Are all ladders free of cracks and splintered fiberglass?

  Yes

  No

  N/A

• Are all steps and rungs secure?

  Yes

  No

  N/A

• Are all extension locks functioning properly?

  Yes

  No

  N/A

• Is the rope in good condition?

  Yes

  No

  N/A

• Are all ladder racks properly secured to the vehicle?

  Yes

  No

  N/A

SIGNATURES

• Signature of Driver

  Sign