Weekly Vehicle Inspection

• Driver Name:

  Select CARLOS IVAN CHRIS EVAN JONATHAN MICHAEL

  • CARLOS
  • IVAN
  • CHRIS
  • EVAN
  • JONATHAN
  • MICHAEL

• Conducted on

  Date

• Submitted To:

ADMINISTRATIVE

• Name

• Registration

  Media

• Mileage

  Media
• Location
  Address

• Contract

INTERIOR OF VEHICLE

• Interior clean of trash and dirt?

  Good

  Fair

  Poor

  N/A

• Instrument panel is indicating properly?

  Media

• Windshield and mirrors clean and free from cracks?

  Yes

  No

  N/A

EXTERIOR

• Parking Brake lights in working order

  Yes

  No

  N/A

• Brakes? (Pedal Pressure)

  Safe

  At Risk

  N/A

• Visible Fluid Leaks?

  Yes

  No

  N/A

• Emergency Flashers?

  Yes

  No

  N/A

• Headlights?

  Safe

  At Risk

  N/A

• Tail Lights?

  Safe

  At Risk

  N/A

• Turn Signals?

  Safe

  At Risk

  N/A

• Horn?

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Tires & Pressure?

  Safe

  At Risk

  N/A

• Wiper Blades/Fluid Levels ok ?

  Yes

  No

  N/A

CARGO & EQUIPMENT (LEAN)

• All equipment is secured & adequately stored?

  Safe

  At Risk

  N/A

• Van is organized & free of excessive material?

  Safe

  At Risk

  N/A

Stock

• How many Single circle stopwatch loggers do you have ?

• How many double circle stopwatch loggers do you have ?

• How many single square stopwatch loggers do you have ?

• What other loggers are onboard ?

• What Specialist equipment do you have ? Take photo of the item and it’s info (calibration dates/serial number)

  Media

Signature

• Add signature

  Sign