Information
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Vehicle No.
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Conducted on
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Prepared by
1.0 Previous inspection
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Has the last inspection been reviewed?
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Are all outstanding actions resolved?
2.0 General Areas
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Clear all garbage from vehicle?
3.0 Equipment
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If required is PPE available? I.e. Blast suit, Voltage detector, Electrical gloves, grounding stick
4.0 Fire / First Aid
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Is first aid kit and contents clean and orderly?
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Is there easy access to the first aid kit?
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Are all employees aware of location of first aid kit?
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Are Extinguishers easily accessible and location known by all employees?
5.0 Vehicle Condition
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Is the vehicle 3rd party oil check up to date? Attach photo of any new oil change receipts.
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When was the last oil change completed?
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What date is the next oil change due?
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Current Mileage of Vehicle
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Mileage the next oil change is due
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Current oil level is:
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Are the tires in satisfactory condition?
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What is the tire pressure of the right-front tire? What is the recommended tire pressure? Insert response as Current Pressure (PSI) / Recommended Pressure (PSI) (i.e. 34/35)
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What is the tire pressure of the left-front tire? What is the recommended tire pressure? Insert response as Current Pressure (PSI) / Recommended Pressure (PSI) (i.e. 34/35)
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What is the tire pressure of the right-rear tire? What is the recommended tire pressure? Insert response as Current Pressure (PSI) / Recommended Pressure (PSI) (i.e. 34/35)
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What is the tire pressure of the left-rear tire? What is the recommended tire pressure? Insert response as Current Pressure (PSI) / Recommended Pressure (PSI) (i.e. 34/35)
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What mileage is the next tire rotation scheduled?
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Are the brakes in satisfactory condition?
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Brake fluid level is:
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Are the lights in satisfactory condition? (Check operation of brake, indicator and reversing lights)
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When was the air filter last replaced?
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When is the air filter scheduled for next replacement?
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Are the windows in satisfactory condition?
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Are the Windshield Wipers in satisfactory condition? (Check operation and wear)
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Windshield fluid is:
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Coolant level is: (Check while engine is cold)
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Transmission fluid is: (Check while engine is in idle)
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All fluid caps are in place, properly sealed and tightly closed?
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Note any fluid leaks that might be present either within the engine compartment or leaking onto the pavement.
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List any other issues with the vehicle that are noted during driving or idle time.
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Is the Vehicle overall Condition satisfactory? (Are there any scratches, dents, etc)
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Is the condition of the drivers seat acceptable? (Not dirty or torn)
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Is the condition of the other seats acceptable? (Not dirty or torn)
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Is the steering wheel and dash clean?
6.0 Sign Off
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Representative Completing Checklist