Information

Report Prefix (Used to define file name by user when exporting to Dropbox)

  • User's Initials

VEHICLE INFORMATION

  • Vehicle Number

  • Odometer Reading

  • Completed by

  • Employee Number

  • Date and Tme

  • Inspection Location

VEHICLE INSPECTION

ENGINE COMPARTMENT

  • Engine Oil Fluid Level Checked

  • Coolant Fluid Level Checked

  • Steering Fluid Level Checked

  • Brake Fluid Level Checked

  • Belts and Hoses in Good Condition

  • Transmission Fluid Level Checked

Tires and Wheels

  • Tires in Good Condition

  • All Lug Nuts Intact and Secure

Exterior Lighting

  • Headlights - High and Low Beams Operational

  • Left and Right Tail Lights Operational

  • All Turn Signals Operational

EXTERIOR BODY AND GLASS (Take Photos of any Noted Damage)

  • Windows Free of Cracks and Chips

  • Side Windows Free of Cracks and Chips

  • Rear Windows Free of Cracks and Chips

  • Vehicle is Clean and Free of Road Grime and Dirt

  • Vehicle Free of Unreported Exterior Damage

Interior

  • Driver Seat Belts Operational

  • Windshield Wipers Functioning Appropriately

  • Dashboard Lights Operational

  • All Gauges are Operating and Show Within Appropriate Ranges

  • Interior is Clean and Free of Loose Objects

SAFETY EQUIPMENT

  • Securely Mounted First Aid Kit (Ensure Completely Stocked)

  • Fire Extinguisher Charged and Inspected (Both Annually and Monthly)

  • Vehicle is Equipped with Buggy Whip w/Light

  • Vehicle is Equipped with Wheel Chock(s)

REVIEWED

  • Comments

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.