Vehicle Inspection Fr5orm

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Vehicle Inspection Form

Vehicle Number: _________________


Date of Inspection: ______________________
Person Inspecting the Vehicle: ____________________________ Badge No. _________________
Print Name
Please make an appropriate response after inspecting the following items.
Item To Be Checked Satisfactory Unsatisfactory Requires Attention Comments
Tire Pressure
1) Front 1) 1) 1) 1)
2) Rear 2) 2) 2) 2)
Spare Tire Pressure
Lug Wrench
Windshield Washer Fluid
Oil Level
Brake Fluid Level
Radiator Reservoir
Condition of Fan belts
Head Lights
Brake Lights
Date Of Last Service
Safety Equipment Available
Note To Driver: Any item requiring attention should be corrected immediately, without delay. It is the drivers responsibility to
arrange for repairs and servicing.
I have visually inspected the above items. Employee Signature: __________________________

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