Pre-Trip Vehicle Inspection
This inspection should be completed at the beginning of each shift.
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Date: *
MM
/
DD
/
YYYY
Driver: (FIRST name LAST name) *
Attendant: *
Unit #: *
Start Time: *
Time
:
Start Odometer: *
Finish Time: *
Time
:
Finish Odometer: *
Oil Change Due? *
State Inspection Due? *
Tag Expiration Date (MM/YY) *
Pre-Trip Inspection: This must be carefully completed by each driver at the beginning of each shift
Check the following:
Door/Ramp Operation *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Seat Belts *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Windshield Wipers/Washer *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Directional Lights and Flashers *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Horn *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Fuel at end of shift *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Headlights/Running Lights *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Interior Lights *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Brake Lights & Tail Lights *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Parking Brake *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Wheelchair Securement Devices *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Backup beeper *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Tire Condition *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Q-Straints are secured in Tracks *
Fire Extinguisher *
Required
First Aid Kit *
Required
First Aid Kit *
Required
Insurance card *
Required
Speedometer And Odometer *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Heat/AC Units Operable *
If not working properly, please provide description of what is not working properly then alert your supervisor.
Required
Vehicle Registration *
Required
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