Vehicle Inspection & Trip Report
Sign in to Google to save your progress. Learn more
Driver's Vehicle Inspection Report
Date & Time
MM
/
DD
/
YYYY
Time
:
Vehicle Number
Operator
Mileage
Location
Suggested Procedure
1. Check under hood.
2. Start engine.
3. Proceed with the in-cab check.
4. Walk around and examine the vehicle.
5. Look under for leaks.
6. Test breaks. steering and transmission before the trip.
7. Recheck the equipment enroute.
8. Ensure HRM and COVID-19 PPE On Site 
Engine
OK
Defective
Cooling System
Exhaust System
Oil, Water, Windshield Solvent
Leaks - Water, Oil, Fuel, Grease
Belts - Fan, Alternator, Compressor, etc.
Clear selection
Exterior
OK
Defective
Lights, Flashers, Signals
Reflectors
Tires, Wheels, Lugs, Studs, Drums
Chassis, Frame, Tanks, Battery box, etc.
Suspension
Brake Hoses & connections
Exhaust system
Rear-end Protection
Cargo Area Condiition - Floor, Walls, Roof, Doors
Clear selection
IN CAB
OK
Defective
Cab Condition (locks, latches, doors, mountings)
Mirrors, Windshield, Windows
Horn, Wipers and Washers
Defroster, Heater
Low Air warning device
Instruments and Gauges
Emergency Equipment - Fire Extinguishers
Seat Belts
Steering
Brakes - Service, Parking
Clutch
Drive Train
Vehicle Registration (Mandatory)
Policy/Insurance Copy (Mandatory)
OOH Waiver QRC/Form Mandatory)
Clear selection
Gas Level
ex : 5L
Oil Level
ex : 5L
Completed by
Date
MM
/
DD
/
YYYY
All Repairs made
Clear selection
Certified by
Location
Date
MM
/
DD
/
YYYY
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report