Company Vehicle Safety Checklist

  • Company Vehicle Safety Checklist

  • Safety Items Checklist

  • Is your vehicle equipped with fire extinguisher ?*
  • Is your fire extinguisher strapped and easy to access?*
  • Fire extinguisher inspection / service date?*
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  • Is your vehicle equipped with a first aid kit?*
  • Do you need refills of any items of your first aid kit?*
  • Is your vehicle equipped with useable safety googles ?*
  • Is your vehicle equipped with useable safety glasses ?*

  • General Appearance and Mechanical Notes

  • Has the vehicle been washed with in the last 15 days ?*
  • Is the interior of the vehicle cleaned in the last 7 days?*
  • Is there body damage to the vehicle?*
  • Are the brake lights working properly?*
  • Are the reverse lights working properly?*
  • Is the vehicle horn working properly?*
  • Are the vehicle breaks working and in good conditions?*
  • Does your assigned company vehicle need an Oil Change?*
  • Does your assigned company vehicle have an Oil life display ?*

  • Company Vehicle Tire Condition

  • Left Front*
  • Right Front*
  • Left Rear*
  • Right Rear*

  • Documents

  • Is your Driver's License valid?*
  • Is the Registration current?*
  • Is the Insurance Card current?*

  • Driver Health

  • Do you feel safe driving your assigned company vehicle?*
  • Do you currently have any medical conditions that impair your driving ?*

  • I certify that the above information is correct and accurate as of the date on this form and that I have not experienced any work related injuries related to operating a company vehicle that have not been reported to my manager and/or human resources. 

  • Today's Date*
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  • Should be Empty: