WAREHOUSE VAN INSPECTION FORM (OUTBOUND)
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Vehicle Number
*
Mileage:
*
Are the following systems in good working order?
Oil Level
*
YES
NO
Brake Fluid Level
*
YES
NO
Belts
*
YES
NO
Hoses
*
YES
NO
Air Filter
*
YES
NO
Battery Condition
*
YES
NO
Tires: checking appearance, pressure, alignment, balance, rotation and tread depth.
*
YES
NO
Mirrors Including - rearview, side and blind spot
*
YES
NO
Windshield Wipers - front, rear and controls
*
YES
NO
Seat belts
*
YES
NO
Headlights - low beam & hi beam
*
YES
NO
Brake Lights
*
YES
NO
Lights - rear, reverse, side, license plate, turn signals
*
YES
NO
Defroster/Heater
*
YES
NO
Air Conditioning
*
YES
NO
Brakes - both front and rear
*
YES
NO
Cleanliness - both interior and exterior (Making sure to note any body damage/defects)
*
YES
NO
Safety Items - horn working, fire extinguisher, reflective triangle kit, first aid kit
*
YES
NO
Fuel Level (Quarter, Half, 3/4, Full)
*
If you marked "NO" on any field, please describe the nature of the failure below
Signature
*
Submit
Should be Empty: