Monthly Vehicle Inspection Report

Monthly Vehicle Inspection Form

This form must be completed and submitted monthly for all vehicles.
Enter Email For Confirmation
example@example.com
Vehicle #:
Last 4 of VIN
Mileage:
Date:

MonthDayYear
Date
Driver Name
Supervisor
Photo of front seats / floor board to prove cleanliness of vehicle
Photo of back seats to prove cleanliness of vehicle
Vehicle Inspection

MUST BE COMPLETED ENTIRELY
BRAKES:
A. Parking

Problem: Please list below
B. Brake Fluid

Problem: Please list below
C. Grinding / Pulling

Problem: Please list below
TIRES:
A. Proper Inflation

Problem: Please list below
B. Excessive Wear

Problem: Please list below
C. Spare / Inflated

Problem: Please list below
ENGINE:
Take photo of sticker showing next service date / mileage.
Next service date

MonthDayYear
Date
Next service mileage/hours
A. Oil

Problem: Please list below
B. Transmission / Fluid

Problem: Please list below
C. Coolant

Problem: Please list below
D. Washer Fluid

Problem: Please list below
E. Fluid Leaks

Problem: Please list below
F. Exhaust System

Problem: Please list below
G. Gauges

Problem: Please list below
H. Warning Lights

Problem: Please list below
GLASS:
A. Wiper Blades

Problem: Please list below
B. Cleanliness

Problem: Please list below
C. Chips / Cracks

Problem: Please list below
ELECTRICAL:
A. Turn Signals

Problem: Please list below
B. Head Lights

Problem: Please list below
C. Break / Tail Lights

Problem: Please list below
D. High / Low Beams

Problem: Please list below
E. Horn

Problem: Please list below
F. Windshield Wipers

Problem: Please list below
G. Hazard Warning Lights

Problem: Please list below
H. Interior Lights

Problem: Please list below
BODY:
A. Damage

Problem: Please list below
B. Mirrors (Interior & Exterior)

Problem: Please list below
C. Cleanliness

Problem: Please list below
D. Seatbelts

Problem: Please list below
E. ID# / Logo / Decals

Problem: Please list below
SAFETY EQUIPMENT:
A. First Aid Kit

Problem: Please list below
B. Insurance ID Card

Problem: Please list below
C. Registration

Problem: Please list below
Take a photo of the vehicle information book to verify it is in vehicle
D. Accident QR Code / Form

Problem: Please list below
E. Warning Devices

Problem: Please list below
F. Trip Inspection QR Code Sticker

Problem: Please list below
G. Fire Extinguisher

Problem: Please list below
H. Monthly Inspection QR Code

Problem: Please list below
I. Is the fuel card in the vehicle?

Problem: Please list below
Take a photo of the vehicle's fuel card to verify it is in vehicle
Loads shall be secure and shall not exceed the manufacturer's specifications and legal limits for the vehicle.

*Type N/A if the vehicle is not equipped with a fire extinguisher.
Comments:
Failure to submit, incomplete or falsify information on this report can result in loss of driving privileges.
Employee Signature
Date

MonthDayYear
Date
Should be Empty:

Monthly Vehicle Inspection Form

Vehicle Inspection