VerTek LLC Monthly Vehicle Inspection

VerTek LLC Monthly Vehicle Inspection
Inspection Date *

Month Day Year
Date
Location *
City/Office
Email *
example@example.com
Make/Model/Year *
ID *
VerTek Vehicle ID or Tag #
Mileage *

LIGHTS

	PASS	FAIL	N/A	COMMENTS
1. Flashers (Hazard)
2. Headlights
3. Brakes/Taillights
4. Turn signals
5. Back-up lights
6. Dash
7. Interior lights

ESSENTIALS

	PASS	FAIL	N/A	COMMENTS
1. Steering
2. Brakes
3. Tire Pressure
4. Back-up sensor/alarm
5. Seat belts
6. Wipers
7. Windows/windshields
8. Mirrors
9. Horn
10. Spare tire
11. Jack/lug wrench

BODY

	PASS	FAIL	N/A	COMMENTS
1. Front
2. Driver's Side
3. Passenger Side
4. Rear
5. Undercarriage
6. Bed
7. Wheels

ORGANIZATION

	PASS	FAIL	N/A	COMMENTS
1. Clean cab
2. Clean floor in cargo
3. Organized test equipment
4. Storage in cargo department

EQUIPMENT

	PASS	FAIL	N/A	COMMENTS
1. Inverter
2. Ladders
3. Ladder Rack
4. Cable Reels
5. Lashers
6. Pole Framing Hardware
7. Hand Truck

UNDER THE HOOD

	PASS	FAIL	N/A	COMMENTS
1. Brake Fluid
2. Transmission Fluid
3. Power Steering Fluid
4. Washer
5. Oil
6. Hoses
7. Belts
8. Battery

BUCKET SYSTEM

	PASS	FAIL	N/A	COMMENTS
1. Lift condition
2. Hydraulic fluid (reservoir)
3. Date of last safety inspection
4. Wheel chocks
5. Outriggers (if installed)
6. Safety lanyard & harness
7. General condition
8. Safety decals

SAFETY EQUIPMENT

	PASS	FAIL	N/A	COMMENTS
1. Fire extinguisher
2. First Aid kit
3. Hard hat
4. Goggles
5. Safety Glasses
6. Safety vest
7. Cones
8. Voltage detector
9. High voltage gloves
10. Flashlight
11. Strobe
12. Ice scraper
13. Accident Forms
14. HazCom Manual
15. Battery handling kit

DOCUMENTATION

	PASS	FAIL	N/A	COMMENTS
1. Driver’s License up to date
2. Employee ID
3. Insurance card
4. Vehicle Registration
5. Fuel log

File(s) Upload *

Photos or a narrated video of vehicle (FRONT, REAR, SIDES, BED, LADDERS, TIRES, AND STORAGE). Note damage, condition, paperwork, etc.
Cancel of
THIS INSPECTION *

PASSED FAILED
Comments
Should be Empty: