VerTek LLC Vehicle Inspection Form

LIGHTS

ESSENTIALS

BUCKET SYSTEM

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

SAFETY EQUIPMENT

DOCUMENTATION

Is there Windshield Damage? *

Yes No
Photos & Videos *

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
Send report to Supervisor *
example@example.com
WE NEED VERIFICATION THAT IT IS YOU INSPECTING YOUR TRUCK.

Don't just fill in this form without a thorough inspection.

Take a SELFIE with your truck in the background. This will date and time stamp automatically.
Take a SELFIE by your TRUCK *
Signature *

Clear
Should be Empty: