Vehicle Inspection Report

Vehicle Inspection Report
Pre-Trip or Post-Trip*

Pre-TripPost-Trip
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Vehicle Number*
Odometer Reading*
DOT Required Items

Check Each Item that is NOT OK
DOT Required Items

Parking BrakesService BrakesHead LightsBrake LightsTail LightsTurn SignalsReflectorsRear Vision MirrorsInstruments / GaugesHornSteering MechanismWindshield WipersTiresWheels & RimsFire Extinguisher (secured)Warning DevicesSpare Bulbs & FusesFirst Aid Kit / Flashlight
Preventative Maintenance Items

Check Each Item that is NOT OK
Preventative Maintenance Items

Cooler TemperatureWindows / WindshieldSeat BeltsStarterHeater / DefrosterEngine PreformanceBatteryRadiator & HosesBelt Tension / WearExhaust SystemSuspension SystemFuel SystemAxels & FrameBodyOil Level*Transmission Fluid*Brake Fluid*Water Level*Vehicle Accident Report & Insurance Cart in Glove Compartment*Vehicle Body is Free of Damage & Disrepair
Driver Signature*

Clear
Remarks
Upload Photos

Cancelof
Supervisor/Mechanic Code
Supervisors Only

Items Marked "Not OK" - BEFORE the vehicle can be operated a supervisor must reviews all items marked "Not OK" and complete the section below:
Supervisor Safe to Drive or Out of Service

I have reviewed all items marked "Not OK". Items followed by a (*) have been corrected, and the vehicle can be operated safely without further action.The vehicle is unsafe to operate and/or may break down if operated. I am placing this vehicle OUT OF SERVICE until the above defects are corrected.
Supervisor Signature

Clear
Has the vehicle been repaired?

YesNo
Is it safe to drive?

YesNo
Mechanic Remarks
Upload Photos

Cancelof
Mechanic Signature

Clear
Should be Empty:

DOT Required Items

Preventative Maintenance Items

Supervisors Only