Equipment Check
Unit Checked:
Please Select
Unit 1
Unit 2
Unit 3
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Vehicle Check:
Engine Oil and Coolant Levels
Yes
No
Issue
Windshield and Mirrors
Yes
No
Issue
Doors and Windows
Yes
No
Issue
Emergency Brake
Yes
No
Issue
Tires: wear and pressure (spare)
Yes
No
Issue
Inspection and License Plate Stickers
Yes
No
Issue
Check Ground under Vehicle for Fluid Leaks
Yes
No
Issue
Check for Cleanliness & Damages (interior and exterior)
Yes
No
Issue
Fuel Level, Gauges, and Dash Warning Lights
Yes
No
Issue
Windshield Wipers
Yes
No
Issue
Horn
Yes
No
Issue
Head Lights, Taillights, Turn Signals, Flashers, Warning Lights
Yes
No
Issue
Defrosters, Heaters, Air Conditioners (when applicable)
Yes
No
Issue
Seat Belts
Yes
No
Issue
Emergency Equipment Check:
First Aid Kit
Yes
No
Issue
Fire Extinguisher
Yes
No
Issue
Warning Reflectors and Flares
Yes
No
Issue
Flashlight
Yes
No
Issue
Jack, Lug-Wrench, and Spare Tire
Yes
No
Issue
Communication Device
Yes
No
Issue
Documentation:
Insurance Card
Yes
No
Issue
Registration
Yes
No
Issue
Notes:
Submit
Should be Empty: