Monthly Vehicle Inspection Form

Monthly Vehicle Inspection Form - 2026
Basic Information
Driver Name*

First NameLast Name
Select Your FSM / WH Manager*
*WH Manager for Warehouse Team Only
Last 6 of the VIN*
Vehicle Make*

FordChevy
Odometer*
Date Submitted*

MonthDayYear
Date
How long have you been in that van? Select one that applies (Guesstimate if you are not sure)*

I am new and just started with the company. (WELCOME!)3-6 Months in this Van6+ Months to 1 Year1-2 YearsOver 2 Years
Photos
VAN MUST BE WASHED / CLEANED PRIOR TO PHOTOS

*If the van has mud, dirt or any debris on it - please rinse it off before taking photos. Dish will reject them on our Audit. Thank you!
Full Front Pic of Vehicle (*NOT AT AN ANGLE STRAIGHT ON)*

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Full Passenger Side of Vehicle ((*NOT AT AN ANGLE STRAIGHT ON))*

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Full Rear Pic of Vehicle (Doors closed)*

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Full Driver Side of Vehicle ((*NOT AT AN ANGLE STRAIGHT ON))*

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Front Interior Photo (Must see Both Seats & Floorboards - take angled down)*

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Full Rear Interior Photo of Vehicle (*Make Sure It Is Cleaned and Organized)*

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Photo of Properly Mounted Phone Mount*

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Photo of Installed Samsara Camera*

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Dish Audit Photos
DISH UNIFORM AUDIT -- Chest up selfie with correct uniform shirt. (REMOVE HAT & SUNGLASSES FOR PIC) - *Warehouse - Not Required*

NOTE: OnTech (blue Ontech Shirt) - Dish - Polo ONLY NO TSHIRTS ALLOWED - Words: DISH, Authorized Contractor from Chest Up
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If you do not have a badge select the below*

I DO NOT have a badge.I DO have a badge.Warehouse - Not Required
Photo of DISH Badge (wash/wipe badge off make sure it is not dirty)

MAKE SURE BADGE IS CLEAN!
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Photo of ONTECH Badge (If Applicable) (wash/wipe badge off make sure it is not dirty)

MAKE SURE BADGE IS CLEAN!
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Fuel
Does your fuel card Match the VIN or last 6-8 digits of your Vans VIN?*

YesNoSays "Temp Card"
Is the expiration good for some time? (if expired 7/25 you can throw that card away)*

Yes - goodNo - expired (I will throw that one away)
Photo of front of Fuel Card*

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TIRES
Penny Test - Do you have any tires that need replaced? (add which in notes)*

YesNoGetting Close
Does your vehicle have a usable spare tire?*

YesNoYes - but flat or damaged.
Do you have a usable jack and lug wrench/jack handle?*

YesNoMissing the JackMissing the Handle
Registration
Is your Tag Year Registration sticker up to date on the vehicle?*

YesNo
Do you have a copy of the CURRENT in cab registration?*

YesNo - (this may be required to get onto Military Installation - we will provide an email copy if necessary)
Photo of Vehicle Tag and Sticker up Close*

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Mechanical/Electrical
Transmission Shifting normally?*

YesNo - wraps out at high RPM's (*We may schedule a Transmission Flush)No - Jerks Real Hard (*We may schedule a Transmission Flush)
Are you breaks squeaky, and/or making loud noises when pressed?*

Yes - Pads are squealing, may even need rotors.Yes - Makes slight squeak when pressed.No - They are fine.
Are any of your light bulbs out - Turn Signal, Brakes, Low Beam/High Beam?*

Yes - Please get with your FSM to have them purchase required bulb(s).No - All good
Is the vehicle slow to start or starts fine?*

No - It starts just fine.Yes - It is slow to start. Probably need a new battery. (Please get with FSM to purchase a new battery for the vehicle at Parts Store or WalMart)
Glass

We do NOT use Safelite for glass repairs. Get with FSM or Fleet if you need help finding a windshield shop.
Do you have any chips in your windshield?*

No - All GoodYes - Smaller than a half dollar (Self Repair Kits Can Be Ordered from the WH)No, Its a Large Crack but not impeding driver sight.No, Its a large crack and I need help finding a place to get it repaired.No, its a large crack and I know where to go. I will have the glass shop contact Natasha.
Photo of Damage to Windshield

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Windshield Wipers (Provided By Us)*

My wipers are currently fine and I will request new ones once I need them from Fleet. I understand these will be provided by the warehouse.No - I now understand I need to send a message on Unite or an email to fleet@ssidish.com and have them request WIpers from the Warehouse to be delivered to me.
NOTES (if you have any direct issues - (please contact Fleet@ssidish.com or your FSM) -- Please note them here.
I Understand the No Vaping, No Smoking & No Mobile Phone Usage In the Company Vehicle Policy(s).*

I hereby re-certify and confirm that I understand the policy of no vaping and/or smoking in the provided company vehicle. I will do either of these items outside of the vehicle only. By checking the box, and signing below you agree to adherence of this policy.I hereby also re-certify the strict NO MOBILE USAGE while driving policy. I am not to touch my phone while I am driving said company vehicle(s). By checking the box, and signing below you agree to adherence of this policy.
By Signing below, you testify that all information above is provided accurately, and photos were take at the time the form was submitted. Please sign if all are true about the above statements.*

Clear
REMINDER: It is the driver operating the vehicle's responsibility to let someone know if there is a safety issue. If you need tires, have your FSM request them from fleet, if you need a windshield fixed or wipers, let the fleet department know by emailing: fleet@ssidish.com - or contacting Fleet in the Unite App and we will assist. Please make sure that your oil changes are also done on time (7000 mile intervals) as well as regular PM's such as Transmission Flushes in order to increase the life of the vehicle in turn keeping you productive.
Should be Empty:

Monthly Vehicle Inspection Form - 2026

Basic Information

Photos

VAN MUST BE WASHED / CLEANED PRIOR TO PHOTOS

Dish Audit Photos

Fuel

TIRES

Registration

Mechanical/Electrical

Glass