Monthly Vehicle Inspection Form

Monthly Vehicle Inspection Form - 2025
Driver Name*

First NameLast Name
Select Your FSM / WH Manager*
*WH Manager for Warehouse Team Only
Last 6 of the VIN*
Odometer*
Date Submitted*

MonthDayYear
Date
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)*

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

Cancelof
Full Rear Pic of Vehicle (Doors closed)*

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

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

Cancelof
Full Rear Interior Photo of Vehicle*

Cancelof
Photo of Properly Mounted Phone Mount*

Cancelof
Photo of Installed Samsara Camera*

Cancelof
DISH UNIFORM AUDIT -- Chest up selfie with correct uniform shirt. (REMOVE HAT FOR PIC) - *Warehouse - Not Required

OnTech (blue Ontech Shirt) - Dish - Polo ONLY - Words: DISH, Authorized Contractor from Chest Up
Cancelof
Photo of Badge

Cancelof
If you do not have a badge select the below

I DO NOT have a badge.I DO have a badge.Warehouse - Not Required
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
NOTES (if you have any direct issues - (please contact Fleet@ssidish.com or your FSM)
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 and we will assist. Please make sure that your oil changes are also done on time (7000 mile intervals) in order to increase the life of the vehicle in turn keeping you productive.
Should be Empty:

Monthly Vehicle Inspection Form - 2025

VAN MUST BE WASHED / CLEANED PRIOR TO PHOTOS