Monthly Vehicle Inspection Form

Monthly Vehicle Inspection Form - 2025

*Due 1st Friday of a full week each month.
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
Full Front Pic of Vehicle

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Full Passenger Side of Vehicle

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Full Rear Pic of Vehicle

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Full Driver Side of Vehicle

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

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Full Rear Interior Photo of Vehicle

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Photo of Properly Mounts Phone Mount

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Photo of Installed Samsara Camera

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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
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Photo of Badge

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

YesNoGetting Close
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