Vehicle Inspection Form
By completing this form, you acknowledge that you have physically verified safe function of the vehicle and/or trailer. Be sure to check each item. Inspections must be completed before operating any vehicle and upon return.
Driver Full Name
*
Vehicle Number:
*
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
When is this form being completed?
*
Pre-Trip
Post-Trip
Home Branch Location
Please Select
MW- Norwalk
Baldwin Park
Malibu Yard
Palmdale
Starting Mileage
Pre-Trip
Ending Milage
Post-Trip
Vehicle Inspection
*
Rows
Needs Repair
OK
Conduct 360
Engine Oil & Coolant Status On Dashboard
Gauges on Dashboard Working
Headlights, Signals, Break Lights
Horn
Service Breaks Pressure
Parking Break
Side Mirrors, Rear Camera, Rear Mirror
Steering Wheel Mechanics
Truck Mounted Arrow Board
Strobe Lights
Tire, Wheels, & Rims
Windows Roll up/down
Windshield Wipers and Fluid
Registration, Tags, & Insurance
Radios
Emergency Equipment (First Aid Kit/AED/Fire Extinguisher)
Visual Check-Fire Extinguisher Charged and Unused
Standard Equipment
Rows
Yes
No
Truck has standard equipment needed
2 Paddles
8 Busters
12 Type 1 Barricades
Full Rack of Cones
ADA Barricades
Vehicle Front
*
Browse Files
Drag and drop files here
Choose a file
May upload additional photos for any damages
Cancel
of
Vehicle Driver Side
*
Browse Files
Drag and drop files here
Choose a file
May upload additional photos for any damages
Cancel
of
Vehicle Rear
*
Browse Files
Drag and drop files here
Choose a file
May upload additional photos for any damages
Cancel
of
Vehicle Passenger Side
*
Browse Files
Drag and drop files here
Choose a file
May upload additional photos for any damages
Cancel
of
Radios in Truck
*
Browse Files
Drag and drop files here
Choose a file
Take a photo of your radios
Cancel
of
Does the vehicle need any repairs?
*
Yes
No
Are You Towing a Trailer Today?
*
Yes
No
Trailer Number
*
Type N/A if no trailer
Trailer Type
*
Arrow Board
Light Tower
Message Board- CMS
Trailer Inspection- Only Complete the below section if towing a trailer
Rows
N/A
Needs Repair
OK
Battery Level
Light Board Condition
Board Lights & Light Hoods
Board Safety Pins
Controls
Safety Chains
Coupler and Coupler Latch
Winch & Winch Cable
Electrical Cable
Jackstand Raises/Lowers
Outriggers & Pins
Running Lights, Break Lights & Signals
Trailer Frame
Light Tower Mast- For Light Towers Only
Driver Notes for Vehicle or Trailer Condition (Report any damages or safety concerns immediately to your supervisor)
Overall Vehicle Rating: 1=Needs Repairs, 2=OK/No safety concerns, 3=No Issues at all.
*
1
2
3
Driver Signature
*
Submit
Should be Empty: