Daily Van Checkout Form
Jack Stack Barbecue
Driver Info & Van Assignment
Driver Name
*
First Name
Last Name
Date
*
/
Month
/
Day
Year
Today's Date
Time of Inspection
*
Hour : Minutes
AM
PM
AM/PM Option
Van Name & Number
*
Example: Catering Van 02
License Plate Number
*
Example: 225PHN
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Interior Cleaning Checklist
Floors are swept:
*
CHECK
Trash is removed from cab and cargo:
*
CHECK
Verify spillages have been cleaned:
*
CHECK
Door seals checked and cleaned:
*
CHECK
Refrigerator interior is wiped/disinfected:
*
CHECK
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Exterior Inspection Checklist
Are body panels free of damage?
*
YES
NO
If the previous question was answered 'NO' then please specify the damaged panel(s):
Example: Driver Side Cargo Panel
Are all lights operational?
*
YES
NO
If the previous question was answered 'NO' then please specify the lights needing maintenance:
Example: Rear Left Brake Light
Tires properly inflated:
*
CHECK
Windshield is clean and wipers are functional:
*
CHECK
Are mirrors clean and undamaged?
*
YES
NO
If the previous question was answered 'NO' then please specify which mirrors are damaged:
Example: Driver Sideview Mirror
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Refrigeration & Maintenance Check
Refrigeration unit cooling properly:
*
CHECK
Reported temperature is within required range:
*
CHECK
Temperature Reading:
*
°F/C
Fuel level is checked:
*
CHECK
Are there dashboard warning lights?
*
YES
NO
If the previous question was answered 'YES' then please specify dashboard warning light(s):
Example: Check Engine Light
Verify fluid levels are healthy (Oil, Coolant, Washer Fluids):
*
CHECK
Do all doors open and shut smoothly?
*
YES
NO
If the previous question was answered 'NO' then please specify which doors do not:
Example: Passenger Side Cab Door
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Issues & Damage
Do you have any concerns about damage or maintenance for this vehicle?
*
YES
NO
If the previous question was answered 'YES' then please explain:
0/1000
Attach photo(s)
Media Upload
Drag and drop files here
Choose a file
Please upload pictures here of vehicle damage.
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Confirmation & Signature
Driver Signature
*
Supervisor Signature
*
Submit
Should be Empty: