TMA Vehicle Inspection Form
By completing this form, you acknowledge that you have physically verified safe function of the vehicle. Be sure to check each item. Inspections must be completed before operating any vehicle and upon return. Note that no equipment or devices shall be transported in the TMA when utilized for TTC Operations.
Driver Full Name
*
Vehicle Number (Lic Plate if not available):
*
Today's Date
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
When is this form being completed?
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Pre-Trip
Post-Trip
Home Branch Location
*
Please Select
MW- Norwalk
Baldwin Park
Palmdale
Starting Mileage
Pre-Trip
Ending Milage
Post-Trip
Vehicle Inspection
*
Rows
Needs Repair
OK
Conduct 360 Walkaround
Truck Mounted Arrow Board
Strobe Lights
Headlights, Signals, Break lights
Tire, Wheels, & Rims- Proper inflation and condition
Fluid Levels- Engine Oil, Coolant, Power Steering, Break Fluid, Windshield Fluid
Condition of Belts and Hoses
Battery Condition- Level and Corrosion
Gauges on Dashboard
Horn works properly
Service Breaks Pressure
Parking Break
Side Mirrors, Rear Camera, Rear Mirror
Steering Wheel Mechanics
Windows roll up and down
Windshield Wipers and Fluid
Registration, Tags, & Insurance
Radios
Seat Belts
Emergency Kit and Fire Extinguisher Present
Attenuator Inspection
*
Rows
Needs Repair
OK
Scorpion Fully Lowers and Raises
Hand-held controller works properly
Verify all bolts are in place and tighten
All pivot points, hinges and pins are properly lubricated
Hydraulic hoses are free of any leaks
Electrical Wiring in Good Condition
Scorpion Cartridges Bolts are Secured
Attenuator Lights Work Properly
Reflective Marker is Clean and In Good Condition
Vehicle Front
*
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of
Vehicle Driver Side
*
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May upload additional photos for any damages
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of
Vehicle Rear
*
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May upload additional photos for any damages
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of
Vehicle Passenger Side
*
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May upload additional photos for any damages
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of
Deployed Scorpion Driver Side
*
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May upload additional photos for any damages
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of
Deployed Scorpion Passenger Side
*
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May upload additional photos for any damages
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of
Deployed Scorpion Rear
*
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May upload additional photos for any damages
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of
Driver Notes for Vehicle or Trailer Condition (Be sure to report any damages or safety concerns immediately)
Overall Vehicle Rating- 1=Needs Repairs 2=OK/No safety concerns 3=No Issues at all
*
1
2
3
Operator Signature
*
Please note that no equipment or devices shall be transported in the TMA when utilized for TTC Operations.
Submit
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