Vehicle Inspection and Maintenance Report
Get in touch with your customers to provide them with better service. You can modify the form fields to gather more precise information.
Vehicle
*
Shift
*
Unit
*
Date
-
Month
-
Day
Year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Exterior Cleanliness
Exterior Cleanliness
Clean
Fair
Dirty
Beginning Mileage
Beginning Fuel Level
End Mileage
Oil Change Due
Mechanical
Windows
Working
Not Working
N/A
Air Conditioning
Working
Not Working
N/A
Heat / Defroster
Working
Not Working
N/A
Pedals
Working
Not Working
N/A
Radio
Working
Not Working
N/A
Horn
Working
Not Working
N/A
Side Mirrors
Working
Not Working
N/A
Back-Up Alarm
Working
Not Working
N/A
Lights
Head Lights
Working
Not Working
N/A
Side Markers
Working
Not Working
N/A
Tail Lights
Working
Not Working
N/A
Brake Lights
Working
Not Working
N/A
Emergency Flashers
Working
Not Working
N/A
Turn Signals
Working
Not Working
N/A
Back-up Lights
Working
Not Working
N/A
Dome Lights
Working
Not Working
N/A
Overhead Lights
Working
Not Working
N/A
Interior
Overall Cleanliness
Satisfactory
Unsatisfactory
N/A
Dash Lights
Satisfactory
Unsatisfactory
N/A
Center Console
Satisfactory
Unsatisfactory
N/A
Cup Holders
Satisfactory
Unsatisfactory
N/A
Floor
Satisfactory
Unsatisfactory
N/A
Seats
Satisfactory
Unsatisfactory
N/A
Behind Seats
Satisfactory
Unsatisfactory
N/A
Door Panels
Satisfactory
Unsatisfactory
N/A
Glove Box
Satisfactory
Unsatisfactory
N/A
Equipment
Med Box
Equipped
Missing
SCBA
Equipped
Missing
AED
Equipped
Missing
O2 Bottle
Equipped
Missing
Tire Condition
Beginning Tire Condition
Good
Slow
Weak
Spare Tire Condition
Good
Slow
Weak
Missing
Ending Tire Condition
Good
Slow
Flat
Exterior Damage
Start of the shift
Yes
No
End of the shift
Yes
No
After my inspection, I feel safe driving this vehicle.
Yes
No
Operator Name
*
Email
*
example@example.com
Inspection Notes
Submit
Should be Empty: