Pre-Trip: Highway Vehicles

Pre-Trip Highway Vehicle Inspection Form

This is for vehicles under 5500 kg GVRW
Has your supervisor done a vehicle safety sign off with you?
Department:
Vehicle Plate #:
Unit #:
Vehicle Make and Model:
Inspected By (type full name):
Vehicle Driver:
Your full name (not on list)
Email of the Driver
example@example.com
Your full name (not on list)
Date Inspected:

MonthDayYear
Date
Supervisor Name
Engine hours OR odometer reading at start of shift
Examples: 1240 hrs · 182,000 km · 1240h

Item Checklist:

Rows	✘	✔	N/A	Action Required
Fluids – radiator, oil, transmission, brake, steering, wiper
Lights – headlights, driving, tail, signal, hazard,
Tires – pressure, tread, wheel nuts, spare
Brakes – function, emergency, warnings,
Electrical – battery, gauges, warnings
Defrost/heater – functioning, windows clear
Exhaust – noise, secure, leaks
Safety – seatbelts, first aid kit, fire extinguisher (insp. Date)
Accessories – wipers, horn, mirrors, cab clean
Windshield – clean, no chips or cracks

Photo of Damage (If any)
Photo #2
Notes
Signature
Describe the issue(s) you found
Did this vehicle pass the overall inspection?
ℹ️ Just tap Submit to send this form. (Save only stores your progress to finish later — you usually won't need it.)
Should be Empty:

Pre-Trip Highway Vehicle Inspection Form