Pre-Trip: Farm Vehicles/Mules

Has your supervisor done a vehicle safety sign off with you?

Your Full Name (other/not on list if needed)

Driver Legal Name

First NameLast Name

Department:

Unit #

Full Name

Vehicle Make and Model:

Vehicle Driven/Inspected By:

Your full name (not on list)

Are You Hitching to a Trailer?

Date Inspected:

Date

Supervisor:

First NameLast Name

Supervisor

Engine hours OR odometer reading at start of shift

Examples: 1240 hrs · 182,000 km · 1240h

How full is your fuel tank?

Vehicle Checklist:

Rows	Operable Condition	Needs Repair	N/A	Notes
Fluids – radiator, oil, transmission, brake, steering, wiper
Lights – headlights, driving, tail, signal, hazard lights
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

Trailer Checklist:

Rows	Operable Condition	Needs Repair	N/A	Notes
Does coupler match the hitch ball size?
Is the jack up?
Tires – pressure, tread, wheel nuts, spare
Breakaway cable secured?
Coupler latched and fastened?
Pin hitch inserted and secured?
Safety chains secured?
Trailer lights working (break & turning)
Is the load secured?

Please review the following safety protocols:

Photo of Damage (If any)

Photo #2

Signature

Asset Tag

Submission UID

Describe the issue(s) you found

Did this vehicle pass the full inspection?