pre-trip fleet vehicle inspection form . driver must inspect the assigned vehicle before the vehicle is moved. driver: use this check list as a guide ...
Phone Number 800.222.4664 [email protected] Page 1 of 6 www.Telcominsgrp.com SAMPLE VEHICLE FLEET SAFETY & USAGE POLICY Policy The purpose of this policy is to
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MONTHLY FIRE EXTINGUISHER INSPECTION FORM. Facility. Inspector. Location. Date. INSPECT THESE ITEMS AT LEAST MONTHLY. Date Location or. Number. Inspected – I or. Tested - T. Satisfactory. Y or N. If “N”, Action. Taken. Signature. Additional Comments:
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Pre-Trip Fleet Vehicle Inspection Form DRIVER MUST INSPECT THE ASSIGNED VEHICLE BEFORE THE VEHICLE IS MOVED.
DRIVER: USE THIS CHECK LIST AS A GUIDE FOR INSPECTING THE VEHICLE. CHECK “OK” IF ITEM FUNCTIONS PROPERLY AND “REPAIR” IF REPAIR IS NEEDED.
OK
Vehicle Receiving Inspection:
License No.
Odometer Number:
Driver Name: ENGINE OFF CRITERIA
REPAIR
ENGINE OIL WITHIN ACCEPTABLE LIMITS FAN BELTS TIGHT AND SHOW NO OBVIOUS DAMAGE COOLANT LEVEL ACCEPTABLE TIRE TREAD AND SIDEWALS SHOW NO DAMAGE TIRE INFLATION WINDOWS CLEAN INSIDE AND OUTSIDE WINDSHIELD WIPERS CLEAN AND NOT STUCK TO WINDSHIELD SEAT BELT FUNCTIONS CORRECTLY EMERGENCY / INCIDENT REPORTING KITS AVAILABLE FIRE EXTINGUISHER AVAILABLE ENGINE ON CRITERIA HEADLIGHTS FUNCTION ON BOTH HI AND LO BEAM TURN SIGNALS FUNCTION BRAKE LIGHTS FUNCTION INCLUDING THIRD BRAKE LIGHT REVERSE LIGHTS / BACK UP ALARM FUNCTIONS FLUID LEAKS DISCOVERED HORN SOUNDS MIRRORS FUNCTION AND ARE CLEAN BRAKES FUNCTION CORRECTLY ANY NEW DAMAGE NOTED PRIOR TO USING THIS VEHICLE?
NOTES: I have personally inspected the vehicle above and have found it to be in the condition listed above. Signature:
