Sample - Daily Pre-Trip School Bus Inspection Form

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SAMPLE – DAILY PRE-TRIP SCHOOL BUS INSPECTION FORM
Taken From-Beginning School Bus Driver Curriculum - Unit III – Vehicle Inspection
Bus # _____ Route # _____ Driver _____________________ Date ____________
Mileage _________ Time ______ am ___ pm ___ √ Items OK X Items Need Repair
Is there body damage? am __ yes __ no / pm __ yes __ no
Damage report completed?
ENGINE COMPARTMENT
LEFT SIDE
am
pm
am
pm
_____ _____ Leaks (oil/water)
_____ _____ Front wheel/lug/ tires
_____ _____ Belts (condition/tension)
_____ _____ Left mirrors
_____ _____ Hoses (condition/leaks)
_____ _____ Stop arm
_____ _____ Washer fluid
_____ _____ Battery box (closed)
_____ _____ Clearance lights
EMERGENCY EQUIPMENT
_____ _____ Reflectors
am
pm
_____ _____ Windows (broken)
_____ _____ Fuses / fire ext / triangles
___
___
Rear wheel/lug/ tires
_____ _____ First aid kit
____ _____ Rear axle seal
INTERIOR
REAR OF BUS
am
pm
am
pm
_____ _____ Oil pressure (20 sec)
_____ _____ Clearance lights
_____ _____ Voltmeter (13.5 – 14.2)
_____ _____ School warning flashers
_____ _____ Fuel gauge (no less ½)
_____ _____ Hazard lights
_____ _____ Park brake test
_____ _____ Turn signals
_____ _____ Low air warning
_____ _____ Brake lights
_____ _____ Emergency/regular brake test
_____ _____ Tail lights
_____ _____ Horn
_____ _____ Rear glass (clean)
_____ _____ Heaters / defrosters / fans
_____ _____ Emergency door
_____ _____ Interior lights
_____ _____ Tailpipe
_____ _____ Monitor board
_____ _____ Windshield washer / wipers
RIGHT SIDE
_____ _____ Check & adjust mirrors
am
pm
_____ _____ Wheelchair locks
_____ _____ Rear wheel/ lug/ tires
_____ _____ Emergency windows
_____ _____ Rear axle seal
_____ _____ Seats (condition)
_____ _____ Clearance lights
_____ _____ Emergency door
_____ _____ Reflectors
_____ _____ Windows (broken)
EXTERIOR CHECK
_____ _____ Lift door (operation)
am
pm
_____ _____ Lift (operation)
_____ _____ Strobe light
_____ _____ Fuel cap on
_____ _____ Front wheel/lug/tires
_____ _____ Right mirrors
FRONT OF BUS
am
pm
_____ _____ Hazard lights
School warning flashers
List all items in need of repair on work order.
_____
_____
_____ _____ Clearance lights
_____ _____ Turn signals
TURN INTO OFFICE AT END OF DAY
_____ _____ Headlight (low / high beams)
_____ _____ Windshields
_____ _____ Convex mirrors
____________________________________
_____ _____ Under bus (leaks)
Signature

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