Sample School Bus Driver'S Pre-Trip Inspection Form printable pdf download

School Bus Drivers’s Pre-Trip Inspection Form

School District or Contractor’s Name

Bus Identification No.

Date

Time

PLEASE CHECK “S” FOR SATISFACTORY OR “U” FOR UNSATISFACTORY. CHECK (

) EACH COMPONENT CAREFULLY AND INDIVIDUALLY.

Open Hood and Check:

With Engine Running, Driver Activates All Exterior

Lights, Walks Around the Bus and Checks:

� �

Oil

Power Steering Fluid

� �

Right Front Wheel and Tire

� �

Coolant

Washer Fluid

� �

Right Side Marker and Turn Signal

� �

Battery

All Belts

� �

Right Side Reflectors

� �

Transmission Fluid

Wiring

� �

Right Side Rear View and Safety Mirrors

� �

Master Cylinder Brake Fluid

� �

Crossing Control Arm

� �

Headlights (high/low beams)

Signature of Person Performing Above Inspection if not the Driver/Date

� �

Front Turn Signal Lights

� �

Front Clearance Lights

Driver Enters Bus and Checks:

� �

Front Identification/Cluster Lights

� �

Front Eight Light Flashing System

� �

Steps

Warning Devices

� �

Front Reflectors

� �

Cleanliness

Fuses (if applicable)

� �

Windshield

� �

Seats

First Aid Kit

� �

Underside of Chassis

� �

Seat Belts (if applicable)

Fire Extinguisher

� �

Crossover Mirror(s)

� �

Windows

Lettering

� �

Left Side Rear View and Safety Mirrors

� �

Two-way Radio or

� �

Left Front Wheel and Tire

Authorized Cell Phone

� �

Driver’s Side Window

� �

Stop Arm Panel

� �

Left Side Marker and Turn Signal Lights

Record Month and Year displayed on the front of the Certificate of Safety

� �

Left Side Reflectors

� �

Side Emergency Door (open/close) (if applicable)

Record Odometer Reading from the Vehicle’s Odometer

� �

Left Rear Wheels and Tires

If today’s month and year is after the month and year recorded above or if the vehicle’s odometer

reading is greater than the miles recorded on the back of the Certificate of Safety, the Certificate of

� �

Exhaust System (tail pipe clear?)

Safety has expired or is not valid.

� �

Rear Tail/Brake Lights

� �

Driver Starts Engine, Activates All Interior Lights and Checks:

Rear Turn Signal Lights

� �

Rear Clearance Lights

� �

Rear Identification/Cluster Lights

� �

Valid Certificate of Safety

Braking Warning Alarm

� �

Strobe Lamp (if applicable)

� �

Steering Wheel

Controls and Indicators

� �

Rear Eight Light Flashing System

� �

Windshield Wipers/Washers

Ammeter (voltmeter)

� �

Rear Reflectors

� �

Heater and Defroster

Gear Shift Lever

� �

Rear Emergency Door (open/close) (if applicable)

� �

All Interior Lights

Neutral Safety Switch

� �

Right Rear Wheels and Tires

� �

Horn

Water Temperature Gauge

� �

Fuel Tank Filler Cap

� �

Service Door (open & close)

Fuel Gauge

� �

All Mirrors (adjustments)

V acuum or Air Pressure

Drive Bus Forward and Apply Brakes:

Gauge

� �

Sun Visor

� �

Odometer

� �

Emergency Exits (windows/doors)

� �

Service and Emergency Brake Operation

� �

Switches

� �

Emergency Exits Alarms

� �

Driver’s Seat Belt

� �

Clutch (if applicable)

� �

C hild Check System (electronic or manual)

REMARKS

Signature of Driver

Signature of Mechanic Making Report/Adjustments

Date Repairs/Adjustments Completed

27182

Printed & Published by J. J. KELLER & ASSOCIATES, INC.

, Neenah, WI • USA • (800) 327-6868 • • Printed in the United States

Sample School Bus Driver'S Pre-Trip Inspection Form

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