Monthly Vehicle Inspection Checklist Template
ADVERTISEMENT
1MONTHLY VEHICLE INSPECTION CHECKLIST
To be performed by the facility vehicle manager monthly. Check off each item as inspected.
Inform your supervisor of any deficiencies and correct immediately. Contact the Safety Dir. for
questions and assistance: 503-542-4616.
Walk-around Inspection:
Interior Inspection:
Exterior checked for nicks, dents, damage, misc.
Horn and back-up beeper checked.
Mirrors secure, tight and clean.
Spare tire, jack, and tire iron secure.
Headlight, turn signal and 4-way hazard checked.
Log book forms restocked, mileage, accident, and
“Inspection Checklist”
Tires checked, proper pressure, no unusual wear,
tread depth greater than 3/16”.
Seat belts checked, secure and work.
Windshield clean, free of cracks and wipers OK.
Interior clean.
Inspect for leakage under vehicle (oil, radiator,
Interior windshield clean.
etc.)
Windshield defroster and heater work.
Chains in vehicle for winter driving.
Safety Items:
Engine Compartment (cool engine):
Fire extinguisher charged and secure.
Oil level.
First Aid kit restocked, check inventory (face
Windshield washer fluid.
shield, gloves).
Radiator level.
Safety triangles.
Bio-spill kit.
Flashlight works.
Disposal camera.
Inspection performed by: ______________________
Date: __________________
Vehicle license: ______________________________
Facility: ________________
Current Vehicle Mileage: _______________________
===============================================================
Vehicles are required to have certified mechanic safety inspections annually or every 5000 miles,
whichever comes first. Please provide the following historical information from your files. This
information will assist you in planning your servicing.
Last actual Safety Inspection performed by
Projected odometer reading for next Safety
Certified Mechanic. (Required every 5000 miles
Inspection to be performed by Certified
or annually.) Route latest copy to the Safety
Mechanic.
Manager.
Projected Mech. Inspection mileage: ____________
Last Mechanic Inspection Date: _______________
Projected Annual Due Date: ___________________
Last Mechanic Inspection Mileage: ____________
Whichever comes first, please schedule.
Vendor: ___________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life