School Bus Pre-Trip Inspection Checklist Template Page 2

Inspection Date:

AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM AM PM

F.

COMPLETE FINAL CHECKS:

1. Fasten Seat Belt

2. Test Brakes (Stop and Hold)

3. Clutch Travel

4. Steering Wheel Play

I certify that all items listed on this form were checked before placing the bus in service. All fault or improperly functioning equipment that may affect the safety of the vehicle's operation or result in its mechanical breakdown

was reproted, in writing, to proper authorities and appropriate repairs were made before allowing pupils to board the bus.

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DRIVER NAME (PLEASE PRINT)

DRIVER SIGNATURE

DATE

RECORD OF MAJOR REPAIRS AND PERIODIC SERVICES

DATE

MILEAGE

TYPE OF REPAIR SERVICE

COST