Daily Vehicle Pre-Trip/post-Trip Inspection Checklist Template
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1DAILY VEHICLE PRE-TRIP/POST-TRIP INSPECTION CHECKLIST
VEHICLE #
DATE
Inspect items below and check if ok. If not, submit a VEHICLE REPAIR FORM immediately and leave blank until repair is made.
Submit this form daily.
COMPLETE FOR PRE-TRIP INSPECTION
COMPLETE FOR POST-TRIP INSPECTION
ENGINE
EXTERIOR
OIL LEVEL
TIRES
RADIATION LEVEL
TURN SIGNALS
BATTERY LEVEL
MIRRORS
WINDSHIELD WASHER
EMERGENCY FLASHERS
BRAKE FLUID
WINDSHIELD WIPERS
TRANSMISSION FLUID LEVEL
FRESH BODY DAMAGE
POWER STERRING FLUID
CLEANLINESS
ENGINE CLEAN
INTERIOR
BELTS
BRAKES/EMERGENCY BRAKES
EXTERIOR
WHEELCHAIR LIFT/TIE DOWN
TIRES
STEERING
TURN SIGNALS
DASH LIGHTS/GAUGES
MIRRORS
AIR CONDITIONER/HEATER
EMERGENCY FLASHERS
SPARE TIRE & JACK
WINDSHIELD WIPERS
SAFETY EQUIPMENT
FRESH BODY DAMAGE
CHILD SAFETY ALARM
CLEANLINESS
FIRE EXTINGUISHER & SIGN
INTERIOR
FLARES
BRAKES/EMERGENCY BRAKES
FIRST AID KIT & SIGN
WHEELCHAIR LIFT/TIE DOWN
SAFETY BELTS, BELT CUTTER
STEERING
NO LOUD RADIO & BELT CUTTER SIGNS
DASH LIGHTS/GAUGES
NO SMOKING/FASTEN SEAT BELT SIGNS
AIR CONDITIONER/HEATER
VEHICLE REGISTRATION/INSURANCE CARD
SPARE TIRE & JACK
SAFETY EQUIPMENT
CHILD SAFETY ALARM
FIRE EXTINGUISHER & SIGN
FLARES
FIRST AID KIT & SIGN
SAFETY BELTS, BELT CUTTER
NO LOUD RADIO & BELT CUTTER SIGNS
NO SMOKING/FASTEN SEAT BELT SIGNS
VEHICLE REGISTRATION/INSURANCE CARD
DRIVER'S DAILY LOG (COMPLETE IF ROUTE IS 100 MILES OR MORE ONE WAY)
Total
1
2
3
4
5
6
7
8
9 10 11
1
2
3
4
5
6
7
8
9 10 11 Hours
Mid-night
Noon
1. OFF DUTY
2. SLEEPER BERTH
3. DRIVING
4. ON DUTY
Not Driving
DRIVER'S SIGNATURE
MDCS (3/10)
TR-12
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Parent category: Life