Weekly Vehicle Inspection Form

Weekly Vehicle Inspection Form

Please fill out the required sections of this form for a detailed inspection.

General Information

Inspection Date

    Inspector

      Vehicle Information

      Vehicle Make/Model

        Odometer Reading

          Inspection

          Please indicate whether the following items pass or fail inspection:

          No.

          Item

          Pass

          Fail

          Notes

          1

          Brake Lights

          2

          Headlights

          3

          Turn Signals

          4

          Tail Lights

          5

          Windshield Wipers

          6

          Mirrors (Side/Rear)

          7

          Tires (Tread/Pressure)

          8

          Horn

          9

          Seat Belts

          10

          Emergency Brake

          11

          Fluid Leaks

          12

          Exhaust System

          13

          Battery

          14

          Power Steering

          15

          Transmission

          16

          Fuel System

          17

          Suspension System

          18

          Windshield (Cracks/Chips)

          19

          HVAC System

          20

          Dash Indicators

          21

          Fire Extinguisher

          22

          First Aid Kit

          23

          Reflective Triangles

          24

          License Plate

          25

          Door Locks

          Repair Ticket(s) issued?

          No. of Repair Tickets

            Additional Information

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