Driver Name | Rocky Orn |
Driver License Number | DL123456789 |
Date | May 15, 2055 |
Vehicle Make and Model: | Ford F-150 |
License Plate Number: | ABCD-1234 |
Mileage: | 10,000 miles |
Item | Condition | Notes |
---|---|---|
Tires | Properly inflated | No visible damage or wear is acceptable |
Headlights and Taillights | Functional | All lights are operational, no cracks |
Mirrors | Clean | Adjusted correctly for optimal visibility |
Windshield and Windows | Clear | No cracks, wipers are fully functional |
Item | Condition | Notes |
---|---|---|
Gauges and Dashboard | Functional | All gauges displaying correctly |
Wipers and Washers | Operational | Washer fluid reservoir full |
Emergency Brake | Working | Engages fully when applied |
Seatbelts | In good condition | All seatbelts are in place and easy to use |
Item | Level/Condition | Notes |
---|---|---|
Engine Oil | Adequate | Clean and at the correct level |
Coolant | Sufficient | Full coolant reservoir |
Brake Fluid | Adequate | No leaks topped off as necessary |
Battery Terminals | Clean and Secure | No corrosion or loose terminals |
Item | Availability/Condition | Notes |
---|---|---|
Spare Tire and Jack | Present | Jack and the tools are functional. |
First Aid Kit | Stocked | Includes bandages, antiseptic, etc. |
Triangles or flares | Available | Two warning triangles in the trunk |
Fire Extinguisher | Charged | Fully charged, easily accessible |
Prepared by: [Your Name]
[Your Company Name]
Email: [Your Email]
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