Pre-Trip Vehicle Inspection
IV Network Designs Inc — Daily Vehicle Inspection Report
Time:
—
|
Location:
Locating...
Vehicle & Driver Info
Driver Name
*
Date
Vehicle Type
*
Bucket Truck
Pickup Truck
Trailer
Pickup + Trailer
Vehicle Number / Unit #
License Plate
Odometer Reading
Starting Location (GPS)
Exterior Inspection
Body/Frame Condition
Pass
Fail
Tires (Tread, Inflation, Damage)
Pass
Fail
Wheels/Lug Nuts
Pass
Fail
Lights (Headlights, Tail, Brake, Turn Signals, Hazards)
Pass
Fail
Mirrors (Side, Rear)
Pass
Fail
Windows/Windshield (Cracks, Visibility)
Pass
Fail
Wipers/Washers
Pass
Fail
Fuel Level
Pass
Fail
Under Hood / Fluids
Engine Oil Level
Pass
Fail
Coolant Level
Pass
Fail
Brake Fluid
Pass
Fail
Power Steering Fluid
Pass
Fail
Transmission Fluid
Pass
Fail
Belts/Hoses Condition
Pass
Fail
Battery Condition
Pass
Fail
Interior / Cab
Horn
Pass
Fail
Seat Belts
Pass
Fail
Gauges/Warning Lights
Pass
Fail
Heater/Defroster/AC
Pass
Fail
Emergency Kit (First Aid, Fire Extinguisher, Triangles)
Pass
Fail
Registration/Insurance Documents
Pass
Fail
Bucket Truck Specific Items
Boom Condition
Pass
Fail
Outriggers/Stabilizers
Pass
Fail
Bucket/Platform Condition
Pass
Fail
Hydraulic System (Leaks, Operation)
Pass
Fail
Upper Controls
Pass
Fail
Lower Controls
Pass
Fail
Rotation System
Pass
Fail
Insulation Rating Current
Pass
Fail
Trailer Specific Items
Trailer ID / Description
Trailer License Plate
Hitch/Coupler Secure
Pass
Fail
Safety Chains
Pass
Fail
Trailer Lights Connected
Pass
Fail
Trailer Brakes (If Equipped)
Pass
Fail
Load Secured
Pass
Fail
Trailer Jack
Pass
Fail
Ramps/Gate Condition
Pass
Fail
Deficiencies & Notes
Issues/Deficiencies Found
Vehicle Safe to Operate?
Yes
No
Photos
+ Add Photo Slot
Driver Signature
Sign below to confirm inspection:
Clear
Email Recipients
Send Report To:
Add
Clear
Send Report
