EQUIPMENT INSPECTION CHECKLIST

Type: _____________________________ Model No.:

Color: _____________________________ Plate No.

Inspection List (check one) PASS FAIL COMMENTS

1 Tires have sufficient tread?
2 Headlights work?
3 Horns operative?
4 Tail lighs work?
5 Brake klights work?
6 Turn indicator lights working? (Front and Rear)
7 Windscreen free of damage which obstruct driver's view?
8 Exhaust System in working order?
9 Seats safely secured to floor?
10 Steering wheel plays acceptable?
11 Brakes in good order? (Include parking brake)
12 Gas tank in good order and equipped with gas tank cap?
13 Fuel lines in good order and without leaks?
14 Rear view mirror functional?
15 Battery secure?

SAFETY GEAR PASS FAIL COMMENTS

16 Safety Triangle?
17 First Aid kit?
18 Spare Tire?
19 Jumper Cables?
20 Tire Jacks?
21 Tire Pump?
22 Fire Extinguisher?
23 Gloves?
24 Flash light & (Reverse Alarm)
PASS FAIL COMMENTS
Over-All Safety Inspection

Driver's Name______________________ Badge # Project No.

Note: All inspection list items must pass before the vehicle can be certified as meeting safety requirements for
contractor services.

I hereby certify that I have condcuted an inspection of the above vehicle and verify that it meets the requirements for
Contractor vehicles.

SAFETY

Inspector: _________________________ Badge #:

Signature: _________________________ Date: Re-Test Date: _______________