Weekly Standard Vehicle Inspection

PMS Interval 4000-5000km/90Days whichever comes first

Drivers Name: Week of:
Vehicle Name & model: Plate Number:
Beginning Mileage: Ending Mileage:
Note: This check must be made by the Driver daily at the start of the shift. Please put a Check () in the items below if working
properly (give details in comments section below). Retain this form for one year.
Inspection Sequence S M T W T F S S M T W T F S
Vehicle Exterior Vehicle Interior
Tires Inflated Clean Interior & flooring
Windows and Mirrors Clean Seat belts in good
condition
Doors Open/Close Center Mirror
Hoses, Dripping Fluids, Check Brakes
cracked or leaking
Antenna A/C
Wiper Blades Adequate Fuel
Plate Light Dashboard warning lights
Park light & Head Light Central Lock
Tail light Registration copy
Reverse Light Check Clutch
Brake light Warning Device
Signal/ Hazard lights Bottle Jack
Body Dents Lug wrench/ cross wrench
Battery Hand Brake
Spare tire Car Stereo
Wheels Nut Horn
Under hood
Oil Level
Brake fluid Level
Coolant Level
Transmission Fluid (If
available)
Engine Belt not frayed or
crack
Windshield Washer Fluid
Steering Fluid

Comments: (Items needing repair or adjustment)

Caution – If the vehicle is found to be in need of repair or in any way unsafe, or contributes to an unsafe condition,
the matter shall be reported immediately to the designated authority, and the vehicle shall not be operated until it
has been restored to a safe operating condition. If during operation, the truck becomes unsafe in any way, the
matter shall be reported immediately to the designated authority, and the truck shall not be operated until it has
 been restored to safe operating condition. Do not make repairs or adjustments unless specifically authorized to do
so.
Weekly Standard Equipment Inspection
PMS Interval 250-300Hrs/90Days whichever comes first
Operators Name: Week of:
Equipment Name & model: Plate Number:
Beginning Hrs.: Ending Hrs.:
Note: This check must be made by the Operator daily at the start of the shift. Please put a Check () in the items below if working properly (give
details in comments section below). Retain this form for one year
Inspection Sequence S M T W T F S S M T W T F S
Damage – Bent, Dented or broken Electrical Safety Devices-
parts Horn, Audible signals, Entry
bar, flashing lights, Indicator
lights, etc. Work Properly
Leaks – Fuel, Oil, Radiator, Steering – No binding, No
Hydraulics excessive play
Tires & Wheels – Drives Wheels, Brakes & Travel Controls –
Steer Wheels, Load wheel, Casters, Check Braking while Traveling
Etc. slowly at first. If ok, then at
higher speed. Acceleration
smooth, not jerky.
Chains, Cables & Hoses – In place Parking Brake – Seat, hand or
foot
Battery – Battery Cable and Hydraulic Control – Test all
connector condition. Cable routing hydraulic functions for smooth
(not outside of truck). Battery and proper operations and no
retainer securely in place. usual noise
Guards – All Guards in place and Attachments – Function
condition. Overhead, backrest, etc. properly, No unusual noise,
securely in place and
removable attachments
Mechanical Safety Devices – Limit Switches – Limit
Operator harness or seat belt, switches, Tilt switches, Travel
name/ data plate, warning labels, limit, Safety reverse (walkies),
etc. In Good condition. etc.
Operator Compartment/ Controls Power Disconnect – Cut- off
– All controls, steer tiller, pedals, all electrical power
etc. in good condition. Seat locks in
position
Power Up – Turn on key. All
indicator lights and alarms are
working
.
Comments: (Items needing repair or adjustment)

Caution – If the vehicle is found to be in need of repair or in any way unsafe, or contributes to an unsafe condition,
the matter shall be reported immediately to the designated authority, and the vehicle shall not be operated until it
has been restored to a safe operating condition. If during operation, the truck becomes unsafe in any way, the
matter shall be reported immediately to the designated authority, and the truck shall not be operated until it has
been restored to safe operating condition. Do not make repairs or adjustments unless specifically authorized to do
so.