Date:

LOGO
FORMAT FOR VEHICLE INSPECTION

VEHICLE DATA VEHICLE: PLATE: MARK: TYPE:

DRIVER INFORMATION NAME: C.C: LICENSE NO. VENCE:
CATEG NO:
VEHICLE DOCUMENT YES NO DATE TOOLING EQUIPMENT YES NO OBSE
Transit license vehicle Vence cat
Technical mechanical overhaul Vence fire extinguisher
Mandatory Insurance Vence first aid kit
defensive driving Vence tools
Contractual insurance Vence flashlight
ARP affiliation ARP

VEHICLE INSPECTION COMPLIANCE NOT NO APICA OBSERVATION

COMPLIANT
Safety belts
Lights: High, medium, low, parking, parking *, high,
medium,
Front left low, parking *.
directional
Right front directional
Left rear diacritics* Left rear diacritics* Left rear
diacritics*
Right rear Left rear diacritics
directional
Reserve lights
Backup whistle
State of whistle and bugle
Doors (door lock)
Glass(elevavidrio)
Fuel gauge
Rearview mirrors on both sides*.
General Engine Inspection
Tires * Tires * Tires * Tires * Tires * Tires * Tires * Tires *
Tires
Condition of brasswork and paint

TOOL KIT COMPLIAN NOT NOT OBSERVATION

Cat CE COMPLYING APPLICABLE

Tools
First aid kit
Flashlight
Cones / safety triangle
Inflated spare tire

PERSONAL PROTECTIVE EQUIPMENT COMPLIAN NOT NOT OBSERVATION

Helmet CE COMPLIANT APPLICABLE
Glasses
hearing protector
coverall
Waterproof
safety harness
safety boots

DRIVING SIGNATURE: SUPERVISORY SIGNATURE:

NAMES: C.I. NAMES: C.I.

Elaboro Reviewed Approved

REMARKS:
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