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VEHICLE INSPECTION CHECK LIST

Contractor: _____________________ Driver: __________________ License #: ________________

Make: ___________________________ Model: _______________ Year: ____________________

Color: _____________ Chassis #: ____________________

Inspection List (Check one) Pass Fail Comments


1. Tires have sufficient tread? [] [] ___________________
2. Headlights work? [] [] ___________________
3. Horns operative? [] [] ___________________
4. Tail lights work? [] [] ___________________
5. Brake lights work? [] [] ___________________
6. Turn indicator lights working? (Front and Rear) [] [] ___________________
7. Windscreen free of damage, which obstructs driver’s view? [] [] ___________________
8. Exhaust System in working order? [] [] ___________________
9. Seats safely secured to floor? [] [] ___________________
10. Steering wheel play 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. Gear (Normal / 4X4) in good working condition?
16. Battery secure? [] [ ] ___________________
Safety Gear
17. Safety Triangle? [] [] ___________________
18. First Aid Kit? [] [] ___________________
19. Spare Tire? [] [] ___________________
20. Jumper Cables? [] [] ___________________
21. Tire Jack? [] [] ___________________
22. Tire Pump? [] [] ___________________
23. Fire Extinguisher? [] [] ___________________
24. Gloves? [] [] ___________________
25. Flash Light? [] [] ___________________

Over-All Safety Inspection Pass Fail Comments


[] [ ] ___________________

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

Inspector: _______________________ Badge #: ________________ Company__________________

Signature: ______________________ Date: ___________________ Re-Test Date: _______________

L6.28 Vehicle Inspection Check List

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