Monthly Vehicle Inspection This field is hidden when viewing the formReport Name Monthly Vehicle Inspection Report UNIT Number or VIN(Required)Make(Required)Model(Required)YearEquipment Type(Required) Truck Trailer Both Safe Driving Sticker NumberMileage(Required)Last Service MileageVehicle Inspection PointTires free of cuts, acceptable tread depth and tire pressure(Required) Pass Fail Visual Inspection of exterior of vehicle and general condition of vehicle(Required) Pass Fail Windshield and windows are without damage; windows operate properly(Required) Pass Fail Under Hood (Visual inspection of fluid levels and belts)(Required) Pass Fail Vehicle’s light lenses are free from damage and cracks(Required) Pass Fail Lights Operational (headlights, brake lights, tail lights, turn signals, 4 way flasher, running and back up lights)(Required) Pass Fail Hood latches operate properly; gas cap fits properly(Required) Pass Fail Vehicle registration and insurance card are current and in the vehicle(Required) Pass Fail Instrument panel and warning lights operational(Required) Pass Fail Vehicle’s door latches operate properly and are secured(Required) Pass Fail Sun visors present and operational(Required) Pass Fail Windshield wipers operational with acceptable fluid level(Required) Pass Fail Climate control and window defroster are operational(Required) Pass Fail Mirrors, interior and exterior operate properly(Required) Pass Fail Service and parking brakes operational and acceptable(Required) Pass Fail Vehicle’s seat adjustments operational(Required) Pass Fail Seat belts and/or shoulder harnesses operational and acceptable(Required) Pass Fail Interior of vehicle clean and free of loose items & debris; cargo secured(Required) Pass Fail Head restraint properly adjusted(Required) Pass Fail Horn operational(Required) Pass Fail Vehicle Emergency Instruction Card contains all required items(Required) Pass Fail Emergency Equipment is present in vehicle (fire extinguishers, spare fuses, reflective triangles x3, 1st Aid Kit)(Required) Pass Fail Trailer Inspection PointTires free of cuts, acceptable tread depth and tire pressure(Required) Pass Fail Visual Inspection of exterior of trailer and general condition(Required) Pass Fail Lights Operational (brake lights, tail lights, turn signals, 4 way flasher, running and back up lights)(Required) Pass Fail Light lenses are free from damage and cracks(Required) Pass Fail Trailer brakes operational and acceptable(Required) Pass Fail Trailer floor free of loose items & debris(Required) Pass Fail Trailer capacity legible.(Required) Pass Fail Items identified as “Failed” above should cause a vehicle to be removed from service or repaired before the vehicle returns to service.The following vehicle or trailer deficiencies have been identified:Please note all failed entries from above.Add pictures here:Add a photograph for each of the deficiencies listed above.Name First Last Signature Δ