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Daily Vehicle Inspection Form

The document provides a daily vehicle inspection form for operators to inspect and document the condition of vehicles and equipment. The form includes sections to document vehicle information, check vehicle condition and equipment, and requires the operator and inspector signatures.

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283 views1 page

Daily Vehicle Inspection Form

The document provides a daily vehicle inspection form for operators to inspect and document the condition of vehicles and equipment. The form includes sections to document vehicle information, check vehicle condition and equipment, and requires the operator and inspector signatures.

Uploaded by

Arcangel Protection Services
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Daily Vehicle Inspection Form

Department: Falling

(OH&S Regulation 17.01 to 17.14)

Vehicle operators are to inspect & document daily


VEHICLE AND OPERATOR INFORMATION
Operator Name Vehicle description

License number Mileage (km’s) Date of inspection (D/M/Y) DAY #

VEHICLE CONDITION CHECK 

Item Good Fair Poor Comments

Motor Oil
Coolant/Anti-Freeze
Brakes (Hand/Foot)

Exhaust/Mufflers
General (body)

General (mechanical)

Mirrors
Seat belts

Steering

Tires (include spare)


Windshield, Wipers condition
Washer Fluid Level
Lights OK Replace
Brake Lights
Head Lights
Signal Lights

VEHICLE EQUIPMENT CHECK 


Comments
Item Good Fair Poor
Emergency response numbers posted
Radio/Cell/Sat Phone
Tools, equip. secured
Axe, Shovel, Pulaski, Water Can
Fire Extinguisher
First Aid, Survival Kits
Flares/Triangles/Cones
Flashlight
Tire Jack/Wrench
Jumper Cables
Cargo Netting/Restraint
Environmental Spill Kit
Tow Rope, Chains
OPERATOR/INSPECTOR NAME:

Signature: Date:

N:\Falling\_XFallingProgramFiles\frm_xDailyVehicleInspectionReport.doc Page 1 of 1
Date: Revised August 2014

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