Daily Vehicle Inspection Form
Division:
Vehicle Plate #:
Fleet #:
Mileage:
MVI Date:
/
Month
/
Day
Year
Date
Vehicle Make and Model:
Vehicle Driver:
Vehicle Crew:
Inspected By:
First Name
Last Name
Date Inspected:
/
Month
/
Day
Year
Date
Division Manager:
First Name
Last Name
Insurance Renewal Date:
-
Month
-
Day
Year
Date
Registration Renewal Date:
-
Month
-
Day
Year
Date
Last Date Oil Changed:
/
Month
/
Day
Year
Date
Item Checklist:
✘
✔
N/A
Action Required
Fluids – radiator, oil, transmission, brake, steering, wiper
Lights – headlights, driving, tail, signal, hazard,
Tires – pressure, tread, wheel nuts, spare
Brakes – function, emergency, warnings,
Electrical – battery, gauges, warnings
Defrost/heater – functioning, windows clear
Exhaust – noise, secure, leaks
Safety – seatbelts, first aid kit, fire extinguisher (insp. Date)
Accessories – wipers, horn, mirrors, cab clean
Windshield – clean, no chips or cracks
PPE –, hardhat, safety glasses, gloves, footwear
Tools – condition, inspected
Emergency items – bucket evac, beacon, signs, cones, etc.
Other
Please circle the area where damage is noted and indicate type of damage:
Notes
Submit
Should be Empty: