Daily Vehicle Inspection Form
Division:
Vehicle Plate #:
Fleet #:
Mileage:
MVI Date:
 /
Month
 /
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Make and Model:
Vehicle Driver:
Vehicle Crew:
Inspected By:
First Name
Last Name
Date Inspected:
 /
Month
 /
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Division Manager:
First Name
Last Name
Insurance Renewal Date:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Registration Renewal Date:
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Last Date Oil Changed:
 /
Month
 /
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Item Checklist:
Rows
✘
✔
N/A
Action Required
Fluids – radiator, oil, transmission, brake, steering, wiper
1
2
3
Lights – headlights, driving, tail, signal, hazard,
4
5
6
Tires – pressure, tread, wheel nuts, spare
7
8
9
Brakes – function, emergency, warnings,
10
11
12
Electrical – battery, gauges, warnings
13
14
15
Defrost/heater – functioning, windows clear
16
17
18
Exhaust – noise, secure, leaks
19
20
21
Safety – seatbelts, first aid kit, fire extinguisher (insp. Date)
22
23
24
Accessories – wipers, horn, mirrors, cab clean
25
26
27
Windshield – clean, no chips or cracks
28
29
30
PPE –, hardhat, safety glasses, gloves, footwear
31
32
33
Tools – condition, inspected
34
35
36
Emergency items – bucket evac, beacon, signs, cones, etc.
37
38
39
Other
Please circle the area where damage is noted and indicate type of damage:
Notes
Submit
Should be Empty: