Monthly Vehicle Inspection
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Done By
*
First Name
Last Name
Unit Number:
Current KM's
Next Service KM's
Copy of Registration Available?
Yes
No
Copy of Insurance Card Available?
Yes
No
Rating Legend:
N.A. = Not applicable to this unit                                                     Â
M = Passed but the maintenance required at the next service
P = Passed in good working condition                                          Â
R = Rejected, replacement necessary before returning to service
Interior
Rows
N.A.
M
P
R
Windshield Wipers
1
2
3
4
Cleanliness
5
6
7
8
Windshield / Side Windows
9
10
11
12
Seats and Seatbelts
13
14
15
16
Horns
17
18
19
20
Cabin Heater
21
22
23
24
Mirrors
25
26
27
28
Interior Lights
29
30
31
32
Remarks and Comments
Body Exterior
Rows
N.A.
M
P
R
Headlights/Tail Lights/ Clearance Letter
33
34
35
36
Trailer Hitch
37
38
39
40
Tire Pressure
41
42
43
44
Trailer Cord
45
46
47
48
Stop Lights
49
50
51
52
Signal Lights
53
54
55
56
Fenders / Mud Flaps
57
58
59
60
Interior Lights
61
62
63
64
Body, Door, Bumper and Cab
65
66
67
68
Remarks and Comments
Under Hood
Rows
N.A.
M
P
R
Power Steering System & Fluid Level
69
70
71
72
Exhaust System
73
74
75
76
Air Filter
77
78
79
80
Check for Fuel Leaks
81
82
83
84
Fan and Belts
85
86
87
88
Engine Oil and Condition
89
90
91
92
Windshield Washer Fluid
93
94
95
96
Coolant Level
97
98
99
100
Remarks and Comments
Undercarriage
Rows
N.A.
M
P
R
Transmission
101
102
103
104
Muffler
105
106
107
108
Suspension / Axles
109
110
111
112
Visual Leaks
113
114
115
116
Remarks and Comments
Brakes, Tires & Wheels
Rows
N.A.
M
P
R
Tire Condition & Air Pressure
117
118
119
120
Park & Emergency Brake Systems
121
122
123
124
Brake Operations
125
126
127
128
Wheel Nuts Tight and Secure
129
130
131
132
Remarks and Comments
Pictures of Any Physical Damages or Deficiencies
Signature of Inspector
Submit
Should be Empty: