Restaurant Delivery Vehicle Inspection Form
Please complete this checklist before each delivery shift to ensure vehicle safety and cleanliness.
Inspector Full Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Vehicle Make and Model
*
Vehicle License Plate Number
*
Odometer Reading (miles)
*
Vehicle Condition Checklist
*
Rows
Pass
Fail
N/A
Headlights
1
2
3
Brake Lights
4
5
6
Turn Signals
7
8
9
Tires (tread/inflation)
10
11
12
Brakes
13
14
15
Mirrors
16
17
18
Horn
19
20
21
Windshield Wipers
22
23
24
Seat Belts
25
26
27
Food Storage Area Cleanliness
28
29
30
First Aid Kit Present
31
32
33
Fire Extinguisher Present
34
35
36
Are there any issues that require immediate attention?
*
No issues found
Yes, issues found (describe below)
Please describe any issues or concerns found during the inspection (if any).
Upload Photos (if applicable)
Upload a File
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of
Inspector Signature
*
Submit Inspection
Submit Inspection
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