Delivery Vehicle Equipment Checklist
Complete this checklist to verify that all required equipment is present and in good condition before vehicle departure.
Vehicle Information
Vehicle License Plate Number
*
Vehicle Make and Model
*
Driver's Full Name
*
First Name
Last Name
Date and Time of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Inspector's Name
*
First Name
Last Name
Equipment Checklist
Vehicle Equipment Status
*
Rows
Present and in Good Condition
Present but Needs Attention
Missing
Fire Extinguisher
1
2
3
First Aid Kit
4
5
6
Warning Triangle
7
8
9
Reflective Vest
10
11
12
Spare Tire
13
14
15
Jack and Tools
16
17
18
Flashlight
19
20
21
Emergency Flares or Triangles
22
23
24
Wheel Chocks
25
26
27
Backup Alarm
28
29
30
Are all lights and signals operational?
*
Yes
No
Are mirrors clean and properly adjusted?
*
Yes
No
Additional Comments or Issues Noted
Inspector's Signature
*
Submit Checklist
Submit Checklist
Should be Empty: