Vehicle Liftgate Inspection Checklist Form
Complete this checklist to document the condition and operation of the vehicle's liftgate during inspection.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Identification (Plate or Unit Number)
*
Overall Liftgate Condition
*
Excellent
Good
Fair
Poor
Hydraulic System Operation
*
Operational
Leaking
Noisy
Not Working
Electrical Controls Function
*
All Controls Working
Some Controls Faulty
No Controls Working
Safety Features Present and Operational
Warning Labels Intact
Safety Chains/Cables Secure
Lights/Alarms Functional
Other
Signs of Damage, Rust, or Wear
No Issues
Visible Rust
Cracks or Dents
Loose or Missing Bolts
Other
Inspection Notes / Additional Comments
Inspector Name
*
Inspection Outcome
*
Pass
Fail
Needs Further Review
Submit Inspection
Should be Empty: