Vehicle Prestart Safety Checklist Form
Complete this checklist before operating any vehicle to ensure it is safe and ready for use.
Vehicle or Asset Identification
*
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
Operator/Inspector Name
*
First Name
Last Name
Odometer or Meter Reading
*
Location of Inspection
*
Vehicle Type
*
Please Select
Truck
Car
Van
Bus
Heavy Equipment
Other
Brakes – Are they functioning correctly?
*
Pass
Fail
N/A
Lights & Indicators – Are all working properly?
*
Pass
Fail
N/A
Tyres – Good condition and properly inflated?
*
Pass
Fail
N/A
Final Notes / Defect Description
Submit Checklist
Should be Empty: