Motorhome Safety Assessment Form
Complete this pre-use checklist to assess the safety and readiness of the motorhome. Identify any issues before departure.
Date of Safety Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor's Name
*
Motorhome Identification (e.g., License Plate or Fleet Number)
*
General Safety Checklist
*
Rows
Pass
Fail
N/A
Tires (condition, pressure, tread)
1
2
3
Brakes (function, warning lights off)
4
5
6
External lights (headlights, brake lights, indicators)
7
8
9
Gas system (connections, leaks, shut-off)
10
11
12
Fire extinguisher present and accessible
13
14
15
Emergency exits clear
16
17
18
First aid kit present
19
20
21
Overall Cleanliness and Interior Condition
1
2
3
4
5
Are there any issues found during this safety check?
*
No issues found
Issues found (please describe below)
Describe any issues found (if applicable)
Is the motorhome ready for use?
*
Yes, ready for use
No, not ready (requires attention)
Submit Assessment
Should be Empty: