Collision Avoidance Inspection Checklist Form
Complete this Collision Avoidance Inspection Checklist Form to ensure all collision-avoidance systems and protocols are inspected and verified.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Collision Warning System operational
*
Pass
Fail
N/A
Proximity Sensors functioning correctly
*
Pass
Fail
N/A
Emergency Braking System tested
*
Pass
Fail
N/A
Visual and Audio Alerts functional
*
Pass
Fail
N/A
System Calibration up to date
*
Pass
Fail
N/A
Software/Firmware updated
*
Pass
Fail
N/A
Warning Lights and Indicators operational
*
Pass
Fail
N/A
Additional Notes
Submit Inspection
Should be Empty: