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Vehicle Checklist
Name
(Required)
First
Last
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Date
(Required)
Vehicle
(Required)
Chevy Express Van ZGK 0456
GMC Sierra 1500 Pick up Truck ZML 9704
Program
(Required)
Youth
Young Adult
Community
Venture Outdoors Again
Kayak Pittsburgh
General VO Support
Vehicle Maintenance
Transporting non-VO personnel?
(Required)
Yes
No
Are all seatbelts working properly?
(Required)
Yes
No
Towing a trailer today?
(Required)
Yes
No
Vehicle in Park?
(Required)
Yes
No
Walk around the vehicle 3 times. Are any damages present?
(Required)
Yes
No
Please start the vehicle and turn on hazard lights. Any dashboard warnings?
(Required)
Yes
No
Are all lights functional?
(Required)
Yes
No
Do tires appear properly inflated?
(Required)
Yes
No
What is the starting odometer reading?
(Required)
What is the fuel status?
(Required)
Above 3/4
Above 1/2
Above 1/4
Above E
Gas Light on
Is the registration in the vehicle?
(Required)
Yes
No
Is the insurance in the vehicle?
(Required)
Yes
No
Have you adjusted the seats?
(Required)
Yes
No
Have you adjusted the rear view mirrors?
(Required)
Yes
No
Please describe damage or issue observed. If safe operation is not possible immediately call your supervisor. Stop once per hour and complete 3 laps around the vehicle.
Please include photos of any damage
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, gif, Max. file size: 128 MB.
Estimated time of return?
(Required)
Hours
:
Minutes
AM
PM
AM/PM
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