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Vehicle Safety Inspection
Please note that the Vehicle Safety Inspection form have been moved to a different link. Please select
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1) When searching for a name, the last name is often faster; 2) Make sure you "select" the name. If you tab/move off of the search field and the Read Only fields don't show any identifying information, then your search did not populate the form correctly; and 3) Do not try to correct information by typing over Read Only fields. Any corrections can be added to the Comments section.
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Inspector
Inspector Email (Read Only)
Inspector Title (Read Only)
Inspector Supervisor Email
Inspector ID
Driver Details
Assigned Driver
Same as Inspector
Input Driver Name (not Inspector)
Unknown Driver
Unassigned Driver
Unassigned means the vehicle shared/pooled or is not being utilized.
Inspector also Driver
Driver Name
Inspector Driver ID
Inspector Driver Email
InspSuperDriver Email
Driver
Driver Title (Read Only)
Driver Email (Read Only)
Driver ID
Driver Supervisor Email
Current Location
Address & Map
Street Address
City
State
Zip / Postal Code
State Abbreviation
Vehicle Details
Method of Vehicle input
Search Vehicle database
Enter Vehicle info manually (for rentals or not found in database)
Rental/Vehicle not in database:
License Plate Number
No spaces or dashes (-)
License Plate State or Province
VIN
Year
Make
Model
License Plate State Abbreviation Input
Company Vehicle
Search By:
License Plate Number
VIN
Vehicle Search by License Plate
License Plate Number
No spaces or dashes (-)
Read Only
VIN
Year
Make
Model
LP Vehicle ID
Vehicle Search by VIN
VIN
Read Only
License Plate Number
Year
Make
Model
VIN Vehicle ID
Is this a rental pick-up or drop-off?
Yes
No
This will skip the inspection checklist--only photos.
Rental Pick-Up or Drop-Off?
Inspection Checklist
Gauges
Odometer Reading (Mileage)
No commas and no decimals (round to the nearest mile)
Check: Fuel Gauge, Speedometer, Odometer, Temperature Gauge, and Engine Warning Light
Gauges
OK
Needs Attention
Which gauge(s) needs attention and describe the problem?
Lights
Test: Headlights, Brake Lights, Turn Signals, Hazard Lights
Lights
OK
Needs Attention
Which light(s) needs attention and describe the problem?
Tires
Properly Inflated
OK
Needs Attention
Tread Depth
OK
Needs Attention
Penny test: Insert a penny in the tire tread with Lincoln's head upside down and facing you. If you can see all of Lincoln's head, the tire depth is less than 2/32" and the tire needs replacement.
Spare Tire Inflated
OK
Needs Attention
Which tire(s) needs attention and describe the problem?
Safety and Documentation
Registration
OK
Missing
Insurance Card
OK
Missing
Fire Extinguisher
OK
Needs Attention
First Aid Kit
OK
Needs Attention
Roadside Triangles
OK
Needs Attention
Vehicle Inspection Expiration Date
Type of Vehicle Inspection
State
DOT
What is missing or needs attention?
Other
Oil (sufficient amount and not leaking)
OK
Needs Attention
Windshield Wipers
OK
Needs Attention
Fans and Defroster
OK
Needs Attention
Brakes
OK
Needs Attention
Mirrors
OK
Needs Attention
Horn
OK
Needs Attention
Exhaust System (muffler, tailpipe)
OK
Needs Attention
Body (fenders, hood, roof, bumpers, doors)
OK
Needs Attention
All Other (not listed)
OK
Needs Attention
What needs attention and describe the problem?
Overall Vehicle Condition Based Upon Your Answers
Everything answered "OK"
:
Acceptable: Vehicle can be driven without further inspection
At least one item "Needs Attention". Please advise:
Requires Attention: Vehicle can be driven but should be re-inspected in next 30 days
Requires Immediate Attention: Vehicle should NOT be driven until issues have been addressed
Comments
Vehicle Photos
Picture of Fuel Card Associated with this Vehicle
Interior
Driver Side
Front
Passenger Side
Rear
Door Sticker with VIN
Extra photo 1
Extra photo 2
Is rental vehicle free of any damage?
Yes
No
Rental Comments (list damage/problems if answering "no" above)
Is a trailer attached?
Yes
No
QualTek Trailer
Search By:
License Plate Number
VIN
Trailer Search by License Plate
License Plate Number
No spaces or dashes (-)
Read Only
VIN
Year
Make
Model
LP Trailer ID
Trailer Search by VIN
VIN
Read Only
License Plate Number
Year
Make
Model
VIN Trailer ID
Trailer Condition
Tires Properly Inflated
OK
Needs Attention
Tire Tread Depth
OK
Needs Attention
Connections
OK
Needs Attention
Lights
OK
Needs Attention
Body/Mechanical
OK
Needs Attention
What needs attention and describe the problem?
Trailer Comments
Trailer Photos
Trailer Driver Side
Trailer Front
Trailer Passenger Side
Trailer Rear
Extra trailer photo 1
Extra trailer photo 2
Remediation Status
New
Unassigned Driver ID
Contact Information