Equipment Inspection

Please complete this form for every Check-Out and Check-In of your equipment. This form is in addition to your DOT pre-trip and post-trip inspections.

Step 1 of 4

GENERAL INFORMATION

Name(Required)

Enter your Name or Initials

Program

Enter the name of the program or project you are assigned to. This does not have to be an exact name and is usually the End Client Name or Agency.

Unit Type(s)(Required)

Power Unit

Trailer Only

Power Unit & Trailer

Check Type(Required)

Please choose the type of check you are performing. Check-out, Check-in, or Shop

Check-Out

Check-In

Shop Check (Management Use Only)

Generator(Required)

Is a generator present?

POWER UNIT INSPECTION

Interior Items

Power Unit # or License Plate #(Required)

Enter the Power Unit # or License Plate # of the vehicle you are checking

Power Unit Mileage

Enter the unit's current mileage

Power Unit DOT Inspection Valid

Verify the DOT inspecation is valid

Power Unit Fire Extinguisher Status

Verify the fire extinguisher is not expired, charged, and usable

Power Unit Triangle Kit Present

Verify the triangle kit is present

Power Unit Cell Phone Holder Present

Verify the cell phone holder is present

Power Unit ELD Unit Present

Verify the ELD unit is present

Power Unit ELD Instruction Card Present

Verify the ELD Instruction card is present

Power Unit ELD - UNPLUGGED from Vehicle

When returning units, the ELD must be unplugged or it will drain the battery.

Power Unit Insurance Card Present

Verify a valid insurance card is present

Power Unit Spare Paper Logbook Present

Verify a spare paper logbook is present

Power Unit Type of Vehicle Registration

Select the type of registration present on vehicle

Power Unit Registration Valid

Verify the registration is valid

Power Unit Fuel Filter Current

Verify the fuel filter is current

Power Unit Oil Change Current

Verify the oil change is current

Walkaround Items

Power Unit Windshield Wipers Status

Verify the windshield wipers status

Power Unit License Plate Sticker Valid

Verify the license plate sicker is valid

Power Unit Tire Wear Acceptable

Verify the tire wear is acceptable

Power Unit Tire Pressure

Check that all tires are at the proper PSI

Power Unit Spare Tire Present and Acceptable

Verify the spare tire is present and acceptable

Power Unit Hitch Pin or Hitch Lock Present

Verify a hitch pin or hitch lock is present

Power Unit Brakes

Check the brake wear

Power Unit Fluid Levels

Check fluid levels (brake, coolant, oil, windshield washer, transmission, power steering, etc)

Additional Power Unit Items

Any Comments or Concerns about the Power Unit?

Any Exterior Damage on Power Unit?

Any Interior Damage on Power Unit?

Any Services Required for the Power Unit?

Any Photos of Power Unit Issues?

Please attach any photos of issues as needed.

Drop files here or

Max. file size: 25 MB.