Vehicle Pre-Trip Inspection

Employee Name

Vehicle Number

Mileage End

Start

Total

Engine Hours

Note if any of the following needs work (indicate defect with an “X”).

Brakes

Turn Signals

Flashers

Wipers

Horn

Tires

Defroster / Heater / AC

Head Lights

Other

Comments:

Back Side - View of Car

End

Start

Total

Date

General Information

Mileage

Defects

Mileage

Department

Please note if any body damage is present and unaccounted for below.