MONTHLY INSPECTION CHECKLIST
(INSTRUCTION: Check all applicable items during monthly inspection)
(To be submitted after accomplishing this form to the concerned transportation officer)
VEHICLE: _________________________ DATE: __________
MILEAGE: _________________________
ASSIGNED DRIVER: _________________________
INSPECTION ITEMS PROBLEM STATUS
BRAKES
a. Parking
b. Front
c. Rear
d. Fluid level
e. Anti-lock Braking System (ABS)
f. others
COMMENTS:
WHEELS/TIRES
a. Alignment
b. Balancing
c. Tires physical status
d. Rotation
e. Spare tire
f. Steering
g. Suspension
h. Others
COMMENTS:
ENGINE
a. Engine condition
b. Oils
c. Radiator
d. Coolant
e. Clutch
f. Washer container
g. Fluids level
h. transmission
i. exhaust system
j. exhaust system
COMMENTS:
ELECTRICAL
a. Battery
b. Turn signals
c. Brake lights
d. Interior lights
e. Headlights(High/Low beams)
f. Hazard warning
g. Parking lights
h. Tail lights
i. Horn
j. Fuses box
k. Gauges, warning indicators
l. Voltage regulator
m. Rear defogger
n. Panel Control lights/indicators
o. Reverse Parking sensors
p. Fog lamps
q. Wipers operation
r. Center high mount stop lamp
s. others
COMMENTS:
GLASS
a. Windshields (Front and Rear)
b. Windows (Left/Right)
c. Wiper blades & washers
d. others
COMMENTS:
EXTERIOR
a. Body condition
b. Bumpers
c. Roof rails
d. Side step bars
e. Side mirrors
f. Doors
g. Body, side claddings
h. Radiator grille
i. Spare tire cover/carrier
j. Rear spoiler
k. Vehicle emblems, logos, etc.
l. Others
COMMENTS:
INTERIOR
a. Seats condition
b. Seat belts/harness
c. Rear view mirror
d. Door locks/handles
e. Cigar lighter/ash cup
f. Audio/video system
g. Glove box
h. Air Bags modules
i. others
j. Air conditioning/heating system
k. others
COMMENTS:
SAFETY AND SECURITY
a. Remote keyless entry
b. Burglar alarm
c. Child lock
d. Early Warning Devices
e. Portable fire extinguisher
f. First-aid kit
g. Vehicle registration/Insurance
h. Accident reporting kit
i. Camera
j. Tools
k. others
COMMENTS:
Submitted by: Received by:
_________________________ ________________________
DRIVER TRANSPORTATION OFFICER