School Carpool Program Vehicle Safety Checklist
Driver & Vehicle Information
Driver Name:
Vehicle Make & Model:
License Plate:
Date:
Pre-Trip Vehicle Inspection
Seat belts for all passengers
Headlights, brake lights, turn signals work
Tires properly inflated and in good condition
Brakes function properly
Windshield and windows are clean and undamaged
Mirrors adjusted for driver
Horn, wipers, and defroster operational
No loose objects inside vehicle
Vehicle registration and insurance present
Child safety seats (if required)
Comments/Notes
Driver Signature:
Date: