Vehicle Inspection Acknowledgement Form
Date:
Time:
Employee Name:
Vehicle Make & Model:
Vehicle Plate Number:
Inspection Checklist
Tires Condition
Lights (Headlights, Brake, Signal)
Mirrors
Brakes
Horn
Windshield / Wipers
Seatbelts
Fluid Levels
Other (see remarks)
Remarks:
Acknowledgement
I acknowledge that I have inspected the assigned vehicle and noted its current condition.
Employee Signature
Date