Safety Inspection Form: Vehicles and Tool Inspections

Vehicle & Tool Inspection

Step 1 of 5

OLNW Vehicle and Tool Inspection
Inspection Date*
MM slash DD slash YYYY
Inspection performed by:*
Name
Inspection Team*
Please Select Your Inspection Team before Proceeding
License Plate Number (Field Tech Vehicle)*
License Plate Number (Fiber Crew Vehicle)*
License Plate Number (NOG Vehicle)*
License Plate Number (XS Media Vehicle)*
Please Select Your Vehicle before Proceeding
WARNING!! YOU WILL NOT BE ABLE TO SUBMIT THIS FORM IF YOU DON'T IDENTIFY YOUR VEHICLE!!
Odometer Works*
- Yes
- ⚠ No
- ⚠ Unsure - need second opinion
Fire Extinguisher*
- Yes - present and in proper parameters. Yellow Tag initialed & dated
- ⚠ None present
- ⚠ Yes - but readings outside parameters & needs replacement
Odometer or Hour Reading*
Next Oil Change
Date Mileage
Tires
Tread: Good / Fair / Poor
Wear: Uneven / Even
Tire Pressure: note current pressure
Sidewall/Other Damage Note any other damage
Left Front Tire:*
Tread Wear Pressure SideWall & Other Damage
Right Front Tire:*
Tread Wear Pressure SideWall & Other Damage
Left Rear Tire:*
Tread Wear Pressure SideWall & Other Damage
Right Rear Tire:*
Tread Wear Pressure SideWall & Other Damage
Spare Tire:*
Tread Wear Pressure SideWall & Other Damage
Glass, Mirrors & Wipers
Windshield, Door Windows, Rear Window, Rear View Mirror & Side Mirrors
Glass Damage*
- No Damage
- ⚠ Damage Present
⚠ Glass Damage Description*
Include the following
* Type of Glass: Window or Mirror
* Location Of Damaged Glass on Vehicle:
* Description of Damage
Wipers*
- Works Fine
- ⚠ Needs Replacement
Wiper Repair / Replacement Description*
* Location Of Wiper on Vehicle needing to be replaced
Metal & Paint
Vehicle Logos*
- No Damage - In Good Condition
- ⚠ Damaged
Paint / Metal Condition Reporting*
- No Damage
- ⚠ Paint / Metal Damage Found
⚠ Paint or Metal or Logo Damage Notes*
* Type of Damage: Metal or Paint or Logo
* Location Of Damaged Paint or Damaged Metal on Vehicle:
* Description of Damage
Ladder Rack
Ladder Rack Reporting*
- Ladders are secure upon loading
- ⚠ Ladder Rack Needs Attention
- N/A - Ladder Rack not present
Please Select Your Vehicle before Proceeding
WARNING!! YOU WILL NOT BE ABLE TO SUBMIT THIS FORM IF YOU DON'T IDENTIFY YOUR VEHICLE!!
Ladder Rack Issue Points*
- ⚠ Bolts
- ⚠ Arms
- ⚠ Sliders
- ⚠ Pivot Points
- ⚠ Unknown Issue - Needs Attention
Check the following

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Safety Inspection Form: Vehicles and Tool Inspections

Vehicle & Tool Inspection

Step 1 of 5

OLNW Vehicle and Tool Inspection

Tires

Glass, Mirrors & Wipers

Metal & Paint

Ladder Rack

Engine

Transmission

Brakes

Front End / Steering

Other Mechanical

Lights

Vehicle Items

Interior

TOOL INSPECTIONS

Ladders

Climbing Equipment

Fall Restraint Equipment

Electronic Tools & Testing Equipment

Miscellaneous Equipment

Picture Upload Options

Report Copy Request

Date	Mileage

Tread	Wear	Pressure	SideWall & Other Damage

Tread	Wear	Pressure	SideWall & Other Damage

Tread	Wear	Pressure	SideWall & Other Damage