No

Inspection of automobiles, vans, and light trucks

All vehicles should be routinely inspected before the start of each workday. For vehicles operated daily by the same driver, some items may only need to be checked weekly, such as oil level and tire air pressure (using a tire gauge). The following is a suggested procedure to inspect a vehicle in a systematic manner. The “See Remarks” box should be checked for those items needing attention and details added in the “Remarks” section or on the back of this form. Necessary repairs should be made before the vehicle is used.

 

General condition of vehicle

OK

SEE REMARKS

No visible leaks under vehicle, vehicle sitting evenly

   

Engine compartment — check oil level, coolant level, windshield washing fluid, belts, hoses, automatic transmission fluid, etc., as directed by your company policy.

   

 

Apply emergency/parking brake, start engine, and check

YES

SEE REMARKS

Gauges okay and no warning lights on dashboard

   

Pump brake pedal a few times and hold — no fade after initial drop

   

No excessive steering wheel play

   

Turn signal indicators and brake lights

   

Horn, windshield wipers, heater, defroster, seat belts, and mirrors

   

 

Shut off engine and check

YES

SEE REMARKS

Left front tire, wheel, and lug nuts (where visible)

   

Head lights (low and high beam), parking lights, and emergency four-way flashers

   

Right front tire, wheel, and lug nuts (where visible)

   

Right rear tire, wheel, and lug nuts (where visible)

   

Rear lights including emergency four-way flashers

   

License plate light and securement

   

Cargo securement systems

   

Left rear tire, wheel, and lug nuts (where visible)

   

 

REMARKS: 


 


 


 


 

Driver’s Name (print):


Driver’s Signature:


Date:


 

To learn more about Hanover Risk Solutions, visit hanoverrisksolutions.com.

 

 


171-1148 (1/15)              LC2015-001

No

Inspection of automobiles, vans, and light trucks

All vehicles should be routinely inspected before the start of each workday. For vehicles operated daily by the same driver, some items may only need to be checked weekly, such as oil level and tire air pressure (using a tire gauge). The following is a suggested procedure to inspect a vehicle in a systematic manner. The “See Remarks” box should be checked for those items needing attention and details added in the “Remarks” section or on the back of this form. Necessary repairs should be made before the vehicle is used.

 

General condition of vehicle

OK

SEE REMARKS

No visible leaks under vehicle, vehicle sitting evenly

   

Engine compartment — check oil level, coolant level, windshield washing fluid, belts, hoses, automatic transmission fluid, etc., as directed by your company policy.

   

 

Apply emergency/parking brake, start engine, and check

YES

SEE REMARKS

Gauges okay and no warning lights on dashboard

   

Pump brake pedal a few times and hold — no fade after initial drop

   

No excessive steering wheel play

   

Turn signal indicators and brake lights

   

Horn, windshield wipers, heater, defroster, seat belts, and mirrors

   

 

Shut off engine and check

YES

SEE REMARKS

Left front tire, wheel, and lug nuts (where visible)

   

Head lights (low and high beam), parking lights, and emergency four-way flashers

   

Right front tire, wheel, and lug nuts (where visible)

   

Right rear tire, wheel, and lug nuts (where visible)

   

Rear lights including emergency four-way flashers

   

License plate light and securement

   

Cargo securement systems

   

Left rear tire, wheel, and lug nuts (where visible)

   

 

REMARKS: 


 


 


 


 

Driver’s Name (print):


Driver’s Signature:


Date:


 

To learn more about Hanover Risk Solutions, visit hanoverrisksolutions.com.

 

 


171-1148 (1/15)              LC2015-001