7-7 Appendix 5 - Safety Check List.pdf
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APPENDIX V
SAFETY CHECKLIST
VEHICLE#________ WAS SUBJECTED TO A SAFETY CHECK ON _
BY_________________________
THE FOLLOWING ARE THE RESEULTS OF THE SAFETY CHECK.
l. LIGHTS SAT UNSAT
A. HEADLIGHTS
8. TURNSIGNALS
C. BRAKE LIGHTS
D. ACCESSORY LIGHTS
COMMENTS:
2. WHEELS
A. TIRES
B. B RIMS
C. LUGS
3. MIRRORS
A. REARVIEW
B. SIDE VIEW
4. LEAKS
A. EXHAUST
B. COOLANT
C. LUBRICANT
D. FUEL
E. HYDRAULIC
COMMNETS:
5. L.OOSE NUTS OR BOLTS
A PROPELLER SHAFTS
B. SHIFT LJNKAGES
C. U-BOLTS
6. SAFETY ITEMS
A FIRE EXTINGUISHER
B. FIRST AID KIT
C. WARNING TRAINGLE
OPERATOR: ________________________________
INSPECTOR: ________________________________
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