Vehicle Inspection Report.docx

Inspector:___________________________

FHWA-WFLHD -Vehicle Inspection Report

· Inspections must occur during environmental conditions supporting good light and visibility.

· Inspections must occur in conditions allowing full visibility of the equipment.

· Inspections must occur for all equipment and vehicles.

· There should be no mud, dirt, soil, organic debris, sand, gravel, or plant parts on equipment.

· Use flashlights and mirrors to inspect dark and hard-to-access portions of equipment.

WEATHER CONDITIONS: ________________________________________________________________

INSPECTION EQUIPMENT USED:

☐ Flashlight ☐ Undercarriage Mirror

WHAT INSPECTORS WILL NEED THE CONTRACTOR TO FACILITATE DURING INSPECTION:

☐ Turn on machines and move extensions as needed ☐ Drop belly pans/undercover ☐ Open side panels ☐ Spin track or wheels ☐ Open cab for interior inspection ☐ If inspection identifies soil and/or plant material on the vehicle, remove and dispose appropriately ☐ If soil or vegetative matter is removed, dispose at the locations below using described method:

REQUIRED CONTRACTOR-PROVIDED INFORMATION FOR EACH PIECE OF EQUIPMENT

☐ Previous Location ____ ______________________________________________________________ ☐ Make, Model, Serial # _______________________________________________________________

INSPECT THE FOLLOWING ITEMS. CHECK BOX IF CLEAN. IF NOT APPLICABLE NOTE “NA”.

Hitches and Accessories ☐

Inspection Results: ☐ PASSED ☐ FAILED Reason for Failure:_________________________________

Inspector Signature: _____________________________________ Date:_________________________ image1.png