WEEKLY LIGHT TRANSIT VEHICLE (LTN/LTV) INSPECTION CHECKLIST (One driver per form)
Driver’s Signature:______Week of : ______
Driver’s Name: ______
Manufacturer: ______Model Year:______Last six digits of vin#______Agency Vehicle # ____
______Beginning Mileage ______Ending Mileage
Manufacturer’s Recommended Service Interval______miles:
______Maintenance due within 500 miles
______Maintenance past due
______Mechanical failure, describe on back of form
Inspect and check each item below:______(Open emergency windows at least once every 3 months)
S / M / T / W / T / F / S / S / M / T / W / T / F / SVehicle Exterior / Electrical Continued
No signs of leaks under vehicle / Emergency flashers
Tires inflated / Horn
Windows and mirrors clean / Windshield wipers
Doors open/close / Brakes
Dual rear wheels inflated / CHECKED BY ANOTHER PERSON OR BY MIRROR
Under hood / Brake Lights
Oil level / Backup lights
Windshield washer fluid / Rear left turn signal
Hoses, dripping fluids, cracked or leaking / Rear right turn signal
Belts not frayed or cracked / Clearance lights
VEHICLE INTERIOR / Marker lights
Clean interior / SAFETY EQUIPMENT
Floor free of hazards / Reflective triangles or flares
Seat belts in good condition / First aid kit
Adjust mirrors / Fire extinguisher
Check brakes / Biohazard kit
Heater (Spring-Winter-Fall) / Vehicle accident package
A/C (Spring-Summer-Fall) / Vehicle insurance card
Defrosting system / Seatbelt cutter
Adequate Fuel / Check only if agency requires daily check
Any warning lights on / Coolant level
Two-way communication / Brake fluid
Doors locking / Transmission fluid
Brakes / Power steering fluid
Electrical / Corrosion on battery
Turn signals: / Accessibility Equipment
Front Left / Cycle lift
Front right / Proper number of seatbelts and Securement devices
High beams / Belts and Securement devices in good condition
Low beams / Emergency handle
Back up alarm, if equipped / Leaking hydraulic fluid
Indicate any physical damage to the exterior of body. Additional information may be provided on back