VEHICLE OPERATOR CHECKLIST
VEHICLE
LICENSE PLATE ADMIN NR
KM / MILES BEFORE OPERATION
DURING OPERATION
DATE ACCEPTED / AFTER OPERATION
RETURNED
Body & Accident - Please check
Dirty/Soiled
and mark area of damage!
Damaged
Using listed codes:
ITEMS TO INSPECT
Leaking
Missing
Defect
"C" = Cracked/Chipped
"D" = Dented; "S" = Scratched;
Low
ok
"R" = Rusted; "M" = Missing
"O" = Other ( explain )
DAMAGE ON BODY AND GLASS
Aufbau- und Glasschaeden
CHECK FOR LEAKS TO INCLUDE EXHAUST, ENGINE OIL,
TRANSMISSION
Das Fahrzeug wurde ohne Schäden übergeben ! The vehicle is delivered without damage !
Undichte Stellen pruefen inkl. Auspuff, Motoroel, Getriebe
CHECK TIRE PRESSURE TO INCLUDE SPARE TIRE
Reifendruck inkl. Ersatzrad
CHECK TIRE TREAD
Reifenprofile pruefen
CHECK EXHAUST SYSTEM
Auspuffvorrichtung pruefen
BELTS (FAN-GENERATOR, ETC.)
Antriebsriemen (Ventilator, Lichtmaschine usw.)
BATTERY AND BATTERY WATER
Batterie und Batteriewasser
CHECK OIL AND WATER LEVEL OF COOLING SYSTEM
Oel und Kuehlwasserstand pruefen
CHECK LIGHTS AND REFLECTORS
Beleuchtung und Rueckfahrstrahler pruefen
AIR TANK (CLOSE VALVE)
Druckluftbehaelter (Ventil geschlossen)
CHECK FOR SPARE TIRE JACK TO INCLUDE TOOLS
Ersatzrad und Wagenheber pruefen inkl. Werkzeuge
CHECK BRAKES
Bremsen pruefen
CHECK FOR HIGHWAY WARNING KIT TO INCLUDE 1ST AID KIT
Warnvorrichtung pruefen inkl. Verbandskasten
CHECK HORN AND MIRRORS
Hupe und Spiegel pruefen
CHECK INSTRUMENTS
Instrumente pruefen
DA FORM 2404 – NOTE ALL DEFICIENDIES
DA FORM 2404 - Vermerke alle Maengel
SECURE DOORS AND TRUNK
Verschliesse Tueren und Kofferraum
VEHICLE EQUIPMENT RECORD FOLDER AVAILABLE
Fahrzeug Begleitheft vorhanden
I HAVE PERFORMED THE ABOVE LISTED CHECKS AND RECEIVED / RETURNED THE VEHICLE IN CONDITION AS STATED
HEREON
UNIT & SIGNATURE OF OPERATOR / TEL. # SIGNATURE OF TMP REPRESENTATIVE
0d571447-a7bd-4ae0-a234-522393b7c69d.xls 10 May 2006 FOR HEAVY VEHICLES PLEASE TURN OVER .....
VEHICLE OPERATOR CHECKLIST
VEHICLE Body & Accident - Please check
and mark area of damage !
Using listed codes:
"C" = Cracked/Chipped
LICENSE PLATE ADMIN NR
"D" = Dented; "S" = Scratched;
"R" = Rusted; "M" = Missing;
"O" = Other ( explain )
KM / MILES BEFORE OPERATION
DURING OPERATION
DATE ACCEPTED / AFTER OPERATION
RETURNED
:WAEHREND FAHRT
FAHRT INSPEKTION
OPERATION CHECK
AFTER OPERATION
FAHRTINSPECTION
CHECK: NACH DER
CHECK/VOR DER
INSPEKTION
OPERATION
Dirty/Soiled
ITEMS TO INSPECT
Damaged
BEFORE
DURING
Leaking
Missing
Defect
Low
ok
DAMAGE ON BODY AND GLASS
Aufbau- und Glasschaeden
CHECK FOR LEAKS TO INCLUDE EXHAUST, ENGINE OIL,
TRANSMISSION
Undichte Stellen pruefen inkl. Auspuff, Motoroel, Getriebe
CHECK TIRE PRESSURE TO INCLUDE SPARE TIRE
Reifendruck inkl. Ersatzrad
CHECK TIRE TREAD /
Reifenprofile pruefen
CHECK EXHAUST SYSTEM
Auspuffvorrichtung pruefen
BELTS (FAN-GENERATOR, ETC.)
Antriebsriemen (Ventilator, Lichtmaschine usw.)
BATTERY AND BATTERY WATER
Batterie und Batteriewasser
CHECK OIL AND WATER LEVEL OF COOLING SYSTEM
Oel und Kuehlwasserstand pruefen
CHECK LIGHTS AND REFLECTORS
Beleuchtung und Rueckfahrstrahler pruefen
AIR TANK (CLOSE VALVE)
Druckluftbehaelter (Ventil geschlossen)
CHECK FOR SPARE TIRE AND JACK TO INCLUDE TOOLS OR
TIRE INFLATING EQUIPMENT
Ersatzrad und Wagenheber pruefen inklusive Werkzeuge oder
Reifenreparatursatz
CHECK FOR HIGHWAY WARNING KIT, 1ST AID KIT AND
SAFETY VEST
Warnvorrichtung pruefen inklusive Verbandskasten und
Warnweste
CHECK INSTRUMENTS
Instrumente pruefen
DA FORM 2404 – NOTE ALL DEFICIENDIES
DA FORM 2404 - Vermerke alle Maengel
SECURE DOORS AND TRUNK
Verschliesse Tueren und Kofferraum
CHECK BRAKES
Bremsen pruefen
CHECK HORN AND MIRRORS
Hupe und Spiegel pruefen
VEHICLE EQUIPMENT RECORD FOLDER AVAILABLE
Fahrzeug Begleitheft vorhanden.
I HAVE PERFORMED THE ABOVE LISTED CHECKS AND
RECEIVED / RETURNED THE VEHICLE IN CONDITION AS
STATED HEREON:
UNIT & SIGNATURE OF DRIVER / RECEIVER TEL. #
SIGNATURE OF TMP REPRESENTATIVE
SIGNATURE OF DRIVER SIGNATURE OF INSPECTOR SIGNATURE OF DRIVER SIGNATURE OF INSPECTOR
Unterschrift des Fahrers Unterschrift des Inspektors Unterschrift des Fahrers Unterschrift des Inspektors
PRE-OPERATION CHECK AFTER OPERATION CHECK
0d571447-a7bd-4ae0-a234-522393b7c69d.xls 10 May 2006 FOR HEAVY VEHICLES PLEASE TURN OVER .....
Body & Accident Damage please check and mark area of damage using listed codes
“C” = Cracked/Chipped; “D” = Dented; “R” = Rusted; “M” = Missing; “S” = Scratched; “O” = Other;
Safety Vest