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Working with Children Check Forms

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					Vehicle Inspection Form                    Branch: ______________ Vehicle: __________ Mileage: ________ Date: _____ Driver: ________
                                                             adeq inadeq                                                              adeq inadeq
 1. Initial Approach                                                         5. Walk Around
  fluid leaks (oil, transmission, brake fluid, water)                          windshield (clear, clean, unbroken)
  suspension (no body tilt or lean)                                            headlights clean and working (both high & low)
 2. Under-hood Check                                                           wiper blades clean and in good condition
  clean (no leaks, excess oil film, etc.)                                      side / rear windows (unobstructed, unbroken)
  belts are tight (fan, alternator, a/c, water pump)                           taillights clean and working
  last service check posted (and within 90 days)                               turn signals working on all 4 corners
  fluid levels adequate (same as Initial Approach)                             emergency flasher working on all 4 corners
    (do not check water when the engine is hot)                                tire condition (inflation, sidewall damage)
 3. General Interior                                                           tire wear (tread depth, alignment wear pattern)
  floor / seats / windows clear and clean                                      spare tire provided (inflated, with jack and tools)
  seat belts present and functional for all seats                              bumpers (properly secured and aligned)
  communication gear (2-way radio, cell phone)                                 body (no significant damage, loose parts, etc.)
  emergency equipment present and ready                                        muffler (not loose or excessively noisy)
    (flares / triangles, fuses, flashlight, first aid kit,                   6. Driver Check-out
    fire extinguisher, accident reporting form)                                qualification (proper license, status, etc.)
 4. From the Driver's Seat                                                     condition (not sick, tired, under medication, etc.)
  emergency brake set and adequate                                             attitude (alert, focused, responsive, etc.)
  driver's seat properly adjusted                                            7. Test Drive (before transporting children)
  mirrors present and properly adjusted                                        transmission (smooth start, shifts; no clunks)
  horn works                                                                   engine (smooth running, no unusual noises)
  dash and interior dome lights working                                        speedometer and odometer working
  engine starts easily, runs smoothly                                          steering (responsive, no free-play in wheel)
  gauges working (oil, water, amps, fuel)                                      noises (no unusual rattles, clunks, etc.)
  heat, a/c, defrost systems working                                           brakes (stops the vehicle safely without any
  windshield wipers and washer working                                          fading, grabbing, pulling to one side or squeaking)


Vehicle Inspection Form                    Branch: ______________ Vehicle: __________ Mileage: ________ Date: _____ Driver: ________
                                                             adeq inadeq                                                              adeq inadeq
 1. Initial Approach                                                         5. Walk Around
  fluid leaks (oil, transmission, brake fluid, water)                          windshield (clear, clean, unbroken)
  suspension (no body tilt or lean)                                            headlights clean and working (both high & low)
 2. Under-hood Check                                                           wiper blades clean and in good condition
  clean (no leaks, excess oil film, etc.)                                      side / rear windows (unobstructed, unbroken)
  belts are tight (fan, alternator, a/c, water pump)                           taillights clean and working
  last service check posted (and within 90 days)                               turn signals working on all 4 corners
  fluid levels adequate (same as Initial Approach)                             emergency flasher working on all 4 corners
    (do not check water when the engine is hot)                                tire condition (inflation, sidewall damage)
 3. General Interior                                                           tire wear (tread depth, alignment wear pattern)
  floor / seats / windows clear and clean                                      spare tire provided (inflated, with jack and tools)
  seat belts present and functional for all seats                              bumpers (properly secured and aligned)
  communication gear (2-way radio, cell phone)                                 body (no significant damage, loose parts, etc.)
  emergency equipment present and ready                                        muffler (not loose or excessively noisy)
    (flares / triangles, fuses, flashlight, first aid kit,                   6. Driver Check-out
    fire extinguisher, accident reporting form)                                qualification (proper license, status, etc.)
 4. From the Driver's Seat                                                     condition (not sick, tired, under medication, etc.)
  emergency brake set and adequate                                             attitude (alert, focused, responsive, etc.)
  driver's seat properly adjusted                                            7. Test Drive (before transporting children)
  mirrors present and properly adjusted                                        transmission (smooth start, shifts; no clunks)
  horn works                                                                   engine (smooth running, no unusual noises)
  dash and interior dome lights working                                        speedometer and odometer working
  engine starts easily, runs smoothly                                          steering (responsive, no free-play in wheel)
  gauges working (oil, water, amps, fuel)                                      noises (no unusual rattles, clunks, etc.)
  heat, a/c, defrost systems working                                           brakes (stops the vehicle safely without any
  windshield wipers and washer working                                          fading, grabbing, pulling to one side or squeaking)

				
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