Page 195 - Personnel Policy and Procedures Manual

Form RM-ODC

OPERATOR'S DAILY CHECKLIST
DATE -______________________OPERATOR -______________________________
VEHICLE # -_____________________ASSET # -___________________MILEAGE -______________
ITEM CHECKED O.K. ( ) NEEDS MAINTENANCE

1. Horn

2. Brakes (including Park)
3. Lights -
a. Head Lights
b. Tail Lights
c. Turn Signals
d. Brake Lights
e. Back up Lights
f. 4 way flasher/hazard

4. Tires - (tread/pressure)
5. Seat Belts -

6. Fluid Levels -
a. Coolant
b. Oil
c. Brake
d. Power Steering
e. Transmission
7. Battery

8. Windshield Wipers and fluid
9. Clutch

10. Damage to interior/exterior
Beginning and end of day
11. Note any unusual noise/problem

12. Other -___________________

_____________________________________ _______________ ________________________________________
DATE TIME IN SIGNATURE

All Rights Reserved – As approved by the Commission on 05-07-2019 195 | P a g e