SEATBELTS Seatbelt Front/Rear Missing, frayed, does not snap Front Rear (Include shoulder harness during inspection, may have a center seat Pass Fail belt) LICENSE / INSURANCE Pass Fail (Annotate Drivers Info Below) Drivers License No.: Expired, Missing State: Expiration Date: Expired, check sticker/decal to ensure Pass Fail Vehicle License Plate plate is current Proof of Insurance Pass Fail Policy No.: Does the operator have valid insurance FLUIDS UNDER THE HOOD Filled to appropriate level Pass Fail Windshield washer Windshield washer fluid Pass Fail Battery Check the color indicator on the battery Pass Fail Power Steering Filled to appropriate level Pass Fail HOSES Cuts, cracks, leaks, bulges, chaffing, Pass Fail deterioration BATTERY Terminals, clean and tight, held down Pass Fail securely Operators Name (Print):______________________Signature:_____________________Date:__________ Inspectors Name (Print): Platoon Sergeant / Squad Leader:__________________Signature__________________Date:__________ Reviewed by Detachment Sergeant _____________________________________________________Date:__________ Leave / Pass / Holiday This inspection was conducted prior to (circle one):
SEATBELTS Seatbelt Front/Rear (Include shoulder harness during inspection, may have a center seat belt) Missing, frayed, does not snap Front Rear Pass Fail LICENSE / INSURANCE (Annotate Drivers Info Below) Drivers License No.: State: Expiration Date: Vehicle License Plate Proof of Insurance Policy No.: Expired, Missing Expired, check sticker/decal to ensure plate is current Does the operator have valid insurance Pass Fail Pass Fail Pass Fail FLUIDS UNDER THE HOOD Windshield washer Battery Power Steering HOSES BATTERY Filled to appropriate level Windshield washer fluid Check the color indicator on the battery Filled to appropriate level Cuts, cracks, leaks, bulges, chaffing, deterioration Terminals, clean and tight, held down securely Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail Operators Name (Print):______________________Signature:_____________________Date:__________ Inspectors Name (Print): Platoon Sergeant / Squad Leader:__________________Signature__________________Date:__________ Reviewed by Detachment Sergeant _____________________________________________________Date:__________ This inspection was conducted prior to (circle one): Leave / Pass / Holiday