VEHICLE CONDITION INSPECTION CHECK LIST NAME OF FACILITY: _______________________ SENIOR CENTER ADMINISTRATOR: ____________________________ MONITOR: _______________________ DATE: ________________ FACILITY INSPECTION BY: __________________________ BI-ANNUAL OR ANNUAL INSPECTION: ______________________________ SENIOR CENTER VEHICLE # 1 VEHICLE # 2 VEHICLE # 3 VEHICLE # 4 Comments / Findings & DATE & DATE & DATE & DATE Critical Non Critical No Findings    Corrective Action Description VEHICLE ADMINISTRATION RECORDS License Number Vin Number Mileage Title Certificate Registration Certificate Insurance Vehicle Maintenance Report UNDER HOOD Oil Level Full Battery Secure & Free Of Corrosion Windshield Washer Fluid Full Hoses/Belts In Satisfactory Condition Coolant Level Satisfactory EXTERIOR Tires in Good Condition; 1/8” Minimum Tread Windows Free of Cracks Windows Clean and Visibility Satisfactory Headlights Working Properly Windshield Wipers Working Properly Windshield Wipers in Good Condition Rear Wipers Working Properly Rear Wipers in Good Condition Mirrors Free of Cracks Taillights Working Properly Signal Lights Working Properly Brake Lights Working Properly Emergency (Hazard) Lights Working Properly
VEHICLE CONDITION INSPECTION CHECK LIST NAME OF FACILITY: _______________________ SENIOR CENTER ADMINISTRATOR: ____________________________ MONITOR: _______________________ DATE: ________________ FACILITY INSPECTION BY: __________________________ BI-ANNUAL OR ANNUAL INSPECTION: ______________________________ SENIOR CENTER VEHICLE # 1 & DATE VEHICLE # 2 & DATE VEHICLE # 3 & DATE VEHICLE # 4 & DATE Comments / Findings  Critical  Non Critical  No Findings Corrective Action Description VEHICLE ADMINISTRATION RECORDS License Number Vin Number Mileage Title Certificate Registration Certificate Insurance Vehicle Maintenance Report UNDER HOOD Oil Level Full Battery Secure & Free Of Corrosion Windshield Washer Fluid Full Hoses/Belts In Satisfactory Condition Coolant Level Satisfactory EXTERIOR Tires in Good Condition; 1/8” Minimum Tread Windows Free of Cracks Windows Clean and Visibility Satisfactory Headlights Working Properly Windshield Wipers Working Properly Windshield Wipers in Good Condition Rear Wipers Working Properly Rear Wipers in Good Condition Mirrors Free of Cracks Taillights Working Properly Signal Lights Working Properly Brake Lights Working Properly Emergency (Hazard) Lights Working Properly
CO_Form_2_Vehicle_Inventory_Inspection_Checklist.docx