COLLEGE OF THE NORTH ATLANTIC 15 PASSENGER VEHICLE INSPECTION FORM VEHICLE PLATE #_________________
X Indicates SCRATCH
0 Indicates DENT
Item 1. Driver holds a class 4 license 2. Windshield 3. Window Glass 4. Wipers 5. Tires Tread Wear Pressure Appropriate for Season 6. Check for leaks under vehicle 7. Lights Hi-Beam Lo-Beam Turn Signals 4 Way Flashers Brake Lights Tail Lights Reverse Lights 8. Exterior No loads are placed on roof
Good / Yes
Damaged / No
Remarks/Action
9. Interior Page 1 of 2
Seat Adjustment Seat Belts Rear and Side Mirrors No more than 15 passengers Passengers are sitting in seats that are in front of the rear axle when the van is not full. 10. Vehicle Start Instrument Panel ACC. Lights Working Horn Operation Steering Foot Brake Emergency Brake Heater 11. Miscellaneous Spare Tire Wheel Jack / Handle Wheel Wrench 12. You are aware that: Rollovers occur at high speeds as a result of sudden steering maneuvers. This van requires more space and additional reliance on side view mirrors for changing lanes. This van does not respond well to abrupt steering maneuvers. This van requires additional breaking time. A safe speed must be maintained for the current weather conditions. 13. Note any unusual noise or damage to any part of the vehicle not noted in the checklist.
CHECKED BY: DATE: /
SIGNATURE: /
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