Appendix B
NJMVC DRIVERS VEHICLE INSPECTION REPORT
TIME TIME FLEET UNIT NUMBER
OPERATOR
DRIVER NAME
(Print or Type)
LICENSE PLATE NUMBER
ADDRESS DRIVER NAME SIGNED
VEHICLE TYPE
(Circle One)
A B C D SV
VEHICLE COMPONENTS INSPECTED
ITEM ITEM ITEM
BEFORE OPERATING DURING WARM UP DURING WARM UP
Bus Interior Damage Service Brakes School Bus Warning Lights
Bus Interior Cleanliness Low Air Warning Service Door Operation
Fire Extinguisher Parking Brake Emergency Exits
First Aid Kit
(If Applicable)
Fuel Gauge Emergency Exits Buzzers
Portable Warning Devices Amp Meter Stop Arm
Wrecking Bar
(If Applicable) Oil Pressure Crossing Gate
Seat Belt Cutter Horn Exhaust System
Seats Heaters / Defrosters Fluid Leaks
Left Front Tire Windshield Wipers Steering Wheel Free Play
Right Front Tire Windshield Washers Steering Column
Left Rear Outside Tire Headlights Drivers Seatbelt
Left Rear Inside Tire Tail Lights Passanger Seatbelt
Right Rear Outside Tire Stop Lights Miscellaneous
Right Rear Inside Tire
Brake Light Indicator
HANDICAPPED
Wheels / Rims
Marker / Clearance Lights
(If Applicable)
Lug Nuts Directional Signals / 4-Way Power Lift
Credentials Reflectors Lift Door
Bus Exterior Damage Mirrors Buzzer
MILEAGE BEGINNING Interlock
Identification
MILEAGE ENDING Light
Fluid Leaks
√
if O.K. or
X
if defective. If vehicle has any problem that would impair a safe trip, contact the office before moving vehicle.
ALL DEFECTS MUST BE WRITTEN UP ON A VEHICLE REPAIR REQUEST
Date
OK
Needs
Repair
Repair
Date
OK
Needs
Repair
DATE OPERATOR NOTIFIED
OPERATOR / DESIGNEE SIGNATURE
Date
Repair
OK
Needs
Repair
DATE OF INSPECTION
Repair