Livingston Vehicle Inspection Form
Livingston Vehicle Inspection Form
Appears Safe Driver's Name:
Vehicle Number
Date:
Odometer/Hours:
Gallons:
Brakes:
Ok
Needs Attention
Comments About Brakes:
Backup Alarm:
Ok
Needs Attention
Option 3
Comments About Backup Alarm:
Fire Extinguisher:
Ok
Needs Attention
Comments About Fire Extinguisher:
Fluids/Oil/Air:
Ok
Needs Attention
Comments About Fluids/Oil/Air:
Frame:
Ok
Needs Attention
Comments About The Frame:
Horn:
Ok
Needs Attention
Comments About The Horn:
Lights:
Ok
Needs Attention
Comments About Lights:
Mirror:
Ok
Needs Attention
Comments About Mirrors:
Parking Brake:
Ok
Needs Attention
Comments About Parking Brake:
Steering/Controls:
Ok
Needs Attention
Comments About Steering/Controls:
Tires/Tracks:
Ok
Needs Attention
Comments About Tires/Tracks:
Windshield/Glass:
Ok
Needs Attention
Comments About Windshield/Glass:
Wipers:
Ok
Needs Attention
Comments About Wipes:
Other:
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All Rights Reserved | Peabody Insurance
(810) 629-1504
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