ModCo Safety App

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:

Thank you for contacting us.
We will get back to you as soon as possible

Oops, there was an error sending your message.
Please try again later

(810) 629-1504

Share by: