ModCo Safety App

Modern 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:

Wipers:

Ok

Needs Attention

Comments About Wipers:

Other:

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(810) 629-1504

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