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GB ATV-UTV Inspection Final

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ATV/UTV Inspection Form

Vendor Name: Incident Name: Equipment #

Address: Resource Order #:

Equipment Type: Make: Model:

License Plate #: Serial #: Starting Mileage/Hours:

Code: X = Acceptable Condition, R = Rejected Failed Inspection


Inspection Item Code Comments
Engine and Fuel:
Oil level and filter service
Air Filter Clean
Drive Belt tight and good condition
Radiator, hoses and coolant levels
Spark Arrestor *
Throttle operational *
Choke operational
Fuel line hoses and connections *
Brakes:
Brake levers operational *
Brake fluid level adequate *
Brake pads, hoses and connections *
Chassis:
Lubrication
Front and Rear gear case levels
Steering acceptable *
Boot Joints, Axles and Suspension acceptable *
Tire wear and inflated properly *
Wheel lugs tight *
All lights and reflectors acceptable condition *
Winch and cable acceptable
Physical Damage (Remarks section & identify on
picture)
License Plate, registration and decals (required)
Red Tagged (Out of Service) any safety item indicated by an asterisk (*) Do not accept until corrected.

Remarks:
Pre-Use Inspector: Date:

Home Unit: Phone #

Contractor Representative: Date:

Release, No Damage No Claims : Release Mileage/Hours____________


Vendor Initial________

Inspector: Date:

Home Unit: Phone #:

Contractor Representative: Date:

Pre-Use inspection, identify body damage on pictures below

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