Vehicle Inspection Checklist Sub Recipient: River Cities Public TransitInspection Date(Required) MM slash DD slash YYYY Location of Inspection Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Name of Reviewer(Required)Joel SengelmannBob GordonVehicle #(Required) License Plate #(Required) Model Year(Required) VIN #(Required) Mileage(Required)Vehicle Warranty(Required) Yes Warranty Info:(Required) Incidental Use(Required) Yes No Brand(Required)FordChevroletGMCDodgeBody Type(Required)???Vehicle Length(Required) Lift Location(Required)FrontCenterRearN/ARamp Location(Required)FrontRearN/ASeating Capacity(Required) Title IV Sticker present?(Required) Yes No Emergency Exits Labeled?(Required) Yes No Accessibility Sticker?(Required) Yes No N/A Vehicle Stored Secure?(Required) Yes No TAM Condition Rating5 - Excellent4 - Good3 - Adequate2 - Marginal1 - PoorDOT Condition Rating5 - Excellent4 - Good3 - Adequate2 - Marginal1 - PoorCertify(Required) Certify the pre-trip checklist is reviewed, and corrections are made in a timely manner.Question:Preventive Maintenance performed per schedule in Thing Tech or files (specialized)?(Required) Yes No Maintenance records appear to be current in ThingTech or files (specialized)?(Required) Yes No Are there past due preventive maintenance in ThingTech or files (specialized) (Refer to FTA's timely requirements)?(Required) Yes No Notes:Question:Are the files kept for each vehicle including vehicle information and maintenance records?(Required) Yes No Are pre-trip inspections completed and on file?(Required) Yes No Are pre-trip inspections signed and dated?(Required) Yes No Have preventive maintenance scheduled for each vehicle type according to manufacturer's recommendations andaccording to asset maintenance plan?(Required) Yes No Do work orders / invoices fully document vehicle maintenance?(Required) Yes No Is the date and mileage noted on each work order / invoice?(Required) Yes No Has pre-trip noted maintenance been addressed and entered in ThingTech or files (specialized)?(Required) Yes No Preventive Maintenance conducted per schedule?(Required) Yes No Check Mfg. book and compare to schedule?(Required) Yes No Notes: Δ
