Pre-Shift Vehicle Inspection Report

Please complete this form at the beginning of each shift to verify that the assigned Parking Services vehicle is safe to operate and that all required equipment is available and functioning. Any defects, damage, or operational concerns must be documented and reported prior to use.

Name: Name: First Last
Banner ID:
Must be 9 digits. Currently Entered: 0 digits.
Ontario Tech Email Address:
Date: Date: / MM / DD YYYY
Vehicle Details
License Plate #:
Start Mileage:
Vehicle Maintenance/Upkeep
Pre-Shift Pictures of Vehicle - Exterior:

Attach Files
Pre-Shift Pictures of Vehicle - Interior:

Attach Files

Fluids:
Fluids:	Satisfactory	Low	N/A
Engine Oil	Engine OilSatisfactory	Engine OilLow	Engine OilN/A
Windshield Washer	Windshield WasherSatisfactory	Windshield WasherLow	Windshield WasherN/A
Transmission	TransmissionSatisfactory	TransmissionLow	TransmissionN/A
Coolant	CoolantSatisfactory	CoolantLow	CoolantN/A
Power Steering	Power SteeringSatisfactory	Power SteeringLow	Power SteeringN/A

Lights/Electric:
Lights/Electric:	Satisfactory	Defective/Missing	N/A
Indicator Lights	Indicator LightsSatisfactory	Indicator LightsDefective/Missing	Indicator LightsN/A
Headlights (low beam)	Headlights (low beam)Satisfactory	Headlights (low beam)Defective/Missing	Headlights (low beam)N/A
Headlights (high beam)	Headlights (high beam)Satisfactory	Headlights (high beam)Defective/Missing	Headlights (high beam)N/A
Reverse Lights	Reverse LightsSatisfactory	Reverse LightsDefective/Missing	Reverse LightsN/A
Hazard Lights	Hazard LightsSatisfactory	Hazard LightsDefective/Missing	Hazard LightsN/A
Cabin Lights	Cabin LightsSatisfactory	Cabin LightsDefective/Missing	Cabin LightsN/A
Horn	HornSatisfactory	HornDefective/Missing	HornN/A

Exterior Condition:
Exterior Condition:	Satisfactory	Unsatisfactory/Defective	N/A
Tires	TiresSatisfactory	TiresUnsatisfactory/Defective	TiresN/A
Windshield	WindshieldSatisfactory	WindshieldUnsatisfactory/Defective	WindshieldN/A
Wiper Blades	Wiper BladesSatisfactory	Wiper BladesUnsatisfactory/Defective	Wiper BladesN/A
Door Locks	Door LocksSatisfactory	Door LocksUnsatisfactory/Defective	Door LocksN/A
Side View Mirrors	Side View MirrorsSatisfactory	Side View MirrorsUnsatisfactory/Defective	Side View MirrorsN/A
Vehicle Body	Vehicle BodySatisfactory	Vehicle BodyUnsatisfactory/Defective	Vehicle BodyN/A
Cleanliness	CleanlinessSatisfactory	CleanlinessUnsatisfactory/Defective	CleanlinessN/A

Internal Condition:
Internal Condition:	Satisfactory	Defective/Missing	N/A
Seat Belts	Seat BeltsSatisfactory	Seat BeltsDefective/Missing	Seat BeltsN/A
First Aid Kit	First Aid KitSatisfactory	First Aid KitDefective/Missing	First Aid KitN/A
Emergency Equipment	Emergency EquipmentSatisfactory	Emergency EquipmentDefective/Missing	Emergency EquipmentN/A
Cleanliness	CleanlinessSatisfactory	CleanlinessDefective/Missing	CleanlinessN/A

Notes: Pre-Shift
Mention any damages and/or unsatisfactory items found in details:
Equipment Checkout
Phone # Checked Out:

Phone # Checked Out: Phone 1 Phone 2 Phone 3 Phone 4 Phone 5 Phone 6 Other Other
FOBs Checked Out:
Disclaimer

Personal information on this form is collected under the authority of the University of Ontario Institute of Technology Act, SO 2002, c. 8, Sch. O. and will be collected, protected, used, disclosed and retained in compliance with Ontario’s Freedom of Information and Protection of Privacy Act R.S.O. 1990, c. F.31. This information will be used for education, administrative and statistical purposes and to administer registration within the university. Questions regarding the collection of your personal information may be directed to the Ancillary Services department, 2000 Simcoe Street North, Oshawa, ON L1G 0C5, email: parking@ontariotechu.ca

If you require this information in an alternative format due to disability, please email parking@ontariotechu.ca.

Pre-Shift Vehicle Inspection Report

Pre-Shift Vehicle Inspection Report

Vehicle Details

Vehicle Maintenance/Upkeep

Notes: Pre-Shift

Equipment Checkout

Disclaimer