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OK <br />Needs <br />Repair <br />Repair <br />Date OK <br />Needs <br />Repair <br />Repair <br />Date OK <br />Needs <br />Repair <br />Repair <br />Date OK <br />Needs <br />Repair <br />Repair <br />Date <br />1 Note all damages to the vehicle on the back of this page <br />2 Emergency Equipment required per Motor Vehicle Standard ARC HSGE024 <br />Inspection Date <br /> Arcadis Weekly Vehicle Inspection Form (Revised 9/28/2022) <br />Vehicle # / License Plate #Lease Plan # / Last 6 of Vin # <br />Driver / Inspector Name <br />Odometer reading <br />Check the appropriate box and enter repair <br />date for identified repairs:InteriorHorn operational <br />Door Locks operational <br />Seat Belts in good repair <br />Seats and Seating Controls <br />Steering Wheel - No Excessive Play <br />Interior Lights and Light Controls <br />Instrument Panel/Gauges <br />Wiper Controls operational <br />Heat/Defrost/Air Conditioning working <br />Rear View Mirror present <br />Backup Camera/Sensors working <br />Jack and Lug Wrench present <br />Exterior1Lights and Signals operational <br />Tires properly inflated/good tread depth <br />Spare Tire properly inflated <br />Doors operational <br />Windows Not Cracked/Damaged <br />Side View Mirrors <br />Body Panels and Bumpers Engine & BrakesEngine Start & Running Smoothly <br />Fluid Levels, No Noticeable Leaks <br />Belts tight, no cracks <br />Brakes operational, no squeaking <br />Emergency Equipment2First Aid Kit, inspected weekly <br />Fire Extinguisher properly secured <br />Fire Extinguisher inspected weekly <br />Orange/Yellow emergency warning light <br />Roadside Assistance Information <br />Recommend spotter cones available <br />CargoCargo Secure and Properly Distributed <br />Securing Devices in Good Condition <br />Registration License Plate /Tags <br />Registration and Insurance <br />City/State Inspection Decal <br />Lease Plan information/Fuel Card