"Pre-trip Inspection Report Form - Type III School Bus"

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TYPE III SCHOOL BUS
DAILY PRE-TRIP INSPECTION REPORT
District / Carrier __________________________________________ Date ______________
Bus Number _________ Starting Mileage ______________ Ending Mileage _____________
Driver Name / Driver Designee __________________________________________________
CHECKED
CHECKED
Ok
Defect
Ok
Defect
MECHANICAL CHECK:
***Hood MUST be opened***
INTERNAL INSPECTION:
(Engine running, parking brake on)
Coolant level
Oil pressure builds
Oil level
Ammeter/voltmeter
Power steering fluid
Lighting indicators
Transmission fluid
Steering play
Windshield washer fluid
Horn
Alternator
Clutch/gearshift
Water pump
Heater/defroster
Power steering pump
Mirrors
Check belts and hoses
Windshield
Check for leaks
Wipers / Washer
Wheel: tire, lugs, rims
Safety/emergency equipment
Brakes: drum, rotators, lining,
fire extinguisher
fluid (level / leaks), parking
first aid, body fluid cleanup kit
Springs, shock absorbers
seat belt cutter
Fuel gauge (level)
Seats secure
Seat belts
EXTERNAL INSPECTION:
Child restraints / car seats
Lights: signal, stop, headlights,
license plate light
Doors and mirrors
Window glass
WHEELCHAIR – N/A
Fuel tanks
Anchor points, belts, straps, lift
Exhaust
inspection, interlock safety system
functional
Driver Comments or explanation of defect(s) discovered:
TURN IN COMPLETED FORM
Repairs completed by: __________________________________ Date: ________________
Revised 5/12
TYPE III SCHOOL BUS
DAILY PRE-TRIP INSPECTION REPORT
District / Carrier __________________________________________ Date ______________
Bus Number _________ Starting Mileage ______________ Ending Mileage _____________
Driver Name / Driver Designee __________________________________________________
CHECKED
CHECKED
Ok
Defect
Ok
Defect
MECHANICAL CHECK:
***Hood MUST be opened***
INTERNAL INSPECTION:
(Engine running, parking brake on)
Coolant level
Oil pressure builds
Oil level
Ammeter/voltmeter
Power steering fluid
Lighting indicators
Transmission fluid
Steering play
Windshield washer fluid
Horn
Alternator
Clutch/gearshift
Water pump
Heater/defroster
Power steering pump
Mirrors
Check belts and hoses
Windshield
Check for leaks
Wipers / Washer
Wheel: tire, lugs, rims
Safety/emergency equipment
Brakes: drum, rotators, lining,
fire extinguisher
fluid (level / leaks), parking
first aid, body fluid cleanup kit
Springs, shock absorbers
seat belt cutter
Fuel gauge (level)
Seats secure
Seat belts
EXTERNAL INSPECTION:
Child restraints / car seats
Lights: signal, stop, headlights,
license plate light
Doors and mirrors
Window glass
WHEELCHAIR – N/A
Fuel tanks
Anchor points, belts, straps, lift
Exhaust
inspection, interlock safety system
functional
Driver Comments or explanation of defect(s) discovered:
TURN IN COMPLETED FORM
Repairs completed by: __________________________________ Date: ________________
Revised 5/12
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