dpsvehiclechecklist_20160317

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Page 1: DPSVehicleChecklist_20160317

MILLS COLLEGE Department of Public Safety

5000 MacArthur Blvd. Oakland, CA 94613

Security Gatehouse: (510) 430-5555

Administrative Office: (510) 430-2103

[email protected]

DPS VEHICLE INSPECTION SHEET

DID YOU OBSERVE OR DETECT DAMAGE, LEAKAGE,

DISREPAIR, MALFUNCTION OR MAINTENANCE

NEEDS IN THE FOLLOWING:

YES NO N/A REMARKS – ALSO EXPLAIN ALL “YES” NOTATIONS BELOW, BY NUMBER

(Please Print)

VE

HIC

LE

EX

TE

RIO

R

1 Front Bumper Ex. #4 – Crack in front windshield, visibility obstructed

2 Headlights Ex. #45 Fire extinguisher gauge in ‘RECHARGE’ zone

3 Radiator Grill

4 Front Windshield

5 Windshield Wipers

6 Mirror – Driver Side

7 Fender (Panel Over Front Wheel Arch) – Driver

8 Tires – Front, Driver Side

9 Window – Front, Driver Side

10 Door - Front, Driver Side /Key

11 Window – Rear, Driver Side

12 Door - Rear, Driver Side

13 Tires – Rear, Driver Side

14 Rear Windshield

15 Exhaust Pipe

16 Tailgate/Trunk Lid (including lock mechanism)

17 Brake Lights

18 Turn Signal - Left

19 Turn Signal - Right

20 Rear Bumper

21 Mirror – Passenger Side

22 Fender (Panel Over Front Wheel Arch) – Passenger

23 Tires – Front, Passenger Side

24 Window – Front, Passenger Side

25 Door - Front, Passenger Side

26 Window – Rear, Passenger Side

27 Tires – Rear, Passenger Side

VE

HIC

LE

IN

TE

RIO

R

28 Steering Wheel/Handle Bars

29 Gearshift

30 Gas Pedal/Accelerator

31 Brake Pedal/Parking Brake/ABS

32 Dashboard Display (specify light/meter in Remarks)

33 Ignition/Starter

34 Heat/AC Conditioner & Vents (HVAC)

35 Center Console/Glove Box (Storage)

36 Window Handle/Switch & Locking Mechanisms

37 Door Handle/Switch & Locking Mechanisms

38 Seat – Front, Driver

39 Seat – Front, Passenger

40 Seat - Rear

41 Seatbelts

42 Visors

43 Rearview Mirror

44 Floor

OT

HE

R

45 Other – Duty/Emergency Equipment (If defective

or missing, check item and specify issue above)

AED FIRE EXTINGUISHER BATTERY STARTER FLASHLIGHT CONES

FIRST AID KIT CAMERA CITATIONS OTHER:

46 Other Mechanical – (If yes, check item and

specify symptoms above) Engine & Drivability Battery/Electrical Tire & Suspension Transmission Fluids/Gas

CONDITOIN OF ABOVE VEHICLE IS: Satisfactory Unsatisfactory WORK ORDER SUBMITTED, WORK ORDER# ________________________

SUPERVISOR SIGNATURE: ______________________________________ DATE: ______________ TIME: _________

Security Officer Badge No. Date Time Shift

DAY SWING GRAVEYARD Vehicle Start Mileage End Mileage

CROWN VICTORIA FORD RANGER GOLF CART BICYCLE OTHER: ___________________