Page 120 - Risk Management for Outdoor Programs

Date(s): ________________________ Vehicle: ____________________________ Destination: _____________________ Driver(s): ___________________________ Start Mileage: ___________________ End Mileage: ________________________ Purpose/Program: ____________________________________________________ TRAILER. Check: Hitch completely on ball Hitch lock in down position Pin (or padlock) on hitch lock Jack completely pulled up Both chains secured to vehicle Blocks removed from tires Back door completely shut Brake lights work Turning lights work Running lights work I (print) _______________________________have completed all parts of the above form: (sign) ____________________________ 110 Pre-Drive Vehicle Inspection Checklist INSTRUCTIONS: Use the following general checklist to perform an inspection of the vehicle before each trip. If also pulling a trailer, complete trailer checklist. Please be thorough. Advise Logistics staff if something is missing or needs repair/maintenance. Make note of any repairs or maintenance you made before/during/after journey. UNDER HOOD. Check and circle one: Oil level (high, adequate, low) Coolant level (high, adequate, low) Windshield wiper fluid (high, adequate, low) Jack EXTERIOR. Check for: Adequate tire tread Hide a key Damage: ____________ EQUIPMENT. Ensure presence of: Vehicle Manual Pressure Gauge Working Flashlight Flares First Aid Kit Jumper Cables Tire Iron Fire Extinguisher Tie-down supplies Tire chains (winter only) COMMENTS or other concerns: INTERIOR. Check: Running/Parking Lights Headlights High Beams Turn Signals (front/back) Brake Lights Reverse Lights Horn Seats Secure Damage: ____________ Figure 11.8. Pre-drive vehicle inspection checklist. These checklists should be filled out for every trip and securely stored after completion. Section 2: Risk Domains