School District or Contractor's Name

Bus Identification No.

Date

Time

PLEASE CHECK "S" FOR SATISFACTORY OR "U" FOR UNSATISFACTORY. (Ö) EACH COMPONENT CAREFULLY AND INDIVIDUALLY.

Open Hood and Check:

With Engine Running, Driver Activates All Exterior Lights, Walks Around the Bus and Checks:

S

U

S

U

 S

 U

Oil

Power Steering Fluid

Right Front Wheel and Tire

Coolant

Washer Fluid

Right Side Marker and Turn Signal

Battery

All Belts

Right Side Reflectors

Transmission Fluid

Wiring

Right Side Rear View and Safety Mirrors

Master Cylinder Brake Fluid

Crossing Control Arm

Headlights (high/low beams)

Front Turn Signal Lights

Signature of person performing above inspection if not the driver/Date

Front Clearance Lights

Front Identification/Cluster Lights

Driver Enters Bus and Checks:

Front Eight Light Flashing System

S

U

S

U

Front Reflectors

Steps

Warning Devices

Windshield

Cleanliness

Fuses (if applicable)

Underside of Chassis

Seats

First Aid Kit

Crossover Mirror(s)

Seat Belts (if applicable)

Fire Extinguisher

Left Side Rear View and Safety Mirrors

Windows

Lettering

Left Front Wheel and Tire

Two-way Radio or Authorized Cell Phone

Driver's Side Window

Stop Arm Panel

Left Side Marker and Turn Signal Lights

Record Month and Year displayed on the front of the Certificate of Safety

Left Side Reflectors

Side Emergency Door (open/close) (if applicable)

Record Odometer Reading from the Vehicle's Odometer

If today's month and year is after the month and year recorded above or if the vehicle's odometer reading is greater than the miles recorded on the back of the Certificate of Safety, the Certificate of Safety has expired or is not valid.

Left Rear Wheels and Tires

Exhaust System (tail pipe clear?)

Rear Tail/Brake Lights

Rear Turn Signal Lights

Rear Clearance Lights

Rear Identification/Cluster Lights

Driver Starts Engine, Activates All Interior Lights and Checks:

Strobe Lamp (if applicable)

S

U

S

U

Rear Eight Light Flashing System

Valid Certificate of Safety

Child Check System (electronic or manual)

Rear Reflectors

Steering Wheel

Braking Warning Alarm

Rear Emergency Door (open/close) (if applicable)

Windshield Wipers and Washers

Controls and Indicators

Right Rear Wheels and Tires

Heater and Defroster

Ammeter (voltmeter)

Fuel Tank Filler Caps

All Interior Lights

Gear Shift Lever

Horn

Neutral Safety Switch

Drive Bus Forward and Apply Brakes

Service Door (open/close)

Water Temperature Gauge

 S

 U

All Mirrors (adjustments)

Fuel Gauge

Service and Emergency Brake Operation

Sun Visor

Vacuum or Air Pressure Gauge

Emergency Exits (windows/doors)

Odometer

Emergency Exits Alarms

Switches

Clutch (if applicable)

Driver's Seat Belt

REMARKS

Signature of Driver

Signature of Mechanic Making Report/Adjustments

Date Repairs/Adjustments Completed