CompletedVehicleGeneral InspectionForm
This document contains Crestline Coach Ltd. confidential information and shall not be
duplicated, disclosed or used for purposes other than to carry out the intent for which this
material isdeliveredunlesswrittenconsent isobtained.
802 – 57
th
Street East
Saskatoon, SK. Canada S7K 5Z1
ph 1(306)934-8844
fax 1(306)242-5838
?Procedure ?Work Instruction ¦ Form ?Other
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QMS -CompletedVehicleGeneral InspectionForm
r4.doc
Created……1/05/2002 Revised……. 15/12/03
QMS - CompletedVehicleGeneral InspectionForm r4.doc
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COMPLIANCE
....................................................................................................................................................................
YES
.........
NO
..........
NA
Signal lights-front......................................................................................................................................
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Signal lights-rear.......................................................................................................................................
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..........
Signal lights-side......................................................................................................................................
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..........
Brake..........................................................................................................................................................
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Tail..............................................................................................................................................................
..........
..........
Reverse lights ...........................................................................................................................................
..........
..........
D.O.T. reflectors.......................................................................................................................................
..........
..........
Fog lights ...................................................................................................................................................
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Driving lights..............................................................................................................................................
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Shoreline....................................................................................................................................................
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..........
110Voutlet................................................................................................................................................
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Vents (exhaust and intake) ....................................................................................................................
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Sirenspeakers..........................................................................................................................................
..........
..........
COMPLIANCE
4. UnderChassis Inspection
.................................................................................................
YES
.........
NO
..........
NA
A.
þ
Undercoating (blackasphalt or foam )
................................................................................
..........
..........
B.
þ
Rear towhooks (front towhooksarenot allowedonFordESeriesambulance)
..........
..........
..........
D.
þ
All holes through floor sealed
........................................................................................................
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E.
þ
Allmountingboltsandpucks tight
..............................................................................................
..........
..........
F.
þ
All electricalwiresandcables loomedand tiedupsecurely
................................................
..........
..........
G.
þ
Heater/AChoses loomedand tiedupsecurely
.........................................................................
..........
..........
I.
þ
Backing for pedestal seat andcotmountswelded in
.............................................................
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J. Splashguard inwheel wells
................................................................................................................
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K. Rear stabilizer
.........................................................................................................................................
..........
..........
L. Back-upalarm
.........................................................................................................................................
..........
..........
M.
þ
Heat shields inplaceandsecurelymounted
.............................................................................
..........
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N. Spare tirecarrier
.....................................................................................................................................
..........
..........
O. Prestige tapeonoil pressureswitchandA/Cvalves
...................................................................
..........
..........
COMPLIANCE
5. Interior Visual Inspection
...................................................................................................
YES
.........
NO
..........
NA
A.
þ
Consolemountingandappearance (wire loomedand in track)
.........................................
..........
..........
B. Cabceiling, trim, padsand fillers
......................................................................................................
..........
..........
C.
þ
Cabseat andshoulder beltsoperation, seat recessesandarmrests
.................................
..........
..........
D. Walk through, or talk through
.............................................................................................................
..........
..........
