PRO2005077R00.png - page 411

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
ISO#
DOT#
QVM#
OTHER#
QMS -CompletedVehicleGeneral InspectionForm
r4.doc
Created……1/05/2002 Revised……. 15/12/03
QMS - CompletedVehicleGeneral InspectionForm r4.doc
6 of 6
COMPLIANCE
....................................................................................................................................................................
YES
.........
NO
..........
NA
L. Flooring
.....................................................................................................................................................
..........
..........
Gapsandseams......................................................................................................................................
..........
..........
Rolledupedgeswherenecessary........................................................................................................
..........
..........
Securelyglued..........................................................................................................................................
..........
..........
Cot holders securelymounted................................................................................................................
..........
..........
Aluminum step, trim, front edge trim, and rear threshold...................................................................
..........
..........
M. Kit tree/ shelves
......................................................................................................................................
..........
..........
Securelymounted....................................................................................................................................
..........
..........
Appropriatestrapsandbelts...................................................................................................................
..........
..........
Fit and finish..............................................................................................................................................
..........
..........
N. Coat hooks
...............................................................................................................................................
..........
..........
O. Interiordecal package
..........................................................................................................................
..........
..........
P. Fireextinguishers
..................................................................................................................................
..........
..........
#Of extinguishers?_______
þ
Approved locations? ............................................................................................................................
..........
..........
þ
Securelymounted.................................................................................................................................
..........
..........
þ
Retentionstrapsound ( belt or metal strap) ............................................................................
..........
..........
Q. Sharps, tissueandgarbagecontainers
...........................................................................................
..........
..........
R. ALScompartment (Interior
..................................................................................................................
..........
..........
Doors flushandaligned...........................................................................................................................
..........
..........
Fit and finish..............................................................................................................................................
..........
..........
Shelvesandstraps...................................................................................................................................
..........
..........
S. CPRseat
...................................................................................................................................................
..........
..........
Fit and finish..............................................................................................................................................
..........
..........
þ
Seat beltsboltedand complete..........................................................................................................
..........
..........
þ
Operationand function.........................................................................................................................
..........
..........
T. Spare tireandequipment
.....................................................................................................................
..........
..........
Tire securelymounted.............................................................................................................................
..........
..........
Jack, crankandwrench included (location?__________________________) ............................
..........
..........
U. Portableoxygenbracket
......................................................................................................................
..........
..........
#Of tanks?______
þ
Securelymounted.................................................................................................................................
..........
..........
þ
Retentionstrapssound ( belt or metal strap) ..........................................................................
..........
..........
COMPLIANCE
6. Electrical Functions Inspection
....................................................................................
YES
.........
NO
..........
NA
A. Console
.....................................................................................................................................................
..........
..........
1...,400,401,402,403,404-405,406,407,408,409,410 412,413,414,415,416,417,418,419,420,421,...428
Powered by FlippingBook