Submit this form to your Supervisor via email, fax, or physical copy. If submitting via email, attach the completed PDF form to the email and send it to the designated Supervisor's email address. For fax submissions, send the completed form to the department's fax number. You may also hand in a printed copy to your Supervisor. Always ensure to keep a personal copy of the submitted form for your records.

The purpose of this form is to ensure the safety and proper maintenance of carts and utility vehicles through regular inspections. By using this checklist, operators and maintenance staff can identify and address any issues before they become serious problems. Ensuring vehicle safety helps prevent accidents and maintain compliance with safety regulations, ultimately protecting both personnel and equipment.

• 1. Authorization: Verify if the user has completed specific cart safety instruction and possesses a valid driver's license.
• 2. Visible Items: Check for tire pressure, rust damage, fluid levels, fluid leaks, and any loose parts.
• 3. Functional Aspects: Inspect vehicle steering, reverse alarm, brakes, mirrors, hazard lights, seat belts, horn, signals, and battery charge.
• 4. Signature: Ensure all operational and safety features are maintained, and record the inspection date.

Failure to submit this form can result in unsafe vehicle operations and potential compliance issues.

• Unsafe Operations: Vehicles may operate with undiscovered issues, leading to accidents or breakdowns.
• Compliance Issues: Failure to maintain proper documentation can result in regulatory non-compliance and potential fines.

• 1. Pre-operation Check: Conduct daily inspections before using the vehicle.
• 2. Maintenance Records: Maintain a record of vehicle inspections for compliance and maintenance history.