Republic of the Philippines Republic of the Philippines

ARKCONS & ELECTRICAL SERVICES, INC. ARKCONS & ELECTRICAL SERVICES, INC.
Balite drive, Buhangin Davao City, 8000 Tel. No. (082) 295-7150 Balite drive, Buhangin Davao City, 8000 Tel. No. (082) 295-7150

VEHICLE ACCESSORIES CHECKLIST VEHICLE ACCESSORIES CHECKLIST

DATE:_________________ PLATE NO:_____________ DATE:_________________ PLATE NO:_____________

DRIVER:_____________________ DRIVER:_____________________
DESTINATION:____________________ DESTINATION:____________________

Please (√) corresponding space if found OK, (X) found defective Please (√) corresponding space if found OK, (X) found defective
/missing /missing

ACCESSORIES OUT IN ACCESSORIES OUT IN

(A) FRONTWIND SHIELD ( ) ( ) (A) FRONTWIND SHIELD ( ) ( )

(B) SIDE MIRROR-LEFT ( ) ( ) (B) SIDE MIRROR-LEFT ( ) ( )
(C ) SIGNAL LIGTH-LEFT ( ) ( ) (C ) SIGNAL LIGTH-LEFT ( ) ( )
(D) HEAD LIGHT-LEFT ( ) ( ) (D) HEAD LIGHT-LEFT ( ) ( )
(E) HEAD LIGHT-RIGHT ( ) ( ) (E) HEAD LIGHT-RIGHT ( ) ( )
(F) SIGNAL LIGHT-RIGHT ( ) ( ) (F) SIGNAL LIGHT-RIGHT ( ) ( )
(G) SIDE MIRROR-RIGHT ( ) ( ) (G) SIDE MIRROR-RIGHT ( ) ( )
(H) WINDSHIELD-FRONT ( ) ( ) (H) WINDSHIELD-FRONT ( ) ( )
(I) WINDSHIELD-REAR ( ) ( ) (I) WINDSHIELD-REAR ( ) ( )

AUXILHARY LIGHTS AUXILHARY LIGHTS

(J) REAR LIGHT ( ) ( ) (J) REAR LIGHT ( ) ( )

(K) REAR LEFT ( ) ( ) (K) REAR LEFT ( ) ( )
(L) WINDSHIELD-REAR L ( ) ( ) (L) WINDSHIELD-REAR L ( ) ( )
(M) WINDSHIELD-FRONT L ( ) ( ) (M) WINDSHIELD-FRONT L ( ) ( )
(N) JACK ( ) ( ) (N) JACK ( ) ( )
(O) SPARE TIRE ( ) ( ) (O) SPARE TIRE ( ) ( )
(P) BEACON LIGHT ( ) ( ) (P) BEACON LIGHT ( ) ( )
(Q) ANTENNA ( ) ( ) (Q) ANTENNA ( ) ( )
(R) SPOTLIGHT ( ) ( ) (R) SPOTLIGHT ( ) ( )
(S) DENTS ( ) ( ) (S) DENTS ( ) ( )
LOAD (check corresponding space if with load) LOAD (check corresponding space if with load)
(T) WIRE REEL ( ) ( ) (T) WIRE REEL ( ) ( )

PRE TRAP INSPECTION CHECKLIST PRE TRAP INSPECTION CHECKLIST

(A) CHECK ENGINE OIL LEVEL ( ) (A) CHECK ENGINE OIL LEVEL ( )
(B) CHECK BRAKE FLUID ( ) (B) CHECK BRAKE FLUID ( )
( C) CHECK TIRE INFLATION ( ) ( C) CHECK TIRE INFLATION ( )
(D) CHECK TOOLS ( ) (D) CHECK TOOLS ( )
(E) CHECK WIPER & HORNS ( ) (E) CHECK WIPER & HORNS ( )
(F) CHECK FUEL LEVEL ( ) (F) CHECK FUEL LEVEL ( )
(G) VEHICLE REGISTRATION ( ) (G) VEHICLE REGISTRATION ( )

OTHER ITEMS: OTHER ITEMS:

(A) LADDER __________ (A) LADDER __________
(B) GRIP ALL STICK __________ (B) GRIP ALL STICK __________
(C) CONDUCTOR COVER __________ (C) CONDUCTOR COVER __________
(D) SAFETY CONE __________ (D) SAFETY CONE __________

DRIVER REMARKS:___________________________________ DRIVER REMARKS:___________________________________

__________________________________________________ __________________________________________________
TIME OUT:_____________ TIME IN:___________ TIME OUT:_____________ TIME IN:___________

(note if it is the driver’s responsibility to follow the schedule (note if it is the driver’s responsibility to follow the schedule
preventive maintenance and to report all findings and preventive maintenance and to report all findings and
recommended or request to repair) recommended or request to repair)
I HEREBY CONFIRM TO HAVE EXECUTED THE CHECKLIST STATED I HEREBY CONFIRM TO HAVE EXECUTED THE CHECKLIST STATED
ABOVE AND THE DATA/FINDINGS PERTAINING TO IT ARE TRUE AND ABOVE AND THE DATA/FINDINGS PERTAINING TO IT ARE TRUE AND
CORRECT. CORRECT.
DRIVER OUT:__________________ DRIVER IN:_____________ DRIVER OUT:__________________ DRIVER IN:_____________
SIGNATURE SIGNATURE SIGNATURE SIGNATURE

SAFETY OFFICER NAME & SIGNATURE:_______________________ SAFETY OFFICER NAME & SIGNATURE:_______________________

MOTORPOOL REMARKS:__________________________________ MOTORPOOL REMARKS:__________________________________

______________________________________________________ ______________________________________________________