Name(Required) First Last Time(Required) Hours : Minutes AM PM AM/PM Date(Required) MM slash DD slash YYYY Vehicle(Required)Chevy Express Van ZGK 0456GMC Sierra 1500 Pick up Truck ZML 9704Program(Required)YouthYoung AdultCommunityVenture Outdoors AgainKayak PittsburghGeneral VO SupportVehicle MaintenanceTransporting non-VO personnel?(Required) Yes No Are all seatbelts working properly?(Required) Yes No Towing a trailer today?(Required) Yes No Vehicle in Park?(Required) Yes No Walk around the vehicle 3 times. Are any damages present?(Required) Yes No Please start the vehicle and turn on hazard lights. Any dashboard warnings?(Required) Yes No Are all lights functional?(Required) Yes No Do tires appear properly inflated?(Required) Yes No What is the starting odometer reading?(Required)What is the fuel status?(Required) Above 3/4 Above 1/2 Above 1/4 Above E Gas Light on Is the registration in the vehicle?(Required) Yes No Is the insurance in the vehicle?(Required) Yes No Have you adjusted the seats?(Required) Yes No Have you adjusted the rear view mirrors?(Required) Yes No Please describe damage or issue observed. If safe operation is not possible immediately call your supervisor. Stop once per hour and complete 3 laps around the vehicle.Please include photos of any damage Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, Max. file size: 25 MB. Estimated time of return?(Required) Hours : Minutes AM PM AM/PM Thanks for your contribution to Venture Outdoors! Please initial below.(Required)
