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Câmpus de Presidente Prudente
CHECK LIST DO VEÍCULO PLACA: _______________ MODELO: _______________________ CHECK LIST ANTERIOR Data: __/__/____
ITEM DESCRIÇÃO CONDIÇÕES / FUNCIONAMENTO / CONSERVAÇÃO COMENTÁRIO
01 BUZINA FUNCIONANDO NÃO FUNCIONA
02 CINTO DE SEGURANÇA FUNCIONANDO NÃO FUNCIONA
03 QUEBRA SOL FUNCIONANDO NÃO FUNCIONA
04 RETROVISOR INTERNO FUNCIONANDO NÃO FUNCIONA TRINCADO
05 RETROVISOR -DIREITO/ESQUERDO FUNCIONANDO NÃO FUNCIONA TRINCADO
06 LIMPADOR DE PÁRA-BRISA FUNCIONANDO NÃO FUNCIONA
07 LIMPADOR PÁRA-BRISA TRASEIRO FUNCIONANDO NÃO FUNCIONA
08 FAROL BAIXO FUNCIONANDO NÃO FUNCIONA
09 FAROL ALTO FUNCIONANDO NÃO FUNCIONA
10 MEIA LUZ FUNCIONANDO NÃO FUNCIONA
11 LUZ DE FREIO FUNCIONANDO NÃO FUNCIONA
12 LUZ DE RÉ FUNCIONANDO NÃO FUNCIONA
13 LUZ DA PLACA FUNCIONANDO NÃO FUNCIONA
14 LUZES DO PAINEL FUNCIONANDO NÃO FUNCIONA
15 SETA – DIREITA/ESQUERDA FUNCIONANDO NÃO FUNCIONA
16 PISCA ALERTA FUNCIONANDO NÃO FUNCIONA
17 LUZ INTERNA FUNCIONANDO NÃO FUNCIONA
18 VELOCÍMETRO / TACÓGRAFO FUNCIONANDO NÃO FUNCIONA
19 FREIOS FUNCIONANDO NÃO FUNCIONA
20 MACACO FUNCIONANDO NÃO FUNCIONA
21 CHAVE DE RODA OK
22 TRIÂNGULO DE SINALIZAÇÃO OK
23 EXTINTOR DE INCÊNDIO EM DIA VENCIDO
24 PORTAS – TRAVAS FUNCIONANDO NÃO FUNCIONA
25 ALARME FUNCIONANDO NÃO FUNCIONA
26 FECHAMENTO DAS JANELAS FUNCIONANDO NÃO FUNCIONA
27 PÁRA-BRISA NORMAL TRINCADO
28 ÓLEO DO MOTOR EM DIA VENCIDO COMPLETAR
29 ÓLEO DE FREIO NO NÍVEL COMPLETAR
30 NÍVEL DA ÁGUA DO RADIADOR NO NÍVEL COMPLETAR
31 PNEUS (ESTADO/CALIBRAGEM) BOM RUIM CALIBRADO DESCALIBRADO
32 PNEU RESERVA (ESTEPE) BOM RUIM CALIBRADO DESCALIBRADO
33 BANCOS ENCOSTO/ASSENTOS BOM RUIM
34 PÁRA-CHOQUE DIANTEIRO NORMAL RISCADO AMASSADO TRINCADO
35 PÁRA-CHOQUE TRASEIRO NORMAL RISCADO AMASSADO TRINCADO
36 LATARIA NORMAL RISCADA AMASSADA
Dados do condutor:
Nome: _________________________________ Assinatura do motorista: _________________________________ Habilitação: ( ) Em dia ( ) Vencida
Data: _____/_____/_____ Hora: ___________ Assinatura do relator da inspeção: _________________________

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Check list modelo

  • 1. Câmpus de Presidente Prudente CHECK LIST DO VEÍCULO PLACA: _______________ MODELO: _______________________ CHECK LIST ANTERIOR Data: __/__/____ ITEM DESCRIÇÃO CONDIÇÕES / FUNCIONAMENTO / CONSERVAÇÃO COMENTÁRIO 01 BUZINA FUNCIONANDO NÃO FUNCIONA 02 CINTO DE SEGURANÇA FUNCIONANDO NÃO FUNCIONA 03 QUEBRA SOL FUNCIONANDO NÃO FUNCIONA 04 RETROVISOR INTERNO FUNCIONANDO NÃO FUNCIONA TRINCADO 05 RETROVISOR -DIREITO/ESQUERDO FUNCIONANDO NÃO FUNCIONA TRINCADO 06 LIMPADOR DE PÁRA-BRISA FUNCIONANDO NÃO FUNCIONA 07 LIMPADOR PÁRA-BRISA TRASEIRO FUNCIONANDO NÃO FUNCIONA 08 FAROL BAIXO FUNCIONANDO NÃO FUNCIONA 09 FAROL ALTO FUNCIONANDO NÃO FUNCIONA 10 MEIA LUZ FUNCIONANDO NÃO FUNCIONA 11 LUZ DE FREIO FUNCIONANDO NÃO FUNCIONA 12 LUZ DE RÉ FUNCIONANDO NÃO FUNCIONA 13 LUZ DA PLACA FUNCIONANDO NÃO FUNCIONA 14 LUZES DO PAINEL FUNCIONANDO NÃO FUNCIONA 15 SETA – DIREITA/ESQUERDA FUNCIONANDO NÃO FUNCIONA 16 PISCA ALERTA FUNCIONANDO NÃO FUNCIONA 17 LUZ INTERNA FUNCIONANDO NÃO FUNCIONA 18 VELOCÍMETRO / TACÓGRAFO FUNCIONANDO NÃO FUNCIONA 19 FREIOS FUNCIONANDO NÃO FUNCIONA 20 MACACO FUNCIONANDO NÃO FUNCIONA 21 CHAVE DE RODA OK 22 TRIÂNGULO DE SINALIZAÇÃO OK 23 EXTINTOR DE INCÊNDIO EM DIA VENCIDO 24 PORTAS – TRAVAS FUNCIONANDO NÃO FUNCIONA 25 ALARME FUNCIONANDO NÃO FUNCIONA 26 FECHAMENTO DAS JANELAS FUNCIONANDO NÃO FUNCIONA 27 PÁRA-BRISA NORMAL TRINCADO 28 ÓLEO DO MOTOR EM DIA VENCIDO COMPLETAR 29 ÓLEO DE FREIO NO NÍVEL COMPLETAR 30 NÍVEL DA ÁGUA DO RADIADOR NO NÍVEL COMPLETAR 31 PNEUS (ESTADO/CALIBRAGEM) BOM RUIM CALIBRADO DESCALIBRADO 32 PNEU RESERVA (ESTEPE) BOM RUIM CALIBRADO DESCALIBRADO 33 BANCOS ENCOSTO/ASSENTOS BOM RUIM 34 PÁRA-CHOQUE DIANTEIRO NORMAL RISCADO AMASSADO TRINCADO 35 PÁRA-CHOQUE TRASEIRO NORMAL RISCADO AMASSADO TRINCADO 36 LATARIA NORMAL RISCADA AMASSADA Dados do condutor: Nome: _________________________________ Assinatura do motorista: _________________________________ Habilitação: ( ) Em dia ( ) Vencida Data: _____/_____/_____ Hora: ___________ Assinatura do relator da inspeção: _________________________