Maintenance Issue Report

Hidden

Date

Hidden

Time

:

Date Vehicle Inspection Occurred?*

Transit Program*

Program Manager*

Your Name*

Indicate any issues noted on Pre or Post Trip inspections below.

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Bus Number

Name of reporting driver:

Name

Maintenance Issue?

Bus Placed Out of Service?

Yes
No

Has this issue been reported before?

Yes
No

Indicate any issues noted on Pre or Post Trip inspections below.

ADDRESS

phone

email

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