UTAH TRANSIT AUTHORITY
RIDESHARE/VAN-POOL CHEVROLET PREVENTATIVE MAINTENANCE INSPECTION CHECKLIST
VEHICLE UNIT NUMBER:
DATE OF SERVICE:
MILEAGE:
START:
COMPLETE:
VIN NUMBER:
MECHANIC NAME:
INVOICE NUMBER:
OPERATOR SIGNATURE:
UTA APPROVAL (NAME):
INDICATE IN SLOT to indicate whether an item was okay, adjust, and/or repairs are needed… Using As Labeled: “ √ “ = Okay - Item checked is ready
for service; “X” = Adjust – Item checked has been replaced and is ready for service: “0”= Repairs needed – Any items requiring repair.
5,000 MILE or 6 Months (Whichever comes first)
“E” SERVICE INSPECTION
75,000 MILE “D” SERVICE INSPECTION
(Also Includes All Items 01 to 39)
___01. Change Engine Oil & Replace Oil Filter
___02. Fill & Check Engine Oil Fluid: Using SAE “5W-30”
___03. Lubricate ALL Chassis & Steering Linkages
___40. Replace Serpentine Belt / Accessory Belts (as
required)
___41. Inspect Evaporative control system
(Ball Joints, Steering Linkage Equipped with zerk fittings)
___04. Rotate & Inspect Tires for Wear
___05. Check ALL Lug Nuts (Torque to OEM specification)
___06. Check and Record Tire Pressure (Including Spare)
Fronts 50 PSI
Rear 80 PSI
___07. Check & “top Off” Listed Fluids & Levels:
___08. Brake Fluid: “DOT 3” Delco Supreme II
___09. Coolant Level: “50/50 Mixture” Water/DEX Cool
___10. Coolant Protection Level: __________◦F
___11. Automatic Transmission Fluid: “Dextron VI”
___12. Power Steering Fluid “GM P/S Fluid”
___13. Windshield Washer Fluid
___14. Differential Fluid Level: “SAE 75W-90 “Synthetic”
___15. Safety Equipment Checks: Horn & Seat Belts
___16. Check Transmission for Proper Operation
___17. Check Instruments & Dash Lights for Operation
___18. Check Heating & A/C Operations, Switches &
Temperature Controls
___19. Check: Exterior Lights, Turn Signal & 4 Way Hazards
Warning Lights
___20. Check Wiper Operation & Blade Condition
___21. Check Washer Operation & Spray Patterns
___22. Check Batteries & Charging Voltage,
Voltage Reading: _________
___23. Inspect battery Terminals
___24. Inspect Engine Air Filter Element (Replace as
necessary)
___25. Inspect Serpentine / Accessory Belts
___26. Inspect Engine/Transmission & Differential for Fluid
Leaks
___27. Inspect All Coolant Hoses for Leaks and Wear
___28. Inspect Brake System
___29. Parking Brake Operation
___30. Check and record Lining/Pad Wear
___31. Caliper Condition
___32. Rotor Condition
___33. Brake Hoses & Lines for Leaks
___34. Inspect Driveline & U-Joints for Wear
___35. Check Exhaust System for Leaks or Broken Hangers
___36. Inspect Suspension, Steering, Torsion Bars, Shocks for
Wear
___37. Inspect Fuel System for Leaks
___38. Update PM sticker with mileage + 5,000
___39. Lubricate all door locks (WD-40 spray)
REV9 6/13/12
VP # 7218
___42. Change Transmission Fluid & Filter (Dextron VI)
100,000 MILE “C” SERVICE INSPECTION
(Also Includes All Items 01 to 41)
___43. Tune up/Replace Spark Plugs
___44. Change Rear Differential Fluid
Using “SAE 75W-90 Synthetic Oil”
___45. Inspect Evaporative control system
___46. Replace Coolant with “50/50” Mixture of Water
And DEX-COOL
Please record Tire Pressure, Tread depth and brake pad
measurement at every maintenance service.
Tire Pressure
Tread depth
LF______RF______
LF______RF______
LR______RR______
LR______RR______
Brake pad measurement
LF______RF______
LR______RR______
Important!!!
Is there a current registration and insurance card in
the van YES
NO
If “NO” please notify UTA Vanpool Maintenance
Representative
UTAH TRANSIT AUTHORITY
RIDESHARE/VANPOOL 2009 CHEVROLET PREVENTATIVE M AINTENANCE SERVICE CYCLE
SERVICES
INSPECTION TYPE
5,000
E
10,000
E
15,000
E
20,000
E
25,000
E
30,000
E
35,000
E
40,000
E
45,000
E
50,000
E
55,000
E
60,000
E
65,000
E
70,000
E
75,000
D,E
80,000
E
85,000
E
90,000
E
95,000
E
100,000
C, D, E
105,000
E
110,000
E
115,000
E
120,000
E
125,000
E
130,000
E
135,000
E
140,000
E
145,000
E
150,000
E
Note: When van reaches 150,000 please call
Mike Romero 801-512-5665
REV9 6/13/12
VP # 7218