Inspection Checklist Route Card

INSPECTION CHECKLIST ROUTE CARD

This Route Card documents recurring inspections performed under the Inspection Services Agreement between the parties and records on-route findings, corrective actions, and confirmations required for regulatory and operational compliance.

WHEREAS

WHEREAS, Company engages Contractor to perform routine route inspections of assigned assets, vehicles, and facilities in accordance with agreed inspection standards; and

WHEREAS, Contractor shall record inspection results on this Route Card contemporaneously and shall report defects and corrective actions in a timely manner to maintain safe and compliant operations; and

WHEREAS, this Route Card serves as a binding operational record incorporated by reference into the Inspection Services Agreement for the corresponding period and route.

Parties and Contract Reference

Company Name:   Contract Number:

Route Card No.:   Frequency:

Scope of Work

Payment Terms (Agreement Summary)

Service Rate:   Billing Schedule:

Payment Due Days: days after invoice. Late Fee:

Term and Termination (Summary)

Term Start Date:   Term End Date:

Termination Notice Period: days written notice for termination without cause.

Confidentiality

Contractor and Company shall hold confidential all information obtained in the course of inspections, including route schedules, security-sensitive findings, and operational vulnerabilities. Disclosure is permitted only to personnel with a need to know or as required by law; Contractor shall implement reasonable safeguards to prevent unauthorized disclosure.

Governing Law and Entire Agreement

This Route Card and any associated inspection services are governed by the laws of the governing jurisdiction as agreed in the primary Inspection Services Agreement. This Route Card, together with the Agreement, constitutes the entire agreement between the parties with respect to the inspections recorded herein and supersedes prior oral or written agreements concerning such inspections.

Route and Inspection Record

Inspector Name:   Employee ID:

Inspection Date:   Shift:

Start Time:   End Time:   Vehicle / Equipment ID:

Odometer Start:   Odometer End:   Weather / Conditions:

Inspection Checklist

Instructions: For each item, mark the appropriate box and provide remarks where defects or corrective actions are required.

Follow-up Required? Yes   If yes, Target Completion Date:

Certification

I certify under penalty of company policy that the inspection documented on this Route Card was performed by me according to applicable standards, that findings are complete and truthful to the best of my knowledge, and that any required notifications have been made in accordance with contract requirements.

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