1A22

• Conducted on

  Date

• Driver

• Prepared by

• Location
  Address

Vehicle Information

• Vehicle Model

• Vehicle Make

• Odometer / Milage Reading

Vehicle Inspection

• Do you wish to check the exterior of this vehicle in this inspection?

  Yes

  No

  N/A

External Check

• Windscreen free from damage?

  Yes

  No

  N/A

• Front Lights free from damage?

  Yes

  No

  N/A

• Front Bumpers and bodywork / paintwork in good condition?

  Yes

  No

  N/A

• Drivers Side - Tires both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Drivers Side bodywork / paintwork in good condition from front to rear?

  Yes

  No

  N/A

• Rear Lights are free from damage?

  Yes

  No

  N/A

• Rear Doors, Bumpers bodywork/paintwork in good condition?

  Yes

  No

  N/A

• Passenger Side - Tyres both front and rear in good condition and roadworthy with acceptable pressure and tread?

  Yes

  No

  N/A

• Passenger Side bodywork / paintwork in good condition from front to rear?

  Yes

  No

  N/A

• Is the exterior of the vehicle clean?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Do you wish to check the interior of this vehicle in this inspection?

  Yes

  No

  N/A

Internal Check

• Is inside the vehicle in a clean and tidy condition?

  Yes

  No

  N/A

• Is there a First Aid Kit on board?

  Yes

  No

  N/A

• Is there a Fire Extinguisher on board?

  Yes

  No

  N/A

• Are all seat belts in good working order?

  Yes

  No

  N/A

• Are any warning lights illuminated on dash?

  Yes

  No

  N/A

• Are all vehicle front lights working?

  Yes

  No

  N/A

• Are all vehicle indicators working?

  Yes

  No

  N/A

• Are all vehicle stop/brake lights working?

  Yes

  No

  N/A

• Yes

  No

  N/A

Maintenance Check

• Do you wish to conduct a maintenance check of this vehicle in this inspection?

  Yes

  No

  N/A

• Are windshield washers in working order, with water filled?

  Yes

  No

  N/A

• Are engine oil levels within acceptable ranges?

  Yes

  No

  N/A

• Are coolant levels within acceptable ranges?

  Yes

  No

  N/A

• Are brake fluid levels within acceptable ranges?

  Yes

  No

  N/A

• Are transmission fluid levels within acceptable ranges?

  Yes

  No

  N/A

• Is battery working and the vehicle starts?

  Yes

  No

  N/A

• Does the car horn function correctly?

  Yes

  No

  N/A

• Are all doors and door locks operational?

  Yes

  No

  N/A

• Is the AC (summer) / heat (winter) operational?

  Yes

  No

  N/A

• Is the vehicle free of grease leaks?

  Yes

  No

  N/A

• Is the vehicle free of fuel leaks?

  Yes

  No

  N/A

• Are the emergency and/or hand brakes operational and in good condition?

  Yes

  No

  N/A

• Are the vehicle power brakes operational and in good condition?

  Yes

  No

  N/A

Defect and Damage Log

• Please log all damages and defects noted on the vehicle

Defect

• Select the location of this individual defect

  Select General No location Bonnet / hood Bumper Fender (wing or mudguard) Grille (grill) Engine Brakes Accelerator Front Right Side Wheel Front Left Side Wheel Rear Right Side Wheel Rear Left Side Wheel Rims / Hubcap Tire / Tyre Interior (General) Front Right Side Seat Front Left Side Seat Rear Right Side Seat Rear Middle Seat Rear Left Side Seat Dashboard Electrical (General) Electrical (Entertainment / Computer) Steering Wheel Pedals Trunk / boot Front Right door Front Left door Rear Right door Rear Left door Trunk / boot door Fuel tank (inc. fuel door) Front Right Side Glass Front Left Side Glass Rear Right Side Glass Rear Left Side Glass Windshield / windscreen Other

  • General
  • No location
  • Bonnet / hood
  • Bumper
  • Fender (wing or mudguard)
  • Grille (grill)
  • Engine
  • Brakes
  • Accelerator
  • Front Right Side Wheel
  • Front Left Side Wheel
  • Rear Right Side Wheel
  • Rear Left Side Wheel
  • Rims / Hubcap
  • Tire / Tyre
  • Interior (General)
  • Front Right Side Seat
  • Front Left Side Seat
  • Rear Right Side Seat
  • Rear Middle Seat
  • Rear Left Side Seat
  • Dashboard
  • Electrical (General)
  • Electrical (Entertainment / Computer)
  • Steering Wheel
  • Pedals
  • Trunk / boot
  • Front Right door
  • Front Left door
  • Rear Right door
  • Rear Left door
  • Trunk / boot door
  • Fuel tank (inc. fuel door)
  • Front Right Side Glass
  • Front Left Side Glass
  • Rear Right Side Glass
  • Rear Left Side Glass
  • Windshield / windscreen
  • Other

• If possible, describe where in the engine this defect is located

• Describe the location of this defect

• What type of defect is this individual defect?

  Select Vehicle Won't Start Operating Unexpectedly Non-functional Damage (Paint / Cosmetic) Damage (Body) Damage (Glass) Abnormal Noise Battery Issue Engine issue Light issue Electrical Issue Requires attention Flat Tyre Other

  • Vehicle Won't Start
  • Operating Unexpectedly
  • Non-functional
  • Damage (Paint / Cosmetic)
  • Damage (Body)
  • Damage (Glass)
  • Abnormal Noise
  • Battery Issue
  • Engine issue
  • Light issue
  • Electrical Issue
  • Requires attention
  • Flat Tyre
  • Other

• Briefly describe this defect

• Attach photos of this defect (if applicable)

  Media

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

• Have all required corrective actions been added as Actions to this inspection?

  Yes

  No

  N/A

• Please add any corrective actions to the appropriate questions above before completing this report
  

Sign Off

• I, the undersigned, hereby certify that all information is accurate and that an actual inspection was conducted.

• Inspector Name and Signature

  Sign