ABT Logistics (PTY) Ltd Vehicle Saftey Inspection

• Document No.

• Client

  Driver Select

  Picup Technologies

• Vehicle Owner

• Drivers Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Vehicle Information

• Vehicle Type

  Sedan

  Panel Van

  Motorcycle / Scooter

  Bakkie with Cannopy

  Truck

• License Disc Attached and Valid

  Yes

  No

  N/A

• Image of License Disc

  Media

• Vehicle Registration Number

• VIN Number

• Vehicle Make

• Model

• Year

• Colour

• Odometer Reading

• Next Inspection Date

• Fuel at Handover

  Full

  3/4

  1/2

  1/4

  Close to Empty

• Vehicle Image

  Media

• Vehicle Image

  Media

• Vehicle Image

  Media

• Vehicle Image

  Media

Vehicle Interior

• Vehicle within service periods and serviced according to maintenance schedule

  Yes

  No

  N/A

• Air Conditioner Working

  Yes

  No

  N/A

• Radio Operational

  Yes

  No

  N/A

• Windows operational and free of damage

  Yes

  No

  N/A

• Gauges and warning systems working

  Yes

  No

  N/A

• Interior Fan

  Yes

  No

  N/A

• Seat Condition

  Yes

  No

  N/A

• Seat Belt Operation and Condition

  Yes

  No

  N/A

• Interior Lights

  Yes

  No

  N/A

• Handbrake Operation and Adjustment

  Yes

  No

  N/A

• Hooter

  Yes

  No

  N/A

• Gear Lever

  Yes

  No

  N/A

• Instrument Cluster

  Yes

  No

  N/A

• Diagnostics Lights

  Yes

  No

  N/A

• Hazard Warning Lights

  Yes

  No

  N/A

• Vehicle Doors Including Locking Mechanism and Alignment

  Yes

  No

  N/A

• Category Pass

  Pass

  Fail

Vehicle Exterior

• Headlights, Low and High Beam

  Yes

  No

  N/A

• Indicators, All Round

  Yes

  No

  N/A

• Brake Lights

  Yes

  No

  N/A

• Tail Lights

  Yes

  No

  N/A

• Reverse Lights

  Yes

  No

  N/A

• Windscreen Condition

  Yes

  No

  N/A

• Images of any Windscreen Damage if applicable

  Media

• Windscreen Wiper Arms and Blades

  Yes

  No

  N/A

• Tyre Damage

  Damage Present

  No Damage

• Tire Damage Notes

• Images of Tire Damage if applicable

  Media

• Tyre Wear

  Full

  3/4

  1/2

  Needs Replacement

• Tyre Wear notes if applicable

• Images of tyre wear if applicable

  Media

• Wheels and Rims

  Yes

  No

  N/A

• Side View Mirrors

  Yes

  No

  N/A

• Vehicle Antenna

  Yes

  No

  N/A

• License Plate Lights

  Yes

  No

  N/A

• Spare Wheel

  Yes

  No

  N/A

• Images of spare wheel damage or wear if applicable

  Media

• Jack

  Yes

  No

  N/A

• Traingle

  Yes

  No

  N/A

• Tools

  Yes

  No

  N/A

• Category Pass

  Pass

  Fail

Undercarriage/ Suspension / Brakes

• Engine Mountings<br>

  Safe

  At Risk

  N/A

• Ball Joints

  Safe

  At Risk

  N/A

• Tie Rod Ends

  Safe

  At Risk

  N/A

• Rack Ends

  Safe

  At Risk

  N/A

• CV Joints

  Safe

  At Risk

  N/A

• Lower Control Arms

  Safe

  At Risk

  N/A

• Shocks

  Safe

  At Risk

  N/A

• Shock Mountings

  Safe

  At Risk

  N/A

• Brake Pads

  Within Spec

  Worn

  Need Replacemnt

• Brake Discs

  Within Spec

  Need Skimming

  Need Replacement

• Exhaust

  Safe

  At Risk

  N/A

• Exhaust Mountings

  Safe

  At Risk

  N/A

• Exhaust Heat Shielding

  Safe

  At Risk

  N/A

• Fuel Lines

  Safe

  At Risk

  N/A

• Brake Fluid Lines

  Safe

  At Risk

  N/A

• Fuel Tank

  Safe

  At Risk

  N/A

• Gear Linkages

  Safe

  At Risk

  N/A

• Gearbox Mountings

  Safe

  At Risk

  N/A

• Stabiliser Links

  Safe

  At Risk

  N/A

• Category Pass

  Pass

  Fail

Engine Bay

• Reservoir Covers

  Yes

  No

  N/A

• Dipstick

  Yes

  No

  N/A

• Oil Filler Cap

  Yes

  No

  N/A

• Oil Level

  Yes

  No

  N/A

• Power Steering Fluid

  Yes

  No

  N/A

• Coolant Level

  Yes

  No

  N/A

• Windscreen Washer Pipe, Bottle and Fluid

  Yes

  No

  N/A

• Brake Fluid

  Yes

  No

  N/A

• Oil/ Fluid Leaks

  None

  Leaks Found

• Note any leaks detected and where

• Radiator Condition and operation

  Yes

  No

  N/A

• Air Hoses Intact with no leaks

  Yes

  No

  N/A

• Water Hoses intact with no leaks

  Yes

  No

  N/A

• Fuel Lines intact and no leaks

  Safe

  At Risk

  N/A

• Battery and Battery Terminals in good condition

  Yes

  No

  N/A

• V Belts

  Safe

  At Risk

  N/A

• Cam Belt or Chain condition

  Safe

  At Risk

  N/A

• Category Pass

  Pass

  Fail

Road Test

• Cruise Control

  Safe

  At Risk

  N/A

• Wheel Alignment

  Safe

  At Risk

  N/A

• Acceleration

  Safe

  At Risk

  N/A

• Steering & Handeling

  Safe

  At Risk

  N/A

• Braking

  Safe

  At Risk

  N/A

Audit summary

• Photo of defects

  Media

• Notes

• Photo of defects

  Media

• Notes

• Photo of defects

  Media

• Notes

• Photo of defects

  Media

• Notes

• Overall Inspection Notes

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• Driver

  Sign

• Auditor

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