Information

  • Document No.

  • Audit Title

  • Conducted on

  • Personnel

  • Date and Time audit began

VEHICLE DESCRIPTION

  • Photograph of Vehicle Being Inspected

EXTERIOR LIGHTING

  • High and Low Beams Operational

  • Clearance, Marker Lights Operational

  • Left and Right Tail Lights Operational

  • Left and Right Front Turn Signals Operational

  • Left and Right Rear Turn Signals Operational

  • Left and Right Break Lights Operational

  • Left and Right Back-Up Lights Operational

  • License Plate Light Operational

  • Audible Back-up Alarm Operational

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

  • Windshield Free of Cracks and Chips

  • Front Hood, Grill and Bumper free of Damage

  • Left Mirrors adjustable and Free of Damage

  • Left Fender Free of Damage

  • Left Door Free of Damage

  • Left Side Free of Damage

  • Left Side Windows Free of Cracks and Chips

  • Rear WIndow Free of Cracks and Chips

  • Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  • Right Side Free of Damage

  • License Plate / Tag is current and not expired / Note expiration date and verify to registration

  • Right Wheel Chair Lift Door Free of Damage

  • Right Side Windows Free of Cracks and Chips

  • Right Door Free of Damage

  • Right Front Fender Free of Damage

  • Right Mirror Adjustable and Free of Damage

  • Vehicle is Clean and Free of Road Grime and Dirt

TIRES

  • Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Rear Driver (INSIDE) Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  • Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Rear Passenger (INSIDE) Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)

  • Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  • Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  • Front Driver and Passenger Wheel/Tire Trim Rings in Place

  • Rear Driver and Passenger Wheel/Tire Trim Rings in Place

INTERIOR

  • Driver Seat in Good Repair

  • Driver Seat Belt Operational with Shoulder Harness

  • Windshield Wipers Functioning Appropriately

  • Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  • Heater and Defroster Operational

  • Air Conditioning Operational

  • Dashboard Lights Operational

  • All Gauges are Operating and Show within Appropriate Ranges

  • Interior Compartment Lights Operational

  • Under Storage Lights Operational

  • Bus Door Operational

  • Entry Grab Bar/Rail Secure

  • Interior is Clean and Free of Loose Objects

  • Television and DVD Operational

  • PA System Operational

  • Passenger Seat Belts Operational

  • Passenger Seats in Good Repair

WHEELCHAIR RESTRAINT and LIFT

  • Adequate Wheelchair Restraint Tie Downs Available for all Wheelchair Positions in Vehicle

  • Wheelchair Safety Straps are Free of Frays, Nicks and Cuts

  • Seat Belt Web Cutter for Emergency Use Available

  • Lift Anti Skid is in serviceable condition (Not worn or missing)

  • Vehicle movement is prevented unless the lift door is closed, ensuring the lift is stowed

  • Lift operation is prevented unless the vehicle is stopped and vehicle movement is prevented

  • Platform will not fold/stow if occupied

  • Date of Last Lift Safety Inspection by Manufacturer Authorized Service Center

SAFETY EQUIPMENT

  • Vehicle is Equipped with Two Way Radio System or Driver Has Cell Phone when Vehicle is in Operation

  • Securely mounted First Aid Kit (Ensure Completely Stocked)

  • Highway safety triangles available

  • Fire Extinguisher Charged and Inspected?

REQUIRED DOCUMENTATION

  • Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)

  • Is Vehicle Serviced According to the Manufacturers Schedule?

  • Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)

  • Are Adequate Preventative Maintenance and Service Repair Records Kept

SIGNATURES

  • Signature of Auditor

  • Signature of Community Representative

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