Averton Vehicle Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Information

• Operator

• License Plate #

• Vehicle Make and Model

• Kilometers

Safety Equipment

• Fire Extinguisher

  Yes

  No

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Booster Cables

  Yes

  No

  N/A

Miscellaneous

• Vehicle Insurance and Registration

  Yes

  No

  N/A

• Emergency Response Plan (ERP)

  Yes

  No

  N/A

• Seatbelts

  Yes

  No

  N/A

• Legislation Document

  Yes

  No

  N/A

• Housekeeping (Inside & Outside) Is it clean and tidy?

  Yes

  No

  N/A

• Hard Hat(s)

  Yes

  No

  N/A

• Safety Vest(s)

  Yes

  No

  N/A

Lights & Electrical

• Headlights

  Working

  Out of Order

  N/A

• Brake Lights

  Working

  Out of Order

  N/A

• Signal Lights

  Working

  Out of Order

  N/A

• Back-up Lights

  Working

  Out of Order

  N/A

• Emergency Flashers

  Working

  Out of Order

  N/A

• Back Up Alarm

  Working

  Out of Order

  N/A

• Vehicle Horn

  Working

  Out of Order

  N/A

Mechanical

• Heater/Defroster

  Working

  Out of Order

  N/A

• Gauges

  Working

  Out of Order

  N/A

• Park/Emergency Brake

  Working

  Out of Order

  N/A

• Exhaust (Leaks/Condition)

  Safe

  At Risk

  N/A

• Steering Mechanism

  Working

  Out of Order

  N/A

Visibility

• Wipers/Blades/Fluid

  Safe

  At Risk

  N/A

• Mirrors

  Safe

  At Risk

  N/A

• Windshield (Cracks/Chips)

  Safe

  At Risk

  N/A

Wheels & Tires

• Tire Condition

  Safe

  At Risk

  N/A

• Spare Tire

  Yes

  No

  N/A

• Tire Iron & Jack

  Yes

  No

  N/A

Winch

• Notes

• Action Needed

• Auditor/Inspector

  Sign