Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date and Time audit began
Required information
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Branch requiring vehicle for rent
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Date of completion required
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Ra number, res number / client info
VEHICLE DESCRIPTION
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Photograph of Vehicle Being Inspected
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MVA number
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Year
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
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Make
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Model
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VIN (Vehicle Inspection Number)
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License Number
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License State
EXTERIOR LIGHTING
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High and Low Beams Operational
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Clearance, Marker Lights Operational
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Left and Right Tail Lights Operational
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Left and Right Front Turn Signals Operational
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Left and Right Rear Turn Signals Operational
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Left and Right Break Lights Operational
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Left and Right Back-Up Lights Operational
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License Plate Light Operational
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Audible Back-up Alarm Operational
EXTERIOR BODY AND GLASS (Take Photos of any noted damage)
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Windshield Free of Cracks and Chips
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Front Hood, Grill and Bumper free of Damage
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Left Mirrors adjustable and Free of Damage
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Left Fender Free of Damage
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Left Door Free of Damage
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Left Side Free of Damage
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Left Side Windows Free of Cracks and Chips
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Rear WIndow Free of Cracks and Chips
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Rear of Vehicle and Bumper Free of Damage (Tailgate if included)
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Right Side Free of Damage
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License Plate / Tag is current and not expired / Note expiration date and verify to registration
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Right Side Windows Free of Cracks and Chips
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Right Door Free of Damage
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Right Front Fender Free of Damage
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Right Mirror Adjustable and Free of Damage
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Vehicle is Clean and Free of Road Grime and Dirt
Tyres
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Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Driver (INSIDE) Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)
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Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Rear Passenger (INSIDE) Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall (If Dual Tire Vehicle)
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Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall
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Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall
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Front Driver and Passenger Wheel/Tire Trim Rings in Place
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Rear Driver and Passenger Wheel/Tire Trim Rings in Place
INTERIOR
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Driver Seat in Good Repair
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Driver Seat Belt Operational with Shoulder Harness
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Windshield Wipers Functioning Appropriately
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Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean
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Heater and Defroster Operational
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Air Conditioning Operational
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Dashboard Lights Operational
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All Gauges are Operating and Show within Appropriate Ranges
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Interior Compartment Lights Operational
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Under Storage Lights Operational
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Bus Door Operational
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Entry Grab Bar/Rail Secure
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Interior is Clean and Free of Loose Objects
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Television and DVD Operational
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PA System Operational
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Passenger Seat Belts Operational
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Passenger Seats in Good Repair
WHEELCHAIR RESTRAINT and LIFT
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Adequate Wheelchair Restraint Tie Downs Available for all Wheelchair Positions in Vehicle
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Wheelchair Safety Straps are Free of Frays, Nicks and Cuts
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Seat Belt Web Cutter for Emergency Use Available
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Lift Manufacturer
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Lift Model Number
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Lift Serial Number
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Lift Manufactured Date
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Lift Anti Skid is in serviceable condition (Not worn or missing)
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Vehicle movement is prevented unless the lift door is closed, ensuring the lift is stowed
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Lift operation is prevented unless the vehicle is stopped and vehicle movement is prevented
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Platform will not fold/stow if occupied
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Date of Last Lift Safety Inspection by Manufacturer Authorized Service Center
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List the Name, Address and Telephone Number of Authorized Service Center Performing Lift Inspection
SAFETY EQUIPMENT
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Roll bar installed?
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Overhead lights fitted and operational?
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Beacon fitted and operational
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Whip aerial flag fitted?
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40 channel UHF fitted?
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Battery isolation switch fitted?
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Hi viz mining tape fitted?
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2x wheel chocks supplied inside cab?
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First aid kit supplied?
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Fire extinguisher pressure correct and inspection tag in date?
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Headlights on feature fitted to vehicle?
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Handbrake alarm fitted to vehicle?
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Reverse beeper fitted and operational?
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3x safety triangles supplied?
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All jack and tools required for wheel change supplied and tagged?
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Budget ID numbers fitted
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ID number fitted to vehicle
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Second spare tyre supplied?
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Additional specialty equipment provided ( spot lights, tool kits ect)
REQUIRED DOCUMENTATION
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Date of next annual inspection due?
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Kim's for next service due?
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Is Vehicle Serviced According to the Manufacturers Schedule?
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Date of Last Service (List Details of Last Service, i.e. New Tires, Oil Change, ect...)
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Are Adequate Preventative Maintenance and Service Repair Records Kept
SIGNATURES
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Signature of Auditor
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Auditors name and agent I.D number