Copler Process Maintenance Light Vehicle Pre-Start Check Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Light Vehicle Exterior and Body

• 1. Is the number plate clearly visible?

  Yes

  No

  N/A

• 2. Are the windshields clean and undamaged?

  Yes

  No

  N/A

• 3. Are all mirrors clean and undamaged?

  Yes

  No

  N/A

• 4. Are all the tyres in good condition with +2mm tread and tyre pressure OK?

  Yes

  No

  N/A

• 5. Is there any damage to the motor hood?

  Yes

  No

  N/A

Under the Motor Hood

• 6. Is the oil level Showing full?

  Full

  Needs Filling

• 7. Is the windshield water reservoir level full?

  Full

  Needs Filling

• 8. Are the radiator hoses tightly fitted and there are no viable leaks?

  Yes

  No

  N/A

• 9. Can you see the brake fluid level and is it on the full marker at the side of the bottle?

  Full

  Needs Filling

Light Vehicle Electrics

• 10. Does the horn work?

  Yes

  No

  N/A

• 11. Are all the console gauges working correctly?

  Yes

  No

  N/A

• 12. Are the headlights, Foglights and rear tail lights all working correctly?

  Yes

  No

  N/A

• 13. Do the left hand and right hand indicator lights work correctly?

  Yes

  No

  N/A

• 14. Is the beacon lamp available and operational when plugged into the cigarette lighter socket?

  Yes

  No

  N/A

General Safety Equipment

• 15. Are seat belts in the light vehicle all fully operational?

  Yes

  No

  N/A

• 16. Is there a first aid kit in the vehicle and is it fully stocked?

  Yes

  No

  N/A

• 17. Is there a fire extinguisher and is it full?

  Yes

  No

  N/A

• 18. Is there an emergency reflector triangle?

  Yes

  No

  N/A

• 19. Is the emergency tooling in place i.e. Tow rope, Jack, wheel chock etc?

  Yes

  No

  N/A