DHR-WA

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

VEHICLE DESCRIPTION

• Date and Time audit began

  Date

• Photograph of Vehicle Being Inspected

  Media

• Make

• Model

• License Number

• KM/Hour current.

• Next Service/inspection due.

  Yes

  No

  N/A

EXTERIOR LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Back-Up Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

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

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Fender Free of Damage

  Yes

  No

  N/A

• Left Door Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Right Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

Tyres

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

INTERIOR

• Driver Seat in Good Repair

  Safe

  At Risk

  N/A

• Driver Seat Belt Operational with Shoulder Harness

  Safe

  At Risk

  N/A

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean

  Yes

  No

  N/A

• Heater and Defroster Operational

  Yes

  No

  N/A

• Air Conditioning Operational

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior Compartment Lights Operational

  Yes

  No

  N/A

• Passenger Seat Belts Operational

  Safe

  At Risk

  N/A

• Passenger Seats in Good Repair

  Safe

  At Risk

  N/A

SAFETY EQUIPMENT

• Overhead lights fitted and operational?

  Safe

  At Risk

  N/A

• Beacon fitted and operational

  Yes

  No

  N/A

• First aid kit supplied?

  Yes

  No

  N/A

• Fire extinguisher pressure correct and inspection tag in date?

  Yes

  No

  N/A

• Reverse beeper fitted and operational?

  Yes

  No

  N/A

• ID number fitted to vehicle

Service information.

• Replace oil

• Replace oil filter

• Flush oil

• Replace air filter

• Replace fuel filter

• Inspect for oil leaks

• Inspect or replace v belts

• Fill up water bottle with window wash

• Inspect suspension

• Inspect under carage

• Inspect suspention

• Inspect all joints

• Inspect and or adjust brakes

• Inspect or adjust hand brake

• Inspect drive shaft

• Grease unit

  Yes

  No

  N/A

• Inspect wheel bearings

  Yes

  No

  N/A

• Inspect all fluids level and quality

  Yes

  No

  N/A

• Exhaust system in good condition

  Yes

  No

  N/A

• Brake and clutch fluid tested

  Yes

  No

  N/A

REQUIRED DOCUMENTATION

• Date of next annual inspection due?

  Date

• Next service due (Klm's)

• Kim's for next service due?

  Yes

  No

  N/A

SIGNATURES

• Signature of Auditor

  Sign