Downer vehicle inspection form - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Vehicle Details

• Name of driver

• Picture of drivers licence

  Media

• Picture of vehicle registration plate

  Media

• Cost centre (please select from drop down)

  LNI

  WTN

  SI

  CIVIL

  CONTRACTOR

Vehicle legal requirements

• Warrant of fitness is current?

  Yes

  No

  N/A

• Diesel mileage up to date and valid?

  Yes

  No

  N/A

• No dents or other panel damage?

  Yes

  No

  N/A

• The tyres are in good condition? Good tread, no uneven wear.

  Yes

  No

  N/A

• COF CURRENT if relevant?

  Yes

  No

  N/A

• Windows free of chips or cracks that are either significant or capable of affecting the drivers vision?

  Yes

  No

  N/A

Tidiness and maintenance

• Vehicle clean outside?

  Yes

  No

  N/A

• Vehicle clean and tidy inside?

  Yes

  No

  N/A

• Oil good?

  Yes

  No

  N/A

• Engine water level ok?

  Yes

  No

  N/A

• Window washers work?

  Yes

  No

  N/A

Safety and emergency preparedness

• Beacon lights on vehicle and working?

  Yes

  No

  N/A

• First aid kit in the vehicle

  Yes

  No

  N/A

• Fire extinguisher in the vehicle, charged and current?

  Yes

  No

  N/A

• PPE stored safely and properly in the vehicle?

  Yes

  No

  N/A

Other Hazards

• No loose heavy items, tools laying around the vehicle?

  Yes

  No

  N/A

• Fire extinguisher secure

  Yes

  No

  N/A

• Inside of windscreen is clean (prevention of sunstrike potential)

  Yes

  No

  N/A

Actions

• Summary of actions required from this audit

Sign off

• Signature of person inspecting

  Sign