Information
Vehicle Inspection Audit
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Document No.
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Vehicle Inspection Audit
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Vehicle Registration
- AG74VK
- AT00ME
- BB29EQ
- BJ47CC
- CGM08A
- BJM55E
- BSJ10X
- CHT01N
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Conducted on
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Person Conducting the Audit
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Date and Time audit began
VEHICLE DESCRIPTION
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Photograph of Vehicle Being Inspected
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 Wheel Chair Lift Door Free of Damage
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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
TIRES
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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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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 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
SAFETY EQUIPMENT
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Driver Has Cell Phone when Vehicle is in Operation
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Highway safety witches hats available
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Fire Extinguisher Charged and Inspected?
REQUIRED DOCUMENTATION
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Valid Vehicle Modification Certificate is Located in Vehicle
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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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Signature of Community Representative