Information

  • Audit Title

  • Document No.

  • Conducted on

  • Prepared by

  • Client/Site/Location
  • Picture of Vehicle

  • Personnel

  • Company

  • Vehicle Number

  • Asset Number

  • Odometer Reading

  • Chassis Number

  • Make

  • Model

  • Body Type

  • Year

  • Tax Expires

  • O-Licence Review

  • Tachograph Calibration Date

  • Tachograph Last 2 Year Test Date

MARKING CODE: Serviceable / Item Requiring Attention / Not Checked / Not Applicable

INSIDE CAB - CHECK

  • Seat belts and supplementary restraint system - operation/security/condition

  • Cab floor and steps - condition/security/damage

  • Seats - condition/security

  • Mirrors and indirect vision devices - compliance/security/position

  • View to front - obstruction

  • Condition of glass (screen and windows)

  • Windscreen wipers and washers - condition/operation/effectiveness

  • Audible warning (horn) - operation/control

  • Driving controls - damage/security/obstruction

  • Speedometer/tachograph - presence/condition/operation/wiring/illumination

  • Steering wheel - free play

  • Steering wheel - security/condition

  • Steering column - security/condition

  • Road speed limiter plate - condition/wiring

  • Pressure/vacuum warning - operation

  • Pressure/vacuum build-up - time

  • Hand levers controlling -operation/wear

  • Mechanical braking - condition/travel

  • Service brake pedal - condition/operation

  • Service brake - operation/leaks/anti-lock warning

  • Hand operated brake - operation/security

  • Control valves - condition/leaks

  • Electrical wiring/equipment/switches - condition/operation

CAB EXTERIOR - CHECK

  • Bumper (front) - condition/security

  • Wings/spray suppression (front) - condition/security

  • Cab security (including tilt mechanism) - condition

  • Cab doors including hinges and locks - condition

  • Cab floor (underside) and steps - condition

  • Mirrors and indirect vision devices - security of glass and brackets -condition

  • Front lamps (side) and outline marker lamps - function/condition

  • Headlamps - function/condition/warning device

  • Headlamps - aim/adjustment/mechanisms

  • Registration plates - legibility/security

ENGINE COMPARTMENT - CHECK

  • Engine mountings - condition/security

  • Road speed limiter - condition/operation/seals

  • Oil leaks - extent/effect

  • Fuel tanks and systems - condition/leaks

  • Exhaust system - condition/security/leaks

  • Smoke emission - density (visual/meter) and colour

  • ANCILLARY EQUIPMENT - security/condition

UNDER/ALONGSIDE VEHICLE - check

  • Road wheels and hubs - condition/security

  • Tyres - size/type

  • Tyres - condition/wear/inflation

  • Bumper and protective guards - condition/security

  • Spare wheel carrier - security/condition

  • Trailer coupling - security/operation/wear

  • Trailer parking and emergency brake and airline connections - condition

  • Wings/spray suppression (rear) -security/condition

  • Body - security/condition

  • Chassis - condition/security of components

  • Electrical wiring/batteries/equipment/connections for trailer - condition/security

  • Oil leaks - extent/effect

  • Fuel tanks and systems - security/condition

  • Exhaust system - condition/security/leaks

  • Suspension pins and bushes - wear/security

  • Spring units, links and sub-frames - attachment

  • Shock absorbers - operation/condition/security

  • Axles, stub axles and wheel bearings - condition/play

  • Steering mechanism - movement/condition/security

  • Steering gear - operation/wear/security

  • Power steering -operation/security/leaks/fluid level

  • Transmission and mountings - condition/security

  • Rear marking and conspicuity markings - position/condition

  • Number plate lamps - position/function

  • Rear lamps and rear end outline lamps - position/function

  • Rear fog lamps and warning devices - position/function

  • Reflectors (side and rear) - condition

  • Direction/hazard indicators/warning devices - position/function

  • Stop lamps - position/function

  • Other dangerous defects

BRAKES - Check

  • Mechanical brake components - condition/operation

  • Drums/linings/discs/pads - condition

  • Brake actuators and adjusters - security/leaks/corrosion/damage

  • Brake systems and components

  • Pipes/valves/hoses/couplings - leaks/condition/security

  • Load sensing device(s) - condition/leaks

  • Service brake/anti-lock systems - operation/warning

  • Braking system hydraulic fluid level

  • Electronic braking system/electronic stability control system - operation/warning

  • Additional braking devices -operation/condition

BRAKE PERFORMANCE TESTS

  • Has service brake performance been carried out

  • Has secondary brake performance been carried out

  • Has park brake performance been carried out

  • DETAILS OF FAULTS NEEDING RECTIFICATION & ACTION TAKEN

SIGNATURES

  • Signature of inspector

  • Signature of driver / responsible person

SUMMARY

  • Final comments / conclusion

  • Negative responses

  • Positive responses

  • Total responses

  • Inspection rating

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.