FLEET VEHICLE INSPECTION VC-SAFETY INSPECTION- MOTOR VEHICLES

• Audit Title

• Document No.

• Conducted on

  Date

• Prepared by

• Client/Site/Location
  Address

• Picture of Vehicle

  Media

• 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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Cab floor and steps - condition/security/damage

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Seats - condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• View to front - obstruction

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Condition of glass (screen and windows)

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Windscreen wipers and washers - condition/operation/effectiveness

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Audible warning (horn) - operation/control

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Driving controls - damage/security/obstruction

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Steering wheel - free play

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Steering wheel - security/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Steering column - security/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Road speed limiter plate - condition/wiring

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Pressure/vacuum warning - operation

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Pressure/vacuum build-up - time

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Hand levers controlling -operation/wear

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Mechanical braking - condition/travel

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Service brake pedal - condition/operation

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Hand operated brake - operation/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Control valves - condition/leaks

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Electrical wiring/equipment/switches - condition/operation

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

CAB EXTERIOR - CHECK

• Bumper (front) - condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Cab security (including tilt mechanism) - condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Cab doors including hinges and locks - condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Cab floor (underside) and steps - condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Headlamps - function/condition/warning device

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Headlamps - aim/adjustment/mechanisms

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Registration plates - legibility/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

ENGINE COMPARTMENT - CHECK

• Engine mountings - condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Road speed limiter - condition/operation/seals

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Oil leaks - extent/effect

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Fuel tanks and systems - condition/leaks

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Exhaust system - condition/security/leaks

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• ANCILLARY EQUIPMENT - security/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

UNDER/ALONGSIDE VEHICLE - check

• Road wheels and hubs - condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Tyres - size/type

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Tyres - condition/wear/inflation

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Bumper and protective guards - condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Spare wheel carrier - security/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Trailer coupling - security/operation/wear

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Trailer parking and emergency brake and airline connections - condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Body - security/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Chassis - condition/security of components

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Oil leaks - extent/effect

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Fuel tanks and systems - security/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Exhaust system - condition/security/leaks

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Suspension pins and bushes - wear/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Spring units, links and sub-frames - attachment

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Shock absorbers - operation/condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Steering mechanism - movement/condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Steering gear - operation/wear/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Transmission and mountings - condition/security

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Rear marking and conspicuity markings - position/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Number plate lamps - position/function

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Rear fog lamps and warning devices - position/function

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Reflectors (side and rear) - condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Stop lamps - position/function

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Other dangerous defects

BRAKES - Check

• Mechanical brake components - condition/operation

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Drums/linings/discs/pads - condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Brake systems and components

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Load sensing device(s) - condition/leaks

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Braking system hydraulic fluid level

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

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

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

• Additional braking devices -operation/condition

  Serviceable

  Item Requiring Attention

  Not Checked

  Not Applicable

BRAKE PERFORMANCE TESTS

• Has service brake performance been carried out

  Yes

  No

  N/A

• Has secondary brake performance been carried out

  Yes

  No

  N/A

• Has park brake performance been carried out

  Yes

  No

  N/A

• DETAILS OF FAULTS NEEDING RECTIFICATION & ACTION TAKEN

SIGNATURES

• Signature of inspector

  Sign

• Signature of driver / responsible person

  Sign

SUMMARY

• Final comments / conclusion

• Negative responses

• Positive responses

• Total responses

• Inspection rating