Guardian Safety Solutions - Monthly Vehicle Check Sheet

• Audit Title / Vehicle Registration

• Driver

• Conducted on

  Date

• Vehicle Make

  Select Citreon Toyota Hire Vehicle

  • Citreon
  • Toyota
  • Hire Vehicle

• Vehicle Model

  Select Berlingo Aygo Hire Vehicle

  • Berlingo
  • Aygo
  • Hire Vehicle

Administration

• Current KM

Wheels and Tyres

• Do all 5 tyres (including spare) appear legal ?

  Yes

  No

  N/A

• Do all tyres appear undamaged and even in wear?

  Safe

  At Risk

  N/A

• Are all tyre pressures correct?

  Yes

  No

  N/A

Exterior

• Does the exterior body work appear free from damage ?<br>

  Good

  Fair

  Poor

  N/A

• Do all windows appear undamaged ?

  Yes

  No

  N/A

• Is the exterior of the vehicle clean ?

  Yes

  No

  N/A

• Does the vehicle sign writing appear visible and undamaged ?

  Yes

  No

  N/A

• Does the front number plate appear legal and undamaged ?

  Yes

  No

  N/A

• Does the rear number plate appear legal and undamaged ?

  Yes

  No

  N/A

• Do the side mirrors appear undamaged ?

  Yes

  No

  N/A

• Do all wiper blades appear undamaged ?

  Yes

  No

  N/A

Exterior Lighting

• Are the front side lights in working order ?

  Yes

  No

  N/A

• Are the front headlights in working order including full and dip beam ?

  Yes

  No

  N/A

• Are the front indicator lights in working order ?

  Yes

  No

  N/A

• Are the hazard lights in working order ?

  Yes

  No

  N/A

• Are the side indicator lights in working order ?

  Yes

  No

  N/A

• Are the rear main lights in working order ?

  Yes

  No

  N/A

• Are the number plate lights in working order ?

  Yes

  No

  N/A

• Are the brakes lights in working order ?

  Yes

  No

  N/A

• Are the reversing lights in working order ?

  Yes

  No

  N/A

• Are the rear fog lights in working order ?

  Yes

  No

  N/A

Vehicle Interior

• Does the courtesy light work properly ?

  Yes

  No

  N/A

• Does the interior appear to be free from damage ?<br>

  Yes

  No

  N/A

• Is the interior clean ?

  Yes

  No

  N/A

• Are the seat belts and anchorages free from damage and in working order?

  Yes

  No

  N/A

• Is the rear view mirror clean and free from damage ?

  Yes

  No

  N/A

Vehicle Inventory - Please answer yes or no to confirm if the items below are carried in the vehicle

• Hi Vis vest

  Yes

  No

  N/A

• Wheel brace

  Yes

  No

  N/A

• Jack

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

• Fire Extinguisher

  Yes

  No

  N/A

Engine compartment

• Is the vehicle free from obvious oil leaks ?

  Yes

  No

  N/A

• Is the engine oil at the correct level ?

  Yes

  No

  N/A

• Is the coolant level correct ?

  Yes

  No

  N/A

• Is the power steering fluid at the correct level ?

  Yes

  No

  N/A

• Is there water in the window washer bottle ?

  Yes

  No

  N/A

Vehicle operation

• Do the windscreen washers work ?

  Yes

  No

  N/A

• Do all dashboard indications work ?

  Yes

  No

  N/A

• Does the central locking work correctly ?

  Yes

  No

  N/A

• Does the vehicle appear to run ok ?

  Yes

  No

  N/A

• Do the brakes appear to work correctly ?

  Yes

  No

  N/A

• Does the vehicle appear to operate correctly ?

  Yes

  No

  N/A

• Does the horn work ?

  Yes

  No

  N/A

Notes

• Items requiring imediate attention

• Items requiring attention

• General notes

• Signed by driver

  Sign