Title Page

  • GPBR

  • Branch Manager

  • Conducted on

  • Prepared by

  • PASS / FAIL =

Unit Readiness

    Vehicle
  • VIN / PLATE / UNIT

  • Model

  • Tread Depth Pass

  • *****AUDIT FAIL*****AUDIT FAIL*****AUDIT FAIL*****

  • No Pending Recall

  • *****AUDIT FAIL*****AUDIT FAIL*****AUDIT FAIL*****

  • Tire Pressure Pass (Visual)

  • *****AUDIT FAIL*****AUDIT FAIL*****AUDIT FAIL*****

  • Interior Clear

  • LOFR is current

  • Free of Reportable Damage

  • Car is Clean

V.I. Exterior

  • Unit Number

  • Unit
  • Unit/Plate Number

  • Emp Name or E#

  • All Tires

  • *****AUDIT FAIL*****AUDIT FAIL*****AUDIT FAIL*****

  • Trunk/Spare

  • Four Corners

  • Roof

  • Side Mirrors/Windshield

  • (Optional)

  • Notes/Comments

V.I. Interior

    Unit Number
  • Unit/Plate Number

  • Emp Name or E#

  • Center Console/Glove Box

  • Door/Seat Pockets

  • Visors

  • Between/Under Seats

  • Storage Compartments (Stow 'n Go, Rear Arm Rest, etc.)

  • Comment

Underwriting

  • Add RA

  • RA#
  • RA#

  • Renter Name

  • Emp Name or E#

  • Utility Bills Verified

  • Initial Deposit

  • Income, Job, or Insurance Verified

  • Car Class Correct

  • CQ Complete

Conversion Control

  • Add RA

  • RA
  • RA#

  • Emp Name or E#

  • Deposit >= ($50)

  • Amount behind

  • Rental < 30 Days

  • # of Days Open

  • Able to Contact Renter

ARQ Summary

    ARQ Summary
  • # of Claims

  • Report Written Timely %

  • Loss Description Completion %

  • Claim Written by Management?

  • Police Report Info Complete?

  • Insurance Capture %

  • Claimant Information Capture %

  • Days to Shop %

  • Home City Deductible Collected %

  • Total Claim Quality %

  • Total Claim Quality at or above goal?

Facility Evaluation

    Facility Evaluation
  • All interior flooring is clean, stain free and in good condition? (no trip hazards)

  • Rear door(s) properly secured?

  • Is the LAN room properly sized, ventilated, free and clear of clutter/ flammable materials and locked?

  • Is there adequate security lighting for employees and vehicles?

  • Are all exits to the properties properly secured?

  • Does the manager have readily available to their employees the written OSHA (US)/ Health and Safety (Canada) plan and do they acknowledge they are communicating and training their employees as required?

  • Are all security cameras and their recording devices working and secured properly?

  • Is the Business Continuity Plan & OSHA Hazard Communication (Hazcom) plan accessible to all employees?

  • Are employees trained regularly regarding safety?

  • Are fire extinguishers appropriately hung, services and inspected?

  • Is there proper drainage in the wash area?

  • All wash equipment (vac, heaters, etc) is working properly?

  • Current Safety Data Sheets (formerly MSDS) for all liquid, gel, and aerosol products are located near car wash supplies?

  • Eye wash station is clean and in good working order?

  • All liquid, gel and aerosol products are properly stored per SDS?

  • Wash area water hoses are free of leaks?

  • Automatic car wash chemicals are properly labeled and properly stored?

  • If onsite, is the emergency shut off switch for the automatic car wash properly labeled, easily identified, and functioning properly?

  • Are required Personal Protective Equipment available to all employees?

  • Are all floors (including the shop) in good condition and maintained in a clean and safe manner?

  • Child Safety seats are maintained in accordance with Best Practices

  • On/Off of parking lot lighting controlled by photocell?

  • Are the fuel pump and associated hoses in good condition?

  • Is the Spill Prevention Control & Countermeasure (SPCC) plan readily available and current (required for sites that store over 1320 gallons of oil/gas/diesel in tanks, drums or lube cubes)?

  • Does the facility do daily/weekly inspections of the nozzles and hoses and maintain the records for two years?

  • Is the emergency fuel shut off switch easily identified and working properly?

  • All shop equipment (i.e. wheel balancer, grinder, etc) is properly maintained and in good working order?

Feedback / Action Plan

  • Action Plan to address any failing items

  • Signature of Branch Employee

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.