ILS Van/Truck Vehicle Inspection Checklist

• Client / Site

• Location
  Address

• Prepared by

• Conducted on

  Date

General Information

• License Plate#

  Media

• Odometer Reading

Inspection

LIGHTING DEVICES

• Head lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Brake lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Tail lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Dash lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Clearance lights

  OK

  Needs Repair

  Not Applicable

  Repaired

• Turn indicators

  OK

  Needs Repair

  Not Applicable

  Repaired

SAFETY EQUIPMENT

• Seat belts available and working

  OK

  Needs Repair

  Not Applicable

  Repaired

• Fire extinguisher

  OK

  Needs Repair

  Not Applicable

  Repaired

• First Aid Kit

  OK

  Needs Repair

  Not Applicable

  Repaired

• Emergency Breakdown and Accidient Pack

  Yes

  No

  N/A

SAFE LOADING & HANDLING

• Cargo Barrier Protection against shifting cargo in place

  OK

  Needs Repair

  Not Applicable

  Repaired

• Load Restraint Straps

  OK

  Missing

  Needs Repair

  Not Applicable

• Furniture Blankets

  OK

  Missing

  Needs Repair

  Not Applicable

• Furniture Dolly

  OK

  Missing

  Needs Repair

  Not Applicable

• Hand Trolley

  OK

  Missing

  Needs Repair

  Not Applicable

TYRES

• Condition

  OK

  Needs Repair

  Not Applicable

  Repaired

• Air pressure

  OK

  Needs Repair

  Not Applicable

  Repaired

WINDSHIELD

• Glass free of cracks, discoloration

  OK

  Needs Repair

  Not Applicable

  Repaired

• Wiper fluid full, blades streak free

  OK

  Needs Repair

  Not Applicable

  Repaired

CLEANLINESS

• Body/Panels

  Excellent

  Good

  Average

  Poor

  High Risk

• Exterior Windows

  Excellent

  Good

  Average

  Poor

  High Risk

• Exterior Mirrors

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior upolstery

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior Floor

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior Dash

  Excellent

  Good

  Average

  Poor

  High Risk

• Interior Mirrors

  Excellent

  Good

  Average

  Poor

  High Risk

• Rubbish Present

  Pass

  Fail

  N/A

• Old Paperwork present

  Pass

  Fail

  N/A

• Superfluous Equipment/Parts present

  Pass

  Fail

  N/A

ILS Equipment Present

• Red Dirty Collection Bags (x 5)

  Yes

  No

  N/A

• Yellow Service Tags

  Yes

  No

  N/A

• Orange Service Tags

  Yes

  No

  N/A

• Zip Ties (x 10)

  Yes

  No

  N/A

• Adjustable Spanner, Phillips Screwdriver, Flat Screwdriver, Allan keys

  Yes

  No

  N/A

• Wipe Down wipes

  Yes

  No

  N/A

• Handcleaner

  Yes

  No

  N/A

• Artline Marker AND Pen

  Yes

  No

  N/A

• Self retracting Safety Knife

  Yes

  No

  N/A

• Gloves - Nitrile

  Yes

  No

  N/A

DAMAGE

• Front of Vehicle

  Select No Dents/Scratches Small Dent/Scratch(s) - 20cent piece/5cm or smaller Medium Dent(s) - up to 50cent/10cm size Large Dent(s) - greater than 50cent/10cm size Significant Damage

  • No Dents/Scratches
  • Small Dent/Scratch(s) - 20cent piece/5cm or smaller
  • Medium Dent(s) - up to 50cent/10cm size
  • Large Dent(s) - greater than 50cent/10cm size
  • Significant Damage

• Front Passenger Side - Quarter Panel including front Passenger Door

  Select No Dents/Scratches Small Dent/Scratch(s) - 20cent piece/5cm or smaller Medium Dent(s) - up to 50cent/10cm size Large Dent(s) - greater than 50cent/10cm size Significant Damage

  • No Dents/Scratches
  • Small Dent/Scratch(s) - 20cent piece/5cm or smaller
  • Medium Dent(s) - up to 50cent/10cm size
  • Large Dent(s) - greater than 50cent/10cm size
  • Significant Damage

• Rear Passenger Side - From Front door back

  Select No Dents/Scratches Small Dent/Scratch(s) - 20cent piece/5cm or smaller Medium Dent(s) - up to 50cent/10cm size Large Dent(s) - greater than 50cent/10cm size Significant Damage

  • No Dents/Scratches
  • Small Dent/Scratch(s) - 20cent piece/5cm or smaller
  • Medium Dent(s) - up to 50cent/10cm size
  • Large Dent(s) - greater than 50cent/10cm size
  • Significant Damage

• Rear of Vehicle

  Select No Dents/Scratches Small Dent/Scratch(s) - 20cent piece/5cm or smaller Medium Dent(s) - up to 50cent/10cm size Large Dent(s) - greater than 50cent/10cm size Significant Damage

  • No Dents/Scratches
  • Small Dent/Scratch(s) - 20cent piece/5cm or smaller
  • Medium Dent(s) - up to 50cent/10cm size
  • Large Dent(s) - greater than 50cent/10cm size
  • Significant Damage

• Rear Drivers Side - From Front Door Back

  Select No Dents/Scratches Small Dent/Scratch(s) - 20cent piece/5cm or smaller Medium Dent(s) - up to 50cent/10cm size Large Dent(s) - greater than 50cent/10cm size Significant Damage

  • No Dents/Scratches
  • Small Dent/Scratch(s) - 20cent piece/5cm or smaller
  • Medium Dent(s) - up to 50cent/10cm size
  • Large Dent(s) - greater than 50cent/10cm size
  • Significant Damage

• Front Drivers Side - Quarter Panel including Drivers Door

  Select No Dents/Scratches Small Dent/Scratch(s) - 20cent piece/5cm or smaller Medium Dent(s) - up to 50cent/10cm size Large Dent(s) - greater than 50cent/10cm size Significant Damage

  • No Dents/Scratches
  • Small Dent/Scratch(s) - 20cent piece/5cm or smaller
  • Medium Dent(s) - up to 50cent/10cm size
  • Large Dent(s) - greater than 50cent/10cm size
  • Significant Damage

• Driver Controls Damaged?

  Pass

  Fail

  N/A

• Interior Components all present and damage free

  Pass

  Fail

  N/A

SUMMARY

• List any other conditions which may prevent safe operation of this vehicle

• Enter any other observations

• Rate the overall condition of the vehicle

  Excellent

  Good

  Average

  Poor

  High Risk

Recommendations

• Enter recommendations here

COMPLETION

• Full Name and Signature of Inspector

  Sign