Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicle Administrative Data

  • Date of Inspection

  • Name of Driver

  • JFA Office Location

  • JFA Vehicle Number

  • License Plate Number

  • License Plate Expiration

  • VIN (last six digits)

  • Odometer mileage

  • Vehicle Make/Model

  • Cab Type (trucks only)

  • Truck: 4 x 4

  • Van: side/rear windows

Items to be Inspected

COMPONENT

  • Tires

  • Tires: favorable tread inspection; note any treads appearing to be less than 4/32", cuts or uneven wear.

  • Glass - windshield/side/rear

  • Glass - windshield/side/rear: any crack, chip, discoloration or other vision-reducing condition

  • Wipers

  • Wipers: blades are intact and blade material is appropriately pliable; wiper arms have appropriate range of motion

  • Exterior Mirrors

  • Exterior Mirrors: securely attached; free from cracks or other vision-reducing conditions

  • Muffler/Exhaust (tailpipe)

  • Muffler/Exhaust (tailpipe): securely attached to frame; free from holes and leaks; no excessive noise while vehicle is running

  • Front and Rear Bumper

  • Front and Rear Bumper: securely attached; free from rust and dents

  • Oil Level

  • Oil Level: dipstick reads oil level is adequate; oil consistency is normal and appears clear/clean

  • Lights/Signals

  • Lights/Signals: check brake lights, turn signals, hazard flashers for proper operation

  • Horn

  • Horn: horn sounds at an appropriate volume with reasonable pressure

EXTERIOR

  • Rust

  • Rust: any locations of rust other than the bumper area

  • Dent(s)

  • Dent(s): any location of dents other than the bumper area

  • Scratches

  • Scratches: any locations of significant scratches other than the bumper area

  • Decals

  • Decals: general inspection of the vehicle's decals; note any peeling/fading

  • Leaks

  • Leaks: check ground for any leaking fluids; note size and severity; identify location and type, if possible

INTERIOR

  • Seat Coverings

  • Seat Coverings: free from holes, stains, tears, etc.

  • Seat Belts

  • Seat Belts: seat belt and connections are in working order

  • Rearview Mirror

  • Rearview Mirror: securely attached; adjustable; free from cracks or other vision-reducing conditions

  • Gauges

  • Gauges: dashboard gauged are functional and readable

  • Safety Equipment

  • Safety Equipment: check for first aid kit and fire extinguisher on board, and expiration dates on each; note any additional safety equipment carried in the vehicle

  • General Cleanliness

  • General Cleanliness: interior generally free from clutter, trash, spills

OTHER

  • Other: any other general comments about vehicle serviceability not specifically addressed above

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.