Job-Site Safety, LTD

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Vehicle number

  1009

• Date and time.

  Date

• INSPECT AND CHECK OFF ITEMS AS YOU PERFORM YOUR INSPECTION. REPORT PROBLEMS WITH VEHICLES CONDITION IN THE NOTES AREA. PLEASE BE SPECIFIC WHEN REPORTING A PROBLEM.

Under hood

• Oil level

  Yes

  No

  N/A

• Radiator level

  Yes

  No

  N/A

• Window washer fluid level

  Yes

  No

  N/A

• Battery

  Yes

  No

  N/A

• Hoses / belts

  Yes

  No

  N/A

• Coolant leaks

  Yes

  No

  N/A

• Notes

Exterior

• Tires

  Yes

  No

  N/A

• Turn signals

  Yes

  No

  N/A

• Head lights

  Yes

  No

  N/A

• Tail / brake lights

  Yes

  No

  N/A

• Marker lights

  Yes

  No

  N/A

• Window / wipers

  Yes

  No

  N/A

• Body Damage

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Doors

  Yes

  No

  N/A

• Cleanliness

  Yes

  No

  N/A

• Notes

Interior

• Brakes & parking brake

  Yes

  No

  N/A

• Steering

  Yes

  No

  N/A

• Transmission

  Yes

  No

  N/A

• Mirrors

  Yes

  No

  N/A

• Gauges

  Yes

  No

  N/A

• Cleanliness

  Yes

  No

  N/A

• Heater / A.C

  Yes

  No

  N/A

• Radio

  Yes

  No

  N/A

• Horn

  Yes

  No

  N/A

• Dome lights

  Yes

  No

  N/A

• Seat belts

  Yes

  No

  N/A

• Notes

• Picture of Mileage start

  Media

• Picture of Mileage end

  Media

• Mileage start text (if needed)

• Mileage end text (if needed)

• Total mileage

• Add signature

  Sign

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