KCA vehicle inspection audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date and Time audit began

  Date

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected

  Media

• Drivers Name

• Drivers licence sighted

  Yes

  No

  N/A

• Registration Number

• State

  Select QLD NSW ACT VIC TAS SA NT WA

  • QLD
  • NSW
  • ACT
  • VIC
  • TAS
  • SA
  • NT
  • WA

• Odometer Reading at Inspection

• Make

• Model

• Body Type

  Sedan

  Wagon

  SUV

• Year

  Select 2008 2009 2010 2011 2012 2013 2014 2015

  • 2008
  • 2009
  • 2010
  • 2011
  • 2012
  • 2013
  • 2014
  • 2015

• Division

  Consumer

  Professional

  Health Care

  Aged Care

EXTERIOR LIGHTING

• High and Low Beams Operational

  Yes

  No

  N/A

• Left and Right Tail Lights Operational

  Yes

  No

  N/A

• Left and Right Front Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Rear Turn Signals Operational

  Yes

  No

  N/A

• Left and Right Break Lights Operational

  Yes

  No

  N/A

• Left and Right Reverse Lights Operational

  Yes

  No

  N/A

• License Plate Light Operational

  Yes

  No

  N/A

EXTERIOR BODY AND GLASS (Take Photos of any noted damage)

• Windshield Free of Cracks and Chips

  Yes

  No

  N/A

• Front Hood, Grill and Bumper free of Damage

  Yes

  No

  N/A

• Left Mirrors adjustable and Free of Damage

  Yes

  No

  N/A

• Left Door Free of Damage

  Yes

  No

  N/A

• Left Side Free of Damage

  Yes

  No

  N/A

• Left Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Rear WIndow Free of Cracks and Chips

  Yes

  No

  N/A

• Rear of Vehicle and Bumper Free of Damage (Tailgate if included)

  Yes

  No

  N/A

• Right Side Free of Damage

  Yes

  No

  N/A

• Right Wheel Chair Lift Door Free of Damage

  Yes

  No

  N/A

• Right Side Windows Free of Cracks and Chips

  Yes

  No

  N/A

• Right Door Free of Damage

  Yes

  No

  N/A

• Right Front Fender Free of Damage

  Yes

  No

  N/A

• Right Mirror Adjustable and Free of Damage

  Yes

  No

  N/A

• Vehicle is Clean and Free of Road Grime and Dirt

  Yes

  No

  N/A

TIRES

• Front Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Driver Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Rear Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Front Passenger Tire in Good Repair with no Visible Signs of Wear or Cracking in Sidewall

  Safe

  At Risk

  N/A

• Adequate Spare Tire is Available if Necessary in Good Repair with No Visible Signs of Wear or Cracking in Sidewall

  Yes

  No

  N/A

INTERIOR

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• Dashboard Lights Operational

  Yes

  No

  N/A

• All Gauges are Operating and Show within Appropriate Ranges

  Yes

  No

  N/A

• Interior is Clean and Free of Loose Objects

  Yes

  No

  N/A

• Horn working correctly

  Yes

  No

  N/A

• Reverse sensor working correctly

  Yes

  No

  N/A

EQUIPMENT

• Fully stocked first aid kit

  Yes

  No

  N/A

• Two sets of keys

  Yes

  No

  N/A

• Fuel card

  Yes

  No

  N/A

ENGINE BAY

• Radiator fluid levels

  Safe

  At Risk

  N/A

• Engine oil levels

  Safe

  At Risk

  N/A

• Windshield Washer Fluid Levels

  Safe

  At Risk

  N/A

REQUIRED DOCUMENTATION

• Valid Vehicle Registration sticker

  Yes

  No

  N/A

• Is Vehicle Serviced According to the Manufacturers Schedule?

  Yes

  No

  N/A

• Date of Last Service

  Date

• Accident management pack (with pen)

  Yes

  No

  N/A

SIGNATURES

• Signature of Auditor

  Sign

• Signature of Driver

  Sign