Life Environmental Vehicle Inspection Form V2 March 2019

• Title of audit

• Vehicle registration number

• Vehicle make/model

• Colour

• Mileage

• Reason for vehicle audit

  Select Vehicle Hand Over As Part Of Site Audit

  • Vehicle Hand Over
  • As Part Of Site Audit

• Conducted on

  Date

• Drivers name

• Add signature

  Sign

• Line Managers/Auditors Name

• Add signature

  Sign

• Template Revision Number and Name

• General comments on condition of vehicle

• Are there any warning lights showing on start up? (e.g tyre pressure, service etc)

  Select Yes No

  • Yes
  • No

• Fuel card available?

  Select Yes No

  • Yes
  • No

• Is the dash cam security seal intact? Record dash cam ID number

  Select Yes No

  • Yes
  • No

• First aid kit available

  Select Yes No

  • Yes
  • No

• Car driver's handbook available?

  Select Yes No

  • Yes
  • No

• Accident form available?

  Select Yes No

  • Yes
  • No

• Fuel level

  Select Full 7/8 6/8 5/8 1/2 3/8 1/4 Low

  • Full
  • 7/8
  • 6/8
  • 5/8
  • 1/2
  • 3/8
  • 1/4
  • Low

• Oil level (Check dipstick)

  Select Full Half Low

  • Full
  • Half
  • Low

Tyre checks - Check with tread gauge. Check tyres are above the legal limit of 1.6mm. This must be checked across the central three quarters of the breadth of the tyre and around the full circumference.

• Near side front above 1.6mm?

  Select Yes No

  • Yes
  • No

• Near side rear above 1.6mm?

  Select Yes No

  • Yes
  • No

• Off side front above 1.6mm?

  Select Yes No

  • Yes
  • No

• Off side rear above 1.6mm?

  Select Yes No

  • Yes
  • No

• Are all the lights in good working order. - Check the full sequence of lights Headlights – front and rear, fog lights, indicators-front and rear and hazards, reversing lights, brake lights.

  Select Yes No

  • Yes
  • No

• Are the plastic covers which are in place over the light connections in the boot in good condition? Check for damaged or dents. If they are missing please note this and advise the Transport department immediately so this can be remedied

  Select Yes No

  • Yes
  • No

• Any asbestos waste in the vehicle bagged & appropriately sealed?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is there any evidence of smoking in the vehicle (Including e-cigarettes & vaporizers)

  Select Yes No

  • Yes
  • No

• Is the vehicle in a clean state inside and outside?

  Select Yes No Observation

  • Yes
  • No
  • Observation

• Record details of last service date and where if applicable

  Select Yes No N/A

  • Yes
  • No
  • N/A

For Vans Only

• Fire extinguisher present? Record details of next service due date (Annual inspection)

  Select Yes No

  • Yes
  • No

• Bulk head present

  Select Yes No

  • Yes
  • No

• Is there any damage to the car? If Yes record on diagram and take photographs

  Select Yes No

  • Yes
  • No

• Complete the relevant diagram for the type of vehicle.
  Key: M - Missing, C - Chipped, X - Scratch, O - Dent, W - Worn

• Add drawing

  Drawing

• Photographs of damage if applicable

  Media

• Front Angle Showing the Registration Plate and All The Front

  Media

• Drivers side showing the full length of the vehicle from front and rear

  Media

• Rear angle showing the boot closed and another one showing the boot open showing interior

  Media

• Passenger side showing the full length of the vehicle from the front and rear

  Media

• General picture of the whole car from front and back - taken around 45 degrees from the car

  Media

• Interior front and rear

  Media

• Photo of the dashboard with the engine on to see mileage and any warning lights etc

  Media

• Plastic covers which are in place over the light connections in the boot

  Media