Light Vehicle Inspection Checklist

LIGHT VEHICLE INSPECTION CHECKLIST DETAILS

• Visionstream are committed to providing employees with safe workplaces, safe equipment and safe work systems of work. The purpose of Light Vehicle Inspections is to assist managers to take a proactive approach to vehicle safety through early identification of vehicle hazards. The Inspection Checklist is not meant to certify the roadworthiness of the vehicle. Any items identified as unsafe or defective must be brought to the attention of the Fleet Manager for further action.

• Date of Inspection:

  Date
• Location:
  Address

• Project:

• Employee Name:

• Employee Licence Number:

• Vehicle Registration Number:

• Vehicle Make / Model Name:

• Kilometre Reading:

• Date Vehicle Last Serviced?

  Date

• Signals Light Indicator

  Safe

  At Risk

  N/A

• Headlights (high beam)

  Safe

  At Risk

  N/A

• Coolant Level?

  Safe

  At Risk

  N/A

• Clutch Fluid Level?

  Safe

  At Risk

  N/A

• Power Steering Oil Level?

  Safe

  At Risk

  N/A

• Brake Fluid Level?

  Safe

  At Risk

  N/A

• Reflective Flag / Flashing Lights / Spot Lights?

  Safe

  At Risk

  N/A

• First Aid Kit?

  Safe

  At Risk

  N/A

• Sharps Kit?

  Safe

  At Risk

  N/A

• Fire Extinguisher?

  Safe

  At Risk

  N/A

• 5L Water Bottle of Fresh Water?

  Safe

  At Risk

  N/A

• PPE Kit?

  Safe

  At Risk

  N/A

• Jack / Wheel Brace?

  Safe

  At Risk

  N/A

• Spare Tyre Inflated?

  Safe

  At Risk

  N/A

• Wheel Nuts all present?

  Safe

  At Risk

  N/A

• Correct Wheel Rims?

  Safe

  At Risk

  N/A

• Tyre Condition?

  Safe

  At Risk

  N/A

• Position 1 - Front Left Passenger

  Safe

  At Risk

  N/A

• Position 2 - Front Right Driver

  Safe

  At Risk

  N/A

• Position 3 - Rear Left

  Safe

  At Risk

  N/A

• Position 4 - Rear Right

  Safe

  At Risk

  N/A

• Indicators / Brake Lights?

  Safe

  At Risk

  N/A

• Seat Belts?

  Safe

  At Risk

  N/A

• Switches and Gauges?

  Safe

  At Risk

  N/A

• Window Washer Operation / Fluid / Blades?

  Safe

  At Risk

  N/A

• Headlights / Fog Lamps?

  Safe

  At Risk

  N/A

• Horn?

  Safe

  At Risk

  N/A

• Foot Pedal Rubbers?

  Safe

  At Risk

  N/A

• Foot Brake?

  Safe

  At Risk

  N/A

• Park Brake?

  Safe

  At Risk

  N/A

• Current Registration / Permits?

  Safe

  At Risk

  N/A

• Service Book History maintained?

  Safe

  At Risk

  N/A

• Cargo Barrier Secure?

  Safe

  At Risk

  N/A

• Tow Bar and Fittings?

  Safe

  At Risk

  N/A

• Roof / Ladder Racks, Fittings and Strapping?

  Safe

  At Risk

  N/A

• Vehicle Load appropriate (ie: Not Overloaded / Unbalanced)

  Safe

  At Risk

  N/A

• Visibility (Windows, Mirrors)

  Safe

  At Risk

  N/A

• Panel Damage (If Evident, Please provide details)

  Safe

  At Risk

  N/A

• Vehicle Washed?

  Safe

  At Risk

  N/A

• General Condition of Vehicle?

  Safe

  At Risk

  N/A

COMMENTS / ADDITIONAL DEFECTS:

• undefined

• Person Completing Inspection:

  Sign