Light Vehicle Safety Inspection

• Document No.

• Vehicle

  Select

• Conducted on

  Date

• Prepared by

  Select
• Location
  Address

• Odometer Reading

Check List

• When "At Risk" is selected option to add comments and photo is enabled

• Check Ignition Key (Bent, Worn etc)<br>

  Good

  Fair

  Poor

  N/A

• Check Windscreen integrity (cracks/chips)

  Good

  Fair

  Poor

  N/A

• Check Windshield Wipers / Washers (front and rear)

  Good

  Fair

  Poor

  N/A

• Visual Inspection for Exterior Damage <br>(Recommend taking pic of any vehicle damage and report to FL)

  Safe

  At Risk

  N/A

• Check Service Sticker (on windscreen) for scheduled service date/mileage

  Compliant

  Non-Compliant

  N/A

• Leaks under the vehicle

  Yes

  No

  N/A

• Check inside the engine compartment for any leaks and loose items

  Yes

  No

  N/A

• Check Oil Level

  Good

  Fair

  Poor

  N/A

• Check Washer Fluid Level

  Good

  Fair

  Poor

  N/A

• Check Coolant Level

  Good

  Fair

  Poor

  N/A

• Check Power Steering Fluid Level

  Good

  Fair

  Poor

  N/A

• Start Engine and Check Transmission Fluid

  Good

  Fair

  Poor

  N/A

• Check Hooter

  Good

  Fair

  Poor

  N/A

• Check Heater / Defroster / Air conditioner

  Good

  Fair

  Poor

  N/A

• Check Headlights / Turn Signal Lights / Hazard Lights / Tail Lights / Reverse Lights

  Pass

  Fail

  N/A

• Check Mirrors for Damage and Adjustments

  Safe

  At Risk

  N/A

• Check First Aid Kit

  Yes

  No

  N/A

• Check Fire Extinguisher

  Pass

  Fail

  N/A

• Check High Visibility Vest and Leather Gloves

  Good

  Fair

  Poor

  N/A

• Check Bio-Hazard Kit (if supplied)

  Compliant

  Non-Compliant

  N/A

• Check Wheel chocks, Warning Signs, Jack and Wheel spanner

  Good

  Fair

  Poor

  N/A

• Check LED Torch (wind-up)

  Good

  Fair

  Poor

  N/A

• Check the tyres for cuts and tread depth

  Good

  Fair

  Poor

  N/A

• Check the battery terminals for rust

  Good

  Fair

  Poor

  N/A

• Is there an Orange Diamond on the Front of the Vehicle

  Yes

  No

  N/A

• Do you have UN 1075 signs on the left side of the vehicle?

  Yes

  No

  N/A

• Do you have UN 1075 signs on the right side of the vehicle?

  Yes

  No

  N/A

• Do you have UN 1075 signs on the rear of the vehicle?

  Yes

  No

  N/A

• Do you have the safety sign on the vehicle? (No Smoking, No Cellphone, No Match)

  Yes

  No

  N/A

• Is the Road Worthy Valid?

  Yes

  No

  N/A

• Is the Licence Valid?

  Yes

  No

  N/A

• Is the Fire Permit Valid?

  Yes

  No

  N/A

• Is the Driver's Licence Valid?

  Yes

  No

  N/A