Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date and Time audit began
VEHICLE DESCRIPTION
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Photograph of Vehicle Being Inspected
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Year
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2020
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Type
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Make
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Model
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VIN (Vehicle Inspection Number)
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License Number
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Odometer Reading at Inspection
UNDER HOOD
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Lubricating Oil Levels Checked and Within Range?<br>(Engine, Trans, Power Steering, etc.)
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Coolant, Fuel, Hydraulic (If Applicable) Levels Adequate?
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Free of Leaks?
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Drive Belts In Good Condition?
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Batteries Checked For Cleanliness & Security?
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Wiring/Circuit Breakers In Good Condition (Visual Only)?
OTHER MECHANICAL COMPONENTS
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Brakes and Parking Brake Functioning Properly?
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Steering and Suspension Checked For Operation & Damage?
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Transmission Shifter Checked For Proper Operation?
EXTERIOR LIGHTING
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High and Low Beams Operational?
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Left and Right Tail Lights Operational?
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Left and Right Front Turn Signals Operational?
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Left and Right Rear Turn Signals Operational?
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Left and Right Break Lights Operational?
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Left and Right Back-Up Lights Operational?
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License Plate Light Operational?
EXTERIOR BODY AND GLASS (Take Photos of any noted damage)
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Windshield Free of Cracks and Chips?
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Windshield Wipers Functioning Appropriately?
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Windshield Washer Fluid Functioning and Appropriately Wetting Windshield to Clean?
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Mirrors adjustable and Free of Damage?
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Vehicle is Clean and Free of Road Grime and Dirt?
TIRES
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Tire Pressure at Manufacturer's Recommended PSI?
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Tires, Wheels, and Lug Bolts Checked for Tightness and Damage?
INTERIOR
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Seat Belts Operational?
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Heater, A/C, and Defroster Operational?
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Dashboard Lights Operational?
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All Gauges are Operating and Show Within Appropriate Ranges ?
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Interior Compartment Lights Operational?
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Interior is Clean?
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Forms Present (Reports, CO Checklist, Burn And Firework Ordinances, MCI Checklist, etc.) ?
SAFETY / SPECIAL EQUIPMENT
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Mobile Radio Functioning?
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Lightbar and Emergency Lighting Functioning Properly?
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Siren & Horns Functioning Properly?
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First Aid Kit Present?
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Fire Extinguisher Charged and Inspection Tag Current?
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Safety Devices Present (Safety Vests, Cones, Lighting) ?
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Special Equipment (Wrenches, Bunker, Tools)
REQUIRED DOCUMENTATION
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Valid Vehicle Registration is located in Vehicle (Note where kept)
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Valid Vehicle Insurance Certificate is Located in Vehicle (Note where kept)
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Is Vehicle Serviced According to the Manufacturers Schedule?
VEHICLE / EQUIPMENT DISCREPANCY AND MAINTENANCE REPORT
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List Problems / Issues Found
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Photo of Problem / Issue (If Applicable)
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Status of Problem / Issue
- CORRECTED TEMPORARILY
- CORRECTED PERMANENTLY
- DEFERRED FOR PARTS
- DEFERRED FOR MAINTENANCE
- DEFERRED FOR DISPOSITION
- WAIVED FOR REPAIR
OTHER / MISCELLANEOUS
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List Any Other Notes & Comments Here
SIGNATURES
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Signature of Inspector