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