LOGAN CITY COUNCIL

• Conducted on

  Date

• Checked By

  Select Miro Bjelajac Tony Burfield Daniel Augustine Trevor Wilson Matthew Thackray Dave McDonald Matthew Anderson

  • Miro Bjelajac
  • Tony Burfield
  • Daniel Augustine
  • Trevor Wilson
  • Matthew Thackray
  • Dave McDonald
  • Matthew Anderson

VEHICLE DESCRIPTION

• Photograph of Vehicle Being Inspected

  Media

• Unit Number

• Make

• Model

• Registration Number

• Odometer Reading

• Next Service Due

APPEARANCE

• Is the vehicle clean and does not need to be washed?

  Yes

  No

  N/A

• Is the interior of the vehicle clean, and does not need to be vacuumed?

  Yes

  No

  N/A

EXTERIOR

• Windshield Wipers Functioning Appropriately

  Yes

  No

  N/A

• All Glass is Free of Cracks and Chips

  Yes

  No

  N/A

• Bonnet, Bumper and Grill is free of damage

  Yes

  No

  N/A

• Left side free of damage

  Yes

  No

  N/A

• Rear of vehicle and bumper free of damage (Tailgate if included)

  Yes

  No

  N/A

• Right side free of damage

  Yes

  No

  N/A

EXTERIOR LIGHTING

• Headlights are operational

  Yes

  No

  N/A

• Park lights are operational

  Yes

  No

  N/A

• Brake lights are operational

  Yes

  No

  N/A

• Indicators are operational

  Yes

  No

  N/A

• Number plate light is operational

  Yes

  No

  N/A

• Reverse light/s are operational

  Yes

  No

  N/A

TYRES

• Are all Tyres/Rims in good repair and without visible signs of excessive wear or damage

  Yes

  No

  N/A

UNDER BONNET CHECK

• Is the vehicle free from any visible oil leaks on or under the vehicle

  Yes

  No

  N/A

• Engine oil level is within tolerance's

  Yes

  No

  N/A

• Is the battery fluid level within tolerance's

  Yes

  No

  N/A

• Automatic transmission oil level is within tolerance's

  Yes

  No

  N/A

• Coolant level Is within tolerance's

  Yes

  No

  N/A

• Windshield washer reservoir Is full

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

SIGNATURE

• Signature of Auditor

  Sign